大连市验光质量现况与建立其保证体系的必要性

目的:调查大连市验光质量状况,探讨验光质量体系的主要技术要素。方法:1名长期配戴近视- 5 0 0DS、散光- 1 0 0 0DC的调查者到1 0家眼镜店实地验光配镜,验光条件按照当年度卫生管理档案核准。结果:(1 ) 2家认为只有左眼有散光;有4家认为双眼均不必配出散光;还有4家给出双眼复合散光的处方(且给出顺规、逆规散光的各2家) ,以右眼在1 80°方向上的验光结果相差最大(-1 50D) ;(2 )大型眼镜店普遍使用电脑验光仪+主觉插片法,小型眼镜店只主要采用主觉插片法;(3)验光员文化程度以初中为主(62 . 0 % ) ,高中为30 . 1 % ,小学为2 9 .0 % ,专科及以上为30 . 1 %。结论:目前眼镜行业验光技术差,提高验光质量的重点应该放在验光人员的资格认定制,并逐步提高标准。

Objective:The quality of optometry in Dalian was surreyed in order to probe into advancing a quality system. Methods:A person suffered astigmatism was chosen for making refraction to 10 optical shops orderly. And her refractive error range was about-5.00DC. The condition of refraction in the 10 shops were also surveyed. Results:(1)2 shops gave an evaluation that only left eye was suffered astigmatism. 4 shops determined that both eyes were suffered only myopia. And 4 shops measured out that both eyes were astigmatism, but 2 evaluated that there were against-the -rule astigmatism, whereas 2 determined that there were with-the-rule astigmatism. The maximum differences occurred at her right eye(-1.50D).(2)All big shops only made use of auto refractometer+trial lens kit(pcs case),whereas some small shops only used trial lens kit.(3)56.9% optical practitioners hold a diploma from junior high school. 33.1% graduated from senior high school. And 6.9% educated only by elementary school. Only 3.1% recorded of formal schooling from college. Conclusion:At present, optical practitioners in Dalian had a poor technique. For the future, we ought to put the stress on establishing the competency standards for entry-level to the profession of optometry in China step by step.