视觉生理性手指操对青少年近视防控作用的临床观察

Clinical observation on the efficacy of prevention and control teenage myopia with the visual physiological finger exercise

目的:探讨视觉生理性手指操对预防青少年近视及控制发展的作用。方法:选择散瞳检查为低度近视或视力正常,基本无生理屈光度,双眼均正位或水平隐斜<8△的7～14岁青少年200例,随机分为两组,每组100例。两组所有散瞳后屈光度(等效球镜)≥-1.00D者配戴远用近视镜,屈光度<-1.00D(等效球镜)者不配戴任何眼镜;观察组干预方法:予生理性手指操,每天做两次眼操训练,每次3～4min。对照组则不进行干预。于干预前、干预后1a测定两组视力、屈光度、眼轴、眼位异常改变或隐斜度。结果:干预后1a观察组近视屈光度、眼轴增加均低于对照组(P<0.05);观察组10例原有外隐斜患者隐斜度有一定程度改善,原无隐斜患者出现内隐斜2例,而对照组未出现外隐斜度改善现象,亦未出现内隐斜患者。结论:视觉生理性手指操对青少年近视防控有良好效果,同时可在一定程度上改善外隐斜。

AIM： To explore the effect of the visual physiological finger exercise on prevention of teenage with myopia. METHODS：Totally 200 patients from 7 to 14 years, who were low myopia after medicinal powder pupil, had no physiological diopter, with or without horizontal heterophoria 〈 8A, were chosen and randomly divided into two groups, with 100 patients in each group. Both of two groups were dilated pupil and examine eyesight, whose diopter 〉I-1.00D wear myopia glasses, the other diopter〈-1.00D without any glasses. At the same time, observation group was treated with visual physiological finger exercise, two times a day, each time 3-4 minutes, however the control group without intervention. The visual acuity, myopia diopter, ocular axis, eye position and horizontal heterophoria were measured before and at 1 year after intervention. RESULTS： The observation group of myopia diopter and ocular axis were lower than that of control group（ P〈0.05）. There were 10 exophoria has improved. There were 2 patients original patients occur esophoria. The contro implicit gradient no heterophoria group did not appear exophoria patients implicit gradient improvement nor esophoria patients. CONCLUSION： The visual physiological finger exercise can prevent and control teenage myopia, and at the same time can be improved to some extent exophoria.