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目的探讨1%环戊通在儿童屈光流行病学调查中的应用价值方法用小瞳检影法分别对玉溪市、临沧市7所幼儿园2～6岁儿童进行屈光筛查,对在检影时顺影动>+1.50DS(远视)、有逆影动(近视)或两个子午线影动不对称(散光)的儿童,疑为屈光不正,通知家长复诊。对复诊儿童给1%环戊通点眼麻痹睫状肌,5min/次,连续点眼2～3次,休息60 min进行视网膜检影,明确诊断。结果在受检的3378名(6756眼)儿童中,通知复诊246人(屈光异常率为7.28%),实际散瞳验光144人(复诊率为58.54%),在验光的144人288眼中。诊断为屈光不正237眼,屈光不正眼占复查眼的82.29%。可疑弱视83眼(患病率为1.23%)。斜视37人(患病率为1.10%)。结论在儿童屈光流行病学调查中,可选用1%环戊通进行睫状肌麻痹验光,由于它对儿童的学习和生活影响较小,且在点药当天就可以进行检影验光,从而减少了在流调工作中医患之间沟通的繁琐程序,容易被患儿和家长所接受。
Objective To investigate the application value of 1% cyclopentoide in the investigation of children’s refractive epidemiology.Methods The refractive index of children aged 2 ~ 6 years in 7 kindergartens of Yuxi City and Lincang City was measured by using the pupil retinoscopy method. Syncope when moving retinoscopy> 1.50DS (hyperopia), there is inverse motion (myopia) or two radial asymmetric motion (astigmatism) of children, suspected refractive errors, notify the parents referral. Children on the referral to 1% cyclopentyl eye cilia paralysis ciliary muscle, 5min / times, continuous eye 2 or 3 times, rest 60min for retinoscopy, a clear diagnosis. Results Of the 3378 children (6756 eyes) examined, 246 were referred to the hospital (refractive error rate was 7.28%), and the actual cycloplegic refraction was 144 (referral rate was 58.54%). There were 288 eyes of 144 persons in the optometry group. Diagnosis of refractive error in 237 eyes, refractive errors account for 82.29% of eyes reviewed. 83 eyes of suspected amblyopia (prevalence rate 1.23%). Strabismus 37 people (prevalence rate of 1.10%). Conclusion In pediatric refractive epidemiology survey, 1% cyclopentyl can be used for optometritis. Because it has little impact on children’s learning and life, and on the day of medication, retinoscopy can be performed Reduce the tedious process of communication between doctors and patients in flow control work, easily accepted by children and parents.