医学研究与教育 ›› 2022, Vol. 39 ›› Issue (3): 14-20.DOI: 10.3969/j.issn.1674-490X.2022.03.003

• 临床医学 • 上一篇    下一篇

双眼视功能异常在近视进展中作用的研究进展

高春婷1,袁慧2,杜军辉2   

  1. 1.延安大学医学院, 陕西 延安 716000;
    2.西安市第九医院眼视光中心, 陕西 西安 710054
  • 收稿日期:2021-09-22 出版日期:2022-06-25 发布日期:2022-06-25
  • 通讯作者: 杜军辉(1979—),男,陕西大荔人,副主任医师,博士,硕士生导师,主要从事近视的发病机制研究。E-mail: djh79918@163.com
  • 作者简介:高春婷(1997—),女,陕西咸阳人,医师,在读硕士,主要从事近视的发病机制研究。 E-mail: gaochunting97311@163.com
  • 基金资助:
    陕西省提升公众科学素质计划项目(2021PSL53);西安市卫生健康委员会面上培育项目(2020ms07)

Role of binocular vision function in the progression of myopia

GAO Chunting1, YUAN Hui2, DU Junhui2   

  1. 1.School of Medicine, Yan'an University, Yan'an 716000, China; 2.Department of Vision Center, the Ninth Hospital of Xi'an, Xi'an 710054, China
  • Received:2021-09-22 Online:2022-06-25 Published:2022-06-25

摘要: 近视发病率逐年升高,在青少年中更甚,严重影响青少年的身心健康。双眼视觉是指两眼同时视物时,外界物象分别落在两眼视网膜上,形成视网膜物象,此时神经兴奋传递至大脑高级中枢,使两眼的视觉信号融合为单一的知觉对象的过程。若视立体物,由于正常的瞳孔距离和注视角度的不同,造成两眼视网膜上形成的物像不完全对称,有一定的水平差异,这种现象称为双眼视差,由于双眼视差的存在,才使得人类拥有立体知觉。双眼视功能如调节、集合、立体视与近视的发生发展相互作用。现对双眼视功能与近视的相关研究进展进行综述,以期为近视的防控选择有效、适宜的临床方案提供参考。

关键词: 近视, 双眼视功能, 立体视, 屈光矫正, 角膜屈光手术, 药物治疗, 阿托品

Abstract: Myopia is a common disease in the population, and its incidence is increasing year by year, especially in children and adolescents, seriously affecting their physical and mental health. Binocular vision refers to that two eyes see at the same time, while external objects fall on the retina, forming retinal images, nerve excitatory transmission go to the brain higher center, so that the visual signals of two eyes merge into a single perceptual object. When viewing stereoscopic objects, due to the difference of normal pupil distance and the angle of faxation, the images formed on the retina of the two eyes are not completely symmetrical and have certain horizontal difference. This phenomenon is called Binocular Parallax, which gives us stereoscopic perception. Many studies have shown that binocular vision functions such as accommodation, convergence, stereoscopic vision and the development of myopia interact.The purpose of this article is to review the developments of binocular vision function and myopia in order to provide reference for the prevention and control of myopia to choose effective and appropriate programs.

Key words: myopia, binocular function, stereopsis, correction of refractive errors, corneal refractive surgery, medicaton atropine

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