招飞与征兵体检隐匿性屈光矫治眼快速检出技术的应用效果

A technical report of rapid detection for occult refractive corrected eye in pilot recruitment and military personnel selection examination

目的介绍直接检眼镜彻照检查法(简称检眼镜彻照法)对角膜塑型眼及后房型可植入式隐形眼镜(implantable collamerlens,ICL)屈光矫治眼(简称ICL植入眼)筛查鉴定的有效性,并做初步理论分析。方法手持检眼镜对参加招飞或征兵体检的18 342名受检者的瞳孔区进行正、侧面彻照,以瞳孔区橘黄色反光为背景,观察瞳孔区是否存在特异性暗影,暗影可用小孔照相机通过检眼镜观察孔拍照存留。结果筛查检出角膜塑型者181例,ICL植入者7例。结论检眼镜彻照法可准确检出角膜塑型眼和ICL植入眼,操作便捷高效,适用于招收飞行学员等军事人员的群体性医学筛查。

ObjectiveTo introduce the effectiveness of the direct ophthalmoscope transillumination method for the screening identification of the eyes after orthokeratology and refractive corrected eye after posterior chamber ICL implantation （ICL implanted eye） and to analyze the mechanism of this technology.MethodsHandheld ophthalmoscope was used to transilluminate positive and the side in the pupil areas. In the background of reflective orange, the pupil areas were observed for the specific shadow occurrence. The shadow imaging was saved using the hole camera.ResultsThere were 181 cases of orthokeratology and 7 cases of ICL implant.ConclusionThe method of the ophthalmoscope transillumination is a thorough way to accurately detect orthokeratology and ICL implanted eyes. Because it is sensitive, specific, convenient and efficient, it is suitable for the population screening of student pilots and other military personnel.