数字可视化检影装置在青少年屈光不正检测中的临床研究

Clinical study on the application of digital and visual retinoscope in the detection of ametropia in adolescents

目的:研究数字可视化检影装置在青少年屈光不正检测中的应用价值。方法:回顾性分析2019-01/10在本院眼科就诊的69例青少年的数字可视化检影及传统视网膜检影检测结果,分析两种检测方式所测得的球镜度数、柱镜度数及轴向的相关性,并以临床检查结果为对照,比较其诊断价值。结果:数字可视化检影装置测量球镜度数、柱镜度数及轴向与传统视网膜检影比较均无差异(t=0.081、1.778、0.983,P=0.935、0.077、0.327),且呈显著正相关(r=0.745、0.572、0.941,均P<0.01);同时,两种方法灵敏度相同,基于数字化数字可视化检影装置特异度、准确率、阳性预测值、阴性预测值高于传统视网膜检影诊断屈光不正。结论:数字可视化检影装置检测青少年屈光不正与传统视网膜检影有良好的相关性,较后者,前者诊断屈光不正效能有提升,值得临床重视。

AIM:To study the application value of digital and visual retinoscope in the detection of ametropia in adolescents.METHODS:A retrospective analysis of digital visual inspection and traditional retinography test results of 69 adolescents in the ophthalmology department of our hospital from January 2019 to October 2019.SPSS 20.0 software analyzed the correlation of spherical equivalent,diopter of cylindrical power and axial direction measured by two detection methods.Taking the clinical examination results as the control,the diagnostic value was compared.RESULTS:There was no statistically significant difference in the measuring of spherical equivalent,diopter of cylindrical power and axial direction between digital and visual retinoscope and traditional retinography(t=0.081,1.778,0.983,P=0.935,0.077,0.327).And there was a significant positive correlation(r=0.745,0.572,0.941,P<0.01).At the same time,two detection methods have the same sensitivity.Digital and visual retinoscope higher than traditional retinography at the specificity,accuracy,positive predictivevalue and negative predictive value.CONCLUSION:The detection of ametropia in adolescents with digital and visual retinoscope has a good correlation with traditional retinography.Compared with the latter,the former has improved for the diagnosis of ametropia,which deserves clinical attention.