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Updated: Jun 29, 2025

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Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients
Published on: March 29, 2022
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在高海拔地区的高近视
Ta-Wei Wang1, Ming-Kun Huang2,3,4, Chih-Chun Hsu5
1Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
Frontiers in physiology
|March 25, 2024
概括
在中等高度的视神经外直径 (ONSD) 的变化可以预测徒步旅行者的急性山病 (AMS) 症状. 高近视可能会影响高海拔徒步旅行期间的眼睛反应.
科学领域:
- 眼科医生 眼科 眼科
- 高度生理学 高度生理学
- 高海拔医学 高海拔医学
背景情况:
- 视神经外直径 (ONSD) 在高海拔地区增加,与急性山病 (AMS) 相相关.
- 高空暴露对眼内压力 (IOP) 有影响,但近视徒步旅行者的眼睛反应尚未得到充分研究.
- 高近视 (HM) 可能会影响生理学适应的低性缺氧.
研究的目的:
- 在高海拔徒步旅行期间,调查高近视 (HM) 和没有高近视 (HM) 的徒步旅行者在ONSD和IOP的变化.
- 为了确定这些眼部变化是否可以预测AMS症状.
- 探索HM对高度眼睛生理反应的影响.
主要方法:
- 山的3天徒步旅行涉及9名HM参与者和18名没有HM参与者.
- 在徒步旅行之前和期间测量ONSD和IOP.
- 使用问卷评估AMS症状.
主要成果:
- 在HM和非HM组中,ONSD显著增加,达到1,700m.
- 在HM组中,内压力更高,为3,150m.
- 在1700米处的分数ONSD变化与AMS发展 (r=0.448,p=0.019) 和头痛 (r=0.542,p=0.004) 相相关.
- ROC分析显示,ONSD分数变化有效预测了AMS (AUC=0.859) 和头痛 (AUC=0.803).
结论:
- 在中等高度的ONSD变化可以预测AMS症状.
- 在高海拔地区,HM可能会影响眼部适应和水性水分调节.
- 监测ONSD可能有助于预测和管理徒步旅行者中的AMS.
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