法医学杂志

法医学杂志 ›› 2008, Vol. 0 ›› Issue (5): 356-360.

• 论文 • 上一篇    下一篇

高度近视者眼球结构及其功能变化的法医学意义

刘夷嫦;夏文涛;周行涛;刘瑞珏;卞士中;应充亮;朱广友;   

  1. 苏州大学医学部法医学教研室;司法部司法鉴定科学技术研究所上海市法医学重点实验室;复旦大学附属眼耳鼻喉科医院眼科;
  • 发布日期:2008-10-25 出版日期:2008-10-28

Eyeball Structure Changes in High Myopic Patients and Their Significance for Forensic Assessment

LIU YI-CHANG1,2,XIA WEN-TAO2,ZHOU XING-TAO3,LIU RUI-JUE2,BIAN SHI-ZHONG1,YING CHONG-LIANG2,ZHU GUANG-YOU2 (1. DEPARTMENT OF FORENSIC MEDICINE,MEDICAL COLLEGE OF SOOCHOW UNIVERSITY,SUZHOU 215123,CHINA; 2. SHANGHAI KEY LABORATORY OF FORENSIC MEDICINE,INSTIT   

  • Online:2008-10-25 Published:2008-10-28

被引次数

13

摘要： 高度近视者眼球可发生一系列不可逆的组织形态学改变。其中,眼轴、角膜曲率、前房深度、眼底形态、黄斑神经上皮厚度等改变与眼球的屈光状态及视觉功能有着密切的关系,玻璃体混浊、玻璃体脱离、白内障、青光眼、后巩膜葡萄肿、视网膜脱离等并发症的发生率也随着近视屈光度数的加深而增高。越来越多的研究表明高度近视者视觉功能改变是上述多种结构变化共同作用的结果。因此有望通过应用多项检查方法观察高度近视者眼球的结构变化,并根据这些变化分析评估高度近视者视觉功能的损害程度,为法医学评价眼部外伤与疾病的关系以及眼外伤的司法鉴定提供支持和依据。

关键词: 法医学, 近视, 综述[文献类型], 屈光, 眼, 视觉功能

Abstract: There are irreversible eyeball structural changes in high myopic patients. These changes include axial length,corneal radius,anterior chamber depth,fundus degeneration,macula thickness,etc. There is a close relationship between the damage degree of visual function and these changes. The incidence of complications,such as vitreous opacity,posterior vitreous detachment,cataract,glaucoma,posterior staphyloma and retina detachment,is also highly related to the myopia diopter. More and more researches have indicated that the myopia diopter and the level of visual function are affected by multiple factors. It is promising to detect all of these changes by different kinds of methods,and to assess visual function through these changes. By clarifying these changes,it is also useful to distinguish traumatic damage from disease to provide evidence for forensic assessment of eye injuries.

Key words: forensic medicine, myopia, review [publication type], refraction, ocular, visual function