老年远视误诊原因分析及合理验配

Analysis of the Causes of Misdiagnosis of Senile Hypermetropia and Reasonable Fitting

目的了解老年远视特点及误诊原因,探讨如何合理验配老年远视眼镜.方法对年轻时视力≥31.0,而45岁以后视力下降,被诊断为眼科疾病,后经屈光检查矫正视力≥1.0者,诊断为老年远视的患者为调查对象.结果 28例56只眼裸眼视力分布在0.2~0.8,其中0.4~0.6占67.6%,远视屈光度+0.50^+1.75,其中+0.75^+1.25占78.5%,被诊断为眼病:白内障9例18眼,黄斑变性的8例16眼,玻璃体混浊的7例14眼.结论屈光检查对老年人视力下降的诊断有重要作用,老年远视有其自身特点,应引起眼科医生的重视,更好的做好老年远视的诊断和验配工作.

Objective To understand misdiagnostic causes and characteristic of senile hypermetropia, discuss how to make reasonable spectacles for old hypermetropia. Methods The patiens whose eyesight was above or equal 3 1.0 when he was yong, and dropped after the age of 45 can be diagnosed Ophthalmology diseases, the patiens whose eyesight can be above or equal 1.0 after corrected can be diagnosis of elderly patients with hyperopia as investigation object. Result the eyesight of 56 eye of 28 cases is 0.2 - 0.8, 67. 6%of which is 0.4 ~ 0.6, hypermetropic diopter is ＋0.50 ~ 2-1.75, 78.5% of which is 2-0.75 ~ 2-1. 25, was diagnosed with eye disease： 9 cases 18 eyes of cataract , 8 eyes 16 patients macular degeneration, 7 eyes of 14 cases of vitreous opacity. Conclusion Refractive examination plays an important role in the diagnosis of the elderly decreased visual acuity, senile hypermetropia has its own characteristics, should cause the attention to the Ophthalmology physicians, better diagnosis and fitting the elderly hyperopic.