屈光参差眼的验光及处方.docxVIP

屈光参差眼的验光及处方摘要双眼屈光度数不等者称为屈光参差，度数相差超过2.50D以上者通常会因融像困难出现不适的症状。在日常的两眼屈光检查的过程中不难发现，左、右两眼的屈光不正程度完全一样的人非常少，绝大多数人屈光不正都有差别。即使是屈光不正的性质相同、度数接近的患者通过矫正后表现出来的视力状态也不完全一样。人眼在青少年时期不稳定，是屈光参差眼形成的主要时期，也是控制和消减屈光参差的关键时期，因此在配镜验光时，不仅要矫正屈光不正提高视力和减少视疲劳，同时要考虑屈光发展的方向。屈光参差眼的验光也常规的验光并无区别，只是屈光参差得患者可能会出现弱视、斜视和抑制。在遇到有屈光参差合并废用性斜视的验光时，由于它不能双眼同时注视目标，需要遮盖一只眼才能进行验光，因为斜视眼被抑制，在双眼平衡时，只能用交替遮盖。在屈光参差合并弱视的验光，进行双眼平衡时常规的交替遮盖或棱镜分视都不能进行，用棱镜分视＋红绿来平衡。在确定屈光参差眼处方时，屈光参差度数小于2.50D，可以用普通的眼镜矫正，当大于2.50D，用普通的眼镜矫正后，凹透镜和凸透镜产生的像差，会产生复视，出现视疲劳。因此，屈光参差眼的人，需要配特殊的远用和近用的眼镜来进行视力矫正。关键词：屈光参差；验光；眼镜；双眼平衡 Optometry and prescription of the eye Nexus jaggedABSTRACT Nexus jagged is who eyes of people ranging form refractive. A difference of more than 2.5D degrees or more often because of financial difficulties as symptoms of discomfort. The eyes in the daily process of refraction is not difficult to find, left and right eyes of the same degree of refractive errors are very small. most people feel a difference of refractive error, even if refractive errors of the same nature, the degree close to the patients, manifested through the corrected vision is not exactly the same state. Eye was a teenager, the cases in the eyes is a key period, control and reduction of the cases of the key period for inspection in the mirror, not only correct improve their vision and visual fatigue, and the cases need to consider the direction of the cases in the light of experience and prescription, but there is no difference to the cases, patients may appear weak and a squint or suppress. In the face of a nexus in the nature of a merger with squint test, because it could not aim at eyes at the same time, a need to cover up a prescription for a squint eyes were held, in turn balanced can only be used alternately covering. in cases of the weak in the prescription, eyes, a regular alternately covering or prism a view can make the prism, with a view to balance ＋ red and green. In certain cases in the eyes a prescription, the cases in less than 2. 50d can be measu