Độ chính xác các thông số tròng kính của bệnh nhân tại Phòng khám Đa khoa Trường Đại học Y khoa Phạm Ngọc Thạch năm 2023

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Tác giả: Trần Trúc Anh Phạm, Thị Bảo Châu Võ, Hoàng Thảo My Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.83

Bộ sưu tập: Metadata

ID: 286340

Thêm vào giỏ Liên kết toàn văn

Đặt vấn đề: Tật khúc xạ đề cập đến một dạng khiếm khuyết quang học khiến các tia sáng song song không thể hội tụ chính xác tại võng mạc. Kính gọng là phương pháp điều chỉnh tật khúc xạ phổ biến nhất. Tuy nhiên, sự không dung nạp kính gọng vẫn đang là vấn đề đáng lo ngại. Nhiều nghiên cứu cho thấy nguyên nhân chính gây ra sự không dung nạp kính gọng là do sai số trong quá trình đo khúc xạ, dẫn đến các thông số của tròng kính không phù hợp với nhu cầu thị giác của người sử dụng. Đối tượng - Phương pháp: Nghiên cứu cắt ngang hồi cứu được thực hiện trên các bệnh nhân mắc tật khúc xạ đang sử dụng kính gọng trong năm 2023 tại Phòng khám Đa khoa Trường Đại học Y khoa Phạm Ngọc Thạch. Kết quả: Nghiên cứu thu thập dữ liệu từ 622 mắt, cho thấy tật khúc xạ phổ biến nhất là loạn cận kép và cận thị. Phân tích các thông số tròng kính cho thấy lỗi trục trụ và lệch tâm có ý nghĩa khoa học thực tiễn. Bên cạnh đó, có mối liên hệ thống kê giữa độ chính xác các thông số tròng kính và tình trạng bất thường điều tiết (p <
0,05), mối liên hệ với tình trạng lác/lé không có ý nghĩa thống kê (p >
0,05). Kết luận: Mặc dù có sự liên hệ giữa các các lỗi thông số tròng kính và sự bất thường điều tiết, nhưng mối liên hệ với tình trạng lác/lé là không rõ ràng. Do đó, bác sĩ nhãn khoa và chuyên viên khúc xạ cần cẩn trọng trong việc kê đơn kính
đồng thời bệnh nhân nên kiểm tra sức khỏe mắt định kỳ để đảm bảo các thông số của tròng kính là chính xác và phù hợp, giúp cải thiện chất lượng tầm nhìn và giảm thiểu các vấn đề về thị giác hai mắt. Abstract Background: Refractive errors refer to a type of optical defect where the optical system fails to converge parallel rays of light accurately on the retina. Spectacle lenses are the most common method for correcting these errors. However, intolerance to eyeglasses remains a concerning issue. Numerous studies indicate that the main cause of this intolerance is measurement errors during refraction, or what is also understood as errors in the parameters of the lenses worn by the population. Subjects - Methods: A cross-sectional retrospective study on refractive error patients using spectacle lenses in 2023 at The polyclinic of Pham Ngoc Thach University of Medicine. Results: Data was collected from 622 eyes, revealing that the most common refractive errors were compound myopic astigmatism and myopia. Analysis of lens parameters showed significant practical errors in the cylinder axis and decentered lenses. Additionally, there was a statistically significant relationship between the accuracy of lens parameters and the condition of abnormal accommodation (p <
0,05), while the relationship with strabismus was not statistically significant (p >
0,05). Conclusions: Although there is a correlation between parameter errors and accommodation abnormalities, the relationship with strabismus is not clear. Therefore, ophthalmologists and optometrists should be cautious when prescribing glasses, patients should have regular eye examinations to ensure that lens parameters are accurate and suitable, improving visual quality and minimizing issues related to binocular vision function. DOI: 10.59715/pntjmp.3.4.11

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