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荣华,崔红平,杨海,等.影响高度近视患者眼压的相关因素分析[J].同济大学学报（医学版）,2013,34(2):89-92. [点击复制]
RONG Hua,,,,CUI Hong-ping,YANG Hai,et al.Factors affecting intraocular pressure in high myopic patients[J].同济大学学报（医学版）,2013,34(2):89-92. [点击复制]

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影响高度近视患者眼压的相关因素分析
荣华,崔红平,杨海,秦驰
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(同济大学附属东方医院眼科,上海200072)

摘要:

目的探讨高度近视患者眼压测量的影响因素。方法对17～53岁高度近视患者258例465只眼，测量角膜曲率、屈光度、中央角膜厚度（central comeal mickness，CCT）、眼压（inn_aocularpressure，IOP）（Goldmann压平眼压计测量）及眼轴长度，分析IOP测量值的影响因素。结果高度近视眼的IOP与年龄、屈光度、角膜曲率均无相关性（P值均＞0.05），与CCT、眼轴长度呈正相关（r=0.507、0.11，P值分别=0.00、0.018）。分别以CCT、眼轴长度为自变量X，IOP为因变量y，得出的直线回归方程分别是Y=﹣8.376＋0.043X（F=160.40，P=0.000）和Y=7.817＋0.275X（F=5.633，P=0.018）。结论高度近视患者CCT和眼轴长作为IOP测量值的影响因素，对于正确评估和判断实际IOP值具有重要的临床指导意义。

关键词: 高度近视眼压角膜中央厚度屈光度眼轴长度角膜曲率

DOI：10.3969/j.issn1008-0392.2013.02.022

基金项目:

Factors affecting intraocular pressure in high myopic patients

RONG Hua,,,,CUI Hong-ping,YANG Hai,QIN Chi

(Dept. of Ophthalmology, East Hospital, Tongji University, Shanghai 200120, China)

Abstract:

Objective To investigate the factors influencing the intraocular pressure （IOP） in high myopic patients. Methods The IOP of 465 eyes in 258 high myopic patients aged 17 to 53 years were measured by Goldmann tonometer; the central corneal thickness （CCT）, curvature, diopter and axial length were also measured. The factors influencing the lOP values were analyzed. Results The IOP of high myopic patients was not associated with ages, diopter or curvature, but was positively correlated with CCT and axial length （r=0.507 and 0.11 ,P=0.00 and 0.018, respectively） ,with the linear regression equations of Y=﹣8.376＋0.043X and Y=7.817＋0.275X respectively. Conclusion The study suggests that the IOP is related to CCT and axial length, which has important clinical implication in evaluating actual IOP.

Key words: high myopia intraocular pressure central corneal thickness diopter axial length curvature