{"id":5236,"date":"2021-01-13T10:36:23","date_gmt":"2021-01-13T02:36:23","guid":{"rendered":"https:\/\/newsletter.cgust.edu.tw\/?p=5236"},"modified":"2021-01-13T10:40:09","modified_gmt":"2021-01-13T02:40:09","slug":"%e7%94%a2%e5%ad%b8%e5%90%88%e4%bd%9c%e8%a8%88%e7%95%ab%e7%8d%8e%e5%8b%b5%e4%b9%8b%e7%94%a2%e5%ad%b8%e7%b5%90%e6%9e%9c%e5%88%86%e4%ba%ab-%e7%9c%bc%e8%bb%b8%e7%9b%a3%e6%8e%a7%e4%b9%8b%e5%ad%b8","status":"publish","type":"post","link":"https:\/\/newsletter.cgust.edu.tw\/?p=5236","title":{"rendered":"\u7522\u5b78\u5408\u4f5c\u8a08\u756b\u734e\u52f5\u4e4b\u7522\u5b78\u7d50\u679c\u5206\u4eab&#8212;\u773c\u8ef8\u76e3\u63a7\u4e4b\u5b78\u7ae5\u8fd1\u8996\u63a7\u5236"},"content":{"rendered":"\n<p class=\"has-medium-font-size\">\u7531\u8b77\u7406\u7cfb\u6559\u6388\u5f35\u9e97\u6625 \u65bc2021-01-07(\u56db)\u767c\u8868<\/p>\n\n\n\n<p class=\"has-medium-font-size\">2050\u5e74\u8fd1\u8996\u5c07\u5f71\u97ff\u5168\u740349.49\u5104\u4eba\u53e3\uff0c30\u5e74\u5167\u5c07\u589e\u52a0\u8fd11\u500d\u7684\u8fd1\u8996\u4eba\u53e3(World Health Organization, 2019)\uff0c\u9810\u6e2c2050\u5e74\u7d04\u670910%(9\u51042\u53435\u767e\u842c)\u70ba\u9ad8\u5ea6\u8fd1\u8996(\u2266-5.0 D)\u4eba\u53e3(World Health Organization, 2015)\uff0c\u77ed\u6642\u9593\u5167\u5c07\u9762\u5c0d\u4f86\u81ea\u65bc\u9ad8\u5ea6\u8fd1\u8996\u7522\u751f\u9ad8\u91ab\u7642\u82b1\u8cbb\u8207\u4eba\u53e3\u751f\u7522\u529b\u640d\u5931\u7684\u7d93\u6fdf\u8ca0\u64d4(Naidoo et al., 2019; Wang et al., 2020)\u3002\u5168\u7403\u7f79\u60a3\u8fd1\u8996\u4eba\u53e3\u4e2d\uff0c3.12\u5104\u662f19\u6b72\u4ee5\u4e0b (Rudnicka et al., 2016)\u3002\u7279\u5225\u662f\u8fd1\u8996\u7387\u5df2\u8d85\u904e70%\u7684\u4e9e\u6d32\u570b\u5bb6\u5982\u53f0\u7063\u3001\u65e5\u672c\u3001\u65b0\u52a0\u5761\u3001\u5357\u97d3\u8207\u5927\u9678\uff0c\u662f\u91cd\u8981\u7684\u516c\u5171\u885b\u751f\u8b70\u984c\u3002 \u8fd1\u8996\u5c0e\u81f4\u773c\u8ef8\u7570\u5e38\u589e\u9577\u7684\u773c\u8ef8\u9020\u6210\u8a31\u591a\u773c\u775b\u5408\u4f75\u75c7\uff0c\u662f\u6210\u4eba\u5f8c\u671f\u5931\u660e\u7684\u4e3b\u8981\u539f\u56e0(Haarman et al., 2020)\u3002\u570b\u5c0f\u5b78\u751f\u9ad8\u5ea6\u8fd1\u8996\u767c\u751f\u7387\u70ba1%\uff0c\u570b\u4e2d\u4e00\u5e74\u7d1a\u767c\u751f\u7387\u5df2\u7d93\u8d85\u904e2%(Wang et al., 2018)\uff0c\u65e5\u672c\u9ad8\u5ea6\u8fd1\u8996\u7387\u5df2\u905415.2% (Yotsukura et al., 2019)\uff0c\u5929\u6d25\u5e0212\u6b72\u5b78\u7ae5\u9ad8\u5ea6\u8fd1\u8996\u70ba5.5%(Chakravarthy et al., 2017)\uff0c\u53f0\u7063\u570b\u5c0f\u9ad8\u5ea6\u8fd1\u8996\u5f9e2010\u5e746.5%\u6500\u5347\u5230\u5347\u52302018\u5e7410.3%\uff0c\u570b\u4e2d\u4e09\u5e74\u7d1a\u5b78\u751f\u5df2\u7d93\u9054\u523028%(\u738b\u4e00\u4e2d, 2018)\u3002\u9ad8\u8fd1\u8996\u76db\u884c\u7387\u4e9e\u6d32\u570b\u5bb6\u7684\u5b78\u7ae5\u5927\u591a\u6578\u751f\u6d3b\u65bc\u9ad8\u5b78\u7fd2\u58d3\u529b\u7684\u6c42\u5b78\u74b0\u5883\uff0c\u5728\u7121\u6cd5\u6709\u6548\u9810\u9632\u8fd1\u8996\u767c\u751f\u6642\uff0c\u5ef6\u7de9\u8fd1\u8996\u7684\u60e1\u5316\u4fbf\u662f\u9ad8\u6548\u76ca\u7684\u7a4d\u6975\u4f5c\u6cd5(Ramamurthy et al., 2015)\u3002 \u773c\u8ef8\u9577\u5ea6(Axial length, AL)\u589e\u9577\u662f\u8fd1\u8996\u9032\u5c55\u91cd\u8981\u7684\u5224\u6e96\u6307\u6a19(Ohno-Matsui et al., 2016)\uff0c\u5176\u6e2c\u91cf\u662f\u5f9e\u89d2\u819c\u6700\u524d\u7aef\u5230\u8996\u7db2\u819c\u9ec3\u6591\u90e8\u7684\u8ddd\u96e2\uff0c\u8a08\u7b97\u65b9\u5f0f\u70ba\u300c\u524d\u6bb5\u9577\u5ea6 (anterior segment length, ASL) \u300d\u52a0\u4e0a\u300c\u73bb\u7483\u9ad4\u6df1\u5ea6(vitreous chamber depth, VCD) \u300d\u3002\u5176\u4e2d\u524d\u6bb5\u9577\u5ea6\u70ba\u4e2d\u592e\u89d2\u819c\u539a\u5ea6(central corneal thickness, CCT)\u3001\u524d\u623f\u6df1\u5ea6(anterior chamber depth, ACD)\u8207\u6c34\u6676\u9ad4\u539a\u5ea6(lens thickness, LT)\u7684\u9577\u5ea6\u52a0\u7e3d\u3002\u773c\u8ef8\u6e2c\u91cf\u70ba\u8d85\u97f3\u6ce2(ultrasound echoes)\u5f62\u5f0f\uff0c\u4ee5\u63a5\u89f8\u65b9\u5f0f\u8cbc\u5728\u53d7\u6aa2\u8005\u89d2\u819c\u4e0a\uff0c\u6b64\u65b9\u5f0f\u6709\u8f03\u9ad8\u7684\u8aa4\u5dee\u503c\uff0c\u73fe\u4eca\u591a\u70ba\u975e\u63a5\u89f8\u5f0f\u7d05\u5916\u7dda\u773c\u8ef8\u751f\u7269\u6e2c\u91cf\u5100(noncontact optic biometric device, IOLmaster)\uff0c\u53ef\u7372\u5f97\u8f03\u7cbe\u6e96\u7684\u6e2c\u91cf\u6578\u503c\uff0c\u4f9d\u64da\u8a0a\u865f\u96dc\u8a0a\u6bd4(signal-to-noise ratio, SNR)3.5\u8207\u8aa4\u5dee0.02mm\u6a19\u6e96\u4e0b\u63a1\u75285\u6b21\u6e2c\u91cf\u53d6\u5f97\u5e73\u5747\u6578\u503c(Chen et al., 2013)\u3002\u773c\u8ef8\u6e2c\u91cf\u572821\u5c0f\u6642\u5167\u7684\u8aa4\u5dee\u503c\u70ba15-40\u00b5m\u4e4b\u9593\uff0c7-12\u6b72\u5152\u7ae521\u5c0f\u6642\u5167\u7684\u8aa4\u5dee\u4ecb\u65bc30-36\u00b5m\u4e4b\u9593(Stone et al., 2004)\u3002\u773c\u8ef8\u9577\u5ea6\u8207\u5c48\u5149\u5ea6\u6578\u9ad8\u986f\u8457\u76f8\u95dc\uff0c\u6b63\u5e38\u4f86\u8aaa\uff0c\u51fa\u751f\u6eff\u6708\u5b30\u5152\u7684\u773c\u8ef8\u9577\u5ea6\u70ba16.87mm\uff0c\u6eff3\u6b72\u773c\u8ef8\u9577\u5ea6\u7d04\u70ba23mm\u63a5\u8fd1\u6210\u4eba\uff0c\u773c\u8ef8\u6301\u7e8c\u6210\u9577\u523016.2\u6b7223.60mm\u5373\u7a69\u5b9a\u4e0d\u518d\u751f\u9577(Meng et al., 2011)\u3002\u65b0\u52a0\u5761\u773c\u8ef8\u8abf\u67e5\u7814\u7a76\u767c\u73fe\uff0c8-12\u6b72\u5152\u7ae5\u773c\u8ef8\u9577\u5ea6\u7d04\u70ba23.31~24.01mm\uff0c\u5e74\u589e\u9577\u70ba0.3~0.4 mm\uff0c10\u6b72\u4ee5\u5f8c\u751f\u7406\u6027\u751f\u9577\u6bcf\u5e74&lt;0.01mm (Rozema et al., 2019)\u3002\u81e8\u5e8a\u4e0a\uff0c\u773c\u8ef8\u4e0d\u6b63\u5e38\u589e\u9577\u662f\u8fd1\u8996\u7684\u4e3b\u8981\u8b8a\u5316\uff0c\u589e\u9577\u8d85\u904e26.0mm\u5373\u70ba\u9ad8\u5ea6\u8fd1\u8996\uff0c\u6b64\u9577\u5ea6\u53ef\u80fd\u9020\u6210\u4e0d\u53ef\u9006\u7684\u773c\u7403\u75c5\u8b8a(Lee et al., 2019)\u3002\u56e0\u6b64\uff0c\u6301\u7e8c\u6027\u8ffd\u8e64\u773c\u8ef8\u589e\u9577\u901f\u5ea6\u63a8\u7b97\u662f\u5426\u975e\u70ba\u751f\u7406\u6027\u6210\u9577\uff0c\u5373\u70ba\u63a7\u5236\u8fd1\u8996\u7684\u91cd\u8981\u89c0\u5bdf\u6307\u6a19\uff0c\u5404\u5e74\u9f61\u773c\u8ef8\u589e\u9577\u901f\u5ea6\u63db\u7b97\u5c48\u5149\u5ea6\u6578\u7565\u6709\u5dee\u7570\uff0c7-12\u6b72\u5152\u7ae5\u773c\u8ef8\u6bcf\u589e\u95771mm\u63db\u7b97\u5c48\u5149\u5ea6\u6578\u70ba-2.0D~2.75D(Cruickshank &amp; Logan, 2018)\u3002Guan\u7b49\u4eba (2020)\u89d2\u819c\u5851\u578b\u96a8\u6a5f\u8a66\u9a57\u7cfb\u7d71\u6027\u6587\u737b\u8b49\u5be66-12\u6b72\u8fd1\u8996\u5152\u7ae5\u773c\u8ef8\u5e74\u589e\u9577\u63a7\u5236\u57280.15mm~0.20mm\u4e4b\u9593\uff0c\u610f\u5373\u5c07\u773c\u8ef8\u589e\u9577\u63a7\u5236\u65bc\u751f\u7406\u751f\u9577\u901f\u5ea6\u4e4b\u5167\uff0c\u904f\u6b62\u4e0d\u6b63\u5e38\u589e\u9577\u3002\u89d2\u819c\u5851\u578b\u904f\u6b62\u8fd1\u8996\u773c\u8ef8\u589e\u9577\u76f8\u8f03\u65bc\u55ae\u7126\u773c\u93e1\u8207\u963f\u6258\u54c1\u63a7\u5236\u5e74\u589e\u9577\u70ba0.37mm (Walline et al., 2020)\u70ba\u4f73\u3002\u5152\u7ae5\u773c\u8ef8\u751f\u9577\u53d7\u5230\u8fd1\u8996\u75c5\u7406\u56e0\u7d20\u5f71\u97ff\u5916\uff0c\u4e5f\u53d7\u5230\u7f79\u60a3\u5e74\u9f61\u3001\u6027\u5225\u3001\u7a2e\u65cf\u8207\u7236\u6bcd\u8fd1\u8996\u5ea6\u6578\u5f71\u97ff\uff0c\u5176\u4e2d\u4ee5\u7236\u6bcd\u4e4b\u4e00\u70ba\u9ad8\u5ea6\u8fd1\u8996\u8005\u5373\u6709\u8f03\u9ad8\u98a8\u96aa(Hou et al., 2018)\uff0c\u5728\u7814\u7a76\u8a2d\u8a08\u4e0a\uff0c\u5fc5\u9808\u52a0\u4ee5\u63a7\u5236\u3002\u76ee\u524d\u8a31\u591a\u7814\u7a76\u90fd\u4ee5\u773c\u8ef8\u9577\u5ea6\u6539\u8b8a\u4f5c\u70ba\u76e3\u6e2c\u6cbb\u7642\u6548\u679c\u4e4b\u91cd\u8981\u6307\u6a19\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7531\u8b77\u7406\u7cfb\u6559\u6388\u5f35\u9e97\u6625 \u65bc2021-01-0<\/p>\n","protected":false},"author":1,"featured_media":5243,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","_eb_attr":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-5236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-honorlist"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>\u7522\u5b78\u5408\u4f5c\u8a08\u756b\u734e\u52f5\u4e4b\u7522\u5b78\u7d50\u679c\u5206\u4eab-\u773c\u8ef8\u76e3\u63a7\u4e4b\u5b78\u7ae5\u8fd1\u8996\u63a7\u5236 - \u9577\u5e9a\u79d1\u5927\u96fb\u5b50\u5831<\/title>\r\n<meta name=\"robots\" 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