Paradoxical myopic shift following cycloplegia in retinopathy of prematurity patients: a case series.
Paradoxical myopic shift following cycloplegia in retinopathy of prematurity patients: a case series.
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DOI：
10.4076/1757-1626-2-8970
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发表时间：
2009-08-25
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影响因子：
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通讯作者：
Good WV
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文献类型：
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作者：
London NJ;Carden SM;Good WV
眼镜不符合是儿科患者的一个重要问题，并可能有各种各样的后果。不遵守近视屈光矫正可能继发于各种问题，包括年龄，不适，性别，城市与农村居住，表现视力和屈光不正程度。我们在患有早产儿视网膜病变的儿童患者中观察到一种现象，这可能是另一种可能的解释：由于单眼麻痹后近视增加而不是减少而导致的不正确处方。一项未加掩饰的前瞻性研究，在一次实践中连续观察8例患者。在药物性睫状体麻痹前后进行视网膜镜屈光测量。在所有13只眼睛中，测量的屈光不正没有变化（2只眼睛）或近视移位（11只眼睛）。右眼和左眼的平均折射变化分别为-1.58和-1.54（范围为0 ~ -3.00 OD和0 ~ -3.00 OS）。眼组织对屈光状态的贡献在ROP和非ROP眼睛之间是不同的。ROP患者在睫状体麻痹后发生的意外近视移位可能导致不适当的眼镜处方和视力矫正不良。这可能会导致这个群体的奇观不服从。
Spectacle non-compliance is a significant problem in pediatric patients, and may have a variety of consequences. Non-compliance with myopic refractive correction could be secondary to a variety of issues, including age, discomfort, gender, urban vs. rural residence, presenting visual acuity, and degree of refractive error. We observed a phenomenon in our pediatric patients with retinopathy of prematurity that may add another possible explanation: incorrect prescription due to measures of increased, rather than decreased, myopia after cycloplegia. An unmasked, prospective study of 8 consecutive patients seen in a single practice. Retinoscopic refraction measurements were obtained before and after pharmacologic cycloplegia. In all 13 eyes, there was either no change (2 eyes) or a myopic shift (11 eyes) in the measured refractive error. The average change in refraction was -1.58 and -1.54 for the right and left eyes, respectively (range 0 to -3.00 OD and 0 to -3.00 OS). The contribution of ocular components to refractive status differs between ROP and non-ROP eyes. Unanticipated myopic shift following cycloplegia in ROP patients may result in inappropriate glasses prescription with poor correction of visual acuity. This may contribute to spectacle noncompliance in this group.