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題名 | 早產兒的視覺發育和屈光狀態=The Visual Development and Refractive Status of Prematurity |
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作者 | 吳愛卿; 藍郁文; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 38:3 1999.09[民88.09] |
頁次 | 頁374-383 |
分類號 | 417.678 |
關鍵詞 | 早產兒; 視覺發育; 屈光狀態; Retinopathy of prematurity; Amblyopia; Strabismus; |
語文 | 中文(Chinese) |
中文摘要 | 本研究收集1988年12月到1996年11月於本院出生,出生體重小於 1500克或懷孕週期小於36週的早產兒,共189位,觀察早產兒視網膜病變與視力發 育,屈光狀況間的關係。結果顯示,48.6%有弱視,32.0%有屈光不正,7.8% 有不等視,10.5%有近視,25.5%有散光,22.1%有斜視。患有早產兒視網膜 病變之早產兒中,58.5%有弱視,38.2%有屈光不正,14.1%有不等視,19 .7%有近視,26.3%有散光,25.8%有斜視,但無早產兒視網膜病變之早產兒中 ,僅40.5%有弱視,26.6%有屈光不正,1.3%有不等視,1.3%有近視,2 4.7%有散光,17.9%有斜視。早產兒視網膜病變的程度越嚴重,則弱視,屈光不正 ,不等視,斜視的比率越高(p<0.01),且與近視,散光的度數間有一線性關係存在 (p<0.01)。對於早產兒除了應注意出生後視網膜的篩檢工作外,也應注意視力,眼 位和屈光狀態,以便早期發現異常,早期治療,使早產兒有健全的視覺發育。 |
英文摘要 | 189 infants, born less than 1500g of weight or 36 weeks of gestational age, were included in this study to understand the relationship between the visual development, status of refraction and retinopathy of prematurity (ROP). The results showed: 48.6% with amblyopia, 32.0% with refractive error, 7.8% with anisometropia, 10.5% with myopia (≧ 2D ), 25.5% with astigmatism (≧ 2D ) and 22.1% with strabismus. Among the premature with ROP, 58.5% with amblyopia, 38.2% with refractive error, 14.1% with anisometropia, 19.7% with myopia (≧ 2D ), 26.3% with astigmatism (≧ 2D ) and 25.8% with strabismus, but among the premature without ROP only 40.5% with amblyopia, 26.6% with refractive error, 1.3% with anisometropia, 1.3% with myopia (≧ 2D ), 24.7% with astigmatism (≧ 2D ) and 17.9% with strabismus. We also found that the more serious the retinopathy, the more higher incidence of amblyopia, refractive error, anisometropia and strabismus were (p<0.01). There was also a linear correlation between the severity of the retinopathy of prematurity and myopia, astigmatism (p<0.001). For premature, we should pay attention to the retinal screening, and also to the condition of visual acuity, eye position and refraction, in order to let the premature have a normal visual development. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。