Wang Yang, Zhao Rulian, Pi Lianhong. Relationship between myopia and AL/CR ratio in children of 7-12 years old[J]. Journal of Chongqing Medical University, 2019,44(12):1660.
Wang Yang, Zhao Rulian, Pi Lianhong. Relationship between myopia and AL/CR ratio in children of 7-12 years old[J]. Journal of Chongqing Medical University, 2019,44(12):1660.DOI:
目的:探讨7~12岁儿童眼轴长度/角膜曲率半径比值(axis length/corneal radius of curvature ratio,AL/CR值)与近视程度的关系。方法:通过睫状肌麻痹检影验光及光学生物测量仪(IOL-Master)获得7~12岁儿童402例(804只眼)的等效球镜度、眼轴长度、角膜屈光力,并计算AL/CR值。按等效球镜度分为轻度近视、中度近视及高度近视3组,采用SPSS 22.0统计学软件进行数据统计。结果:高度近视组AL/CR值(3.47±0.13)与中度近视组(3.26±0.09)、轻度近视组(3.12±0.07)比较差异有统计学意义(F=972.220,P=0.000)。等效球镜度与AL/CR值相关性高于眼轴长度及角膜曲率半径(r=-0.886,r=-0.752,r=0.243,P=0.000),线性回归显示AL/CR值每增加1个单位,等效球镜度向近视方向变化约15.2D(r2=78.4%,P=0.000)。轻度近视、中度近视及高度近视组中,眼轴长度与角膜曲率半径的线性回归直线差异有统计学意义(r2=48.1%,r2=50.9%,r2=16.7%,P=0.000),AL/CR值与等效球镜度的线性回归直线差异有统计学意义(r2=20.5%,r2=19.5%,r2=84.0%,P=0.000)。结论:AL/CR值是判断近视的一项客观指标,可用于不同程度近视的分类。
Abstract
Objective:To investigate the relationship between axis length/corneal radius of curvature ratio(AL/CR ratio) and myopia degree in children of 7-12years old. Methods:Data of spherical equivalent refraction,axial length and corneal refractive power from 402 children(804 eyes) of 7-12 years old were obtained by cycloplegic optometry and IOL-Master and AL/CR ratio was calculated. According to the spherical equivalent refraction,402 children were divided into three groups:mild myopia group,moderate myopia group and high myopia group. Statistics were analyzed by SPSS 22.0 software. Results:AL/CR ratio among high myopia group(3.47±0.13),moderate myopia group(3.26±0.09) and mild myopia group(3.12±0.07) was significantly different(F=972.220,P=0.000). Correlation between spherical equivalent refraction and AL/CR ratio was higher than that between axial length and corneal radius of curvature(r=-0.886,r=-0.752,r=0.243,P=0.000). According to the linear regression,spherical equivalent refraction was changed about-15.2D with each increase of AL/CR ratio(r2=78.4%,P=0.000). Among those three groups,difference of linear regression line between axial length and corneal radius of curvature had no statistical significance(r2=48.1%,r2=50.9%,r2=16.7%,P=0.000),but dif-ference of the linear regression line between AL/CR ratio and spherical equivalent refraction had statistical significance(r2=20.5%,r2=19.5%,r2=84.0%,P=0.000). Conclusion:AL/CR ratio is an objective index in the diagnosis of myopia and can be used to clas-sify different degrees of myopia.
关键词
儿童近视眼轴角膜曲率半径眼轴长度/角膜曲率半径比值
Keywords
childrenmyopiaaxis lengthcornea radius of curvatureaxis length/corneal radius of curvature ratio