【摘要】 <正> 对小儿屈光不正的诊断常采用检影验光方法,影响该法检查准确性的主要因素是小儿睫状肌的调节作用,因此检影验光前要充分麻痹睫状肌。目前,睫状肌麻痹效果的研究多偏重于不同麻痹剂间的比较,本文通过检查小儿屈光不正应用阿托品对睫状肌麻痹效果进行了动态观察,现将结果报告如下。对象和方法一、对象:为1989年1月至1990年1月来我院眼科门诊就诊,视力低于1.0,未查出其他疾患,经小瞳验光诊断为远、近视眼的患者,共37例74眼,年龄5～12岁,平均7.5岁,男20例女17例。更多还原

【Abstract】 37 Cases children(74 eyes)with refraction error aging 5-12 years were taken up for thisstudy.1% atropine ointment was instilled one time a day for seven days.The residual accom-modation was mesured before and 1,3,5,7day after use of 1% atropine ointment.The ob-served results showed as follows: The mean accommodation of 74 eyes before use of the at-ropine was 9.06±4.01D,The residual accommodation measured under 1% atropine at 1,3,5,7day was 2.57±1.83D,1.56±1.03D,1.13±0.93D,and 0.94±0.85D respectively.Thedifference between the day before use of atropine and 1,3,5,7day after use of atropine re-spectively was statistically significant(p<0.001).The residual accommodation was not relat-ed to the age and refraction state of the patients,but was related to the dtgree of refractionerror,the higher the refraction error,the biger the residual accommodation,How long afteruse of atropine was necessary for refraction examination in different degree of refraction wasdiscussed.更多还原