先天性上睑下垂101例屈光状态分析

Analysis of refractive state of 101 patients with congenital ptosis

目的 探讨上睑下垂程度与屈光状态的关系.方法 选择2006年1月至2013年1月在青岛大学附属医院眼科确诊为先天性上睑下垂患者101例140只眼,记录屈光状态,统计近视、远视、散光所占的百分比.上睑下垂分为轻、中、重三度,分析不同程度与屈光不正各类型患病率的关系.结果 先天性上睑下垂140只眼中,患屈光不正124只眼（124/140,88.57％）.其中,按上睑下垂程度分：轻度上睑下垂33只眼,中度上睑下垂54只眼,重度上睑下垂53只眼.按屈光不正类型分：近视90只眼,占64.29％ （90/140）;远视34只眼,占24.29％ （34/140）;同时又有105只眼伴有不同类型的散光,占75.00％（105/140）.其中,在90只近视眼中,轻度上睑下垂19只眼、中度上睑下垂35只眼、重度上睑下垂36只眼,三者差异比较无统计学意义（x2=0.959,P=0.619）;在34只远视眼中,轻度上睑下垂8只眼、中度上睑下垂14只眼、重度上睑下垂12只眼,三者差异比较无统计学意义（x2=0.157,P=0.925）.在105只散光眼中,轻度上睑下垂20只眼、中度上睑下垂38只眼、重度上睑下垂47只眼,三者差异比较有统计学意义（x2=9.553,P =0.008）.结论 先天性上睑下垂与屈光不正关系密切,主要表现为散光、近视,且上睑下垂程度越重,其散光发生率越高.

Objective To study the relationship between the ptosis degree and the refractive state.Methods Patients data were from clinical records of 101 patients （140 eyes） that had been diagnosed with congenital ptosis between January 2006 and January 2013 in the affiliated hospital of Qingdao University.There refractive state was recorded and the percentage of myopia,hyperopia and astigmatism were calculated.Ptosis was divided into three degrees：mild,moderate and severe.Relationship between the severity of ptosis and the percentage of different types of ametropia was analyzed.Results In 140 eyes diagnosed with congenital ptosis,124 of them were ametropia （124/140,88.57%）.There were 33 mild degree ptosis eyes,54 moderate and 53 severe according to the ptosis degree.There were 90 myopia （90/140,64.29%）,34 hyperopia （34/140,24.29%） and 105 eyes at the same time with different types of astigmatism （105/140,75.00%）.In 90 myopia eyes,the mild degree ptosis was 19 cases,the moderate 35 cases,and the severe 36 cases.Studies showed that there was no statistical significance among these three situations （x2=0.959,P 0.619）.In 34 hyperopia eyes,the mild degree ptosis was 8 cases,the moderate 14 cases,the severe 12 cases,there was no statistical significance among these three situations （x2=0.157,P =0.925）.In 105 astigmatism eyes,the mild degree ptosis was 20 cases,the moderate 38 cases,the severe 47 cases,there was statistical significance among these three situations （x2=9.553,P =0.008）.Conclusions There is a close relationship between congenial ptosis and ametropia,mainly for myopia and astigmatism.The more severe the degree of ptosis,the greater the degree of astigmatism is.