Detection of refractive status in middle-aged patients with different optometries and its clinical significance

Yuan Hu, Hui Jia, Rui Jiang, Jing Li, Tao Tao Liu

Research output: Contribution to journalArticlepeer-review


Objective: To detect the refractive status of the 40 to 49 years old outpatients by cycloplegic refraction and the correction and to explore the method to improve the visual fatigue and symptoms of dry eye. Methods: 30 visual fatigue outpatients (60 eyes) with complaints of sore eye, dry eye, blurred vision, aged 40 to 49 years old (average 44. 43 years) were selected, 11 patients were male and 19 patients were female; the other diseases such as glaucoma, cataract, ocular fundus were ruled out after routine eye examination. The patients had no surgical and wearing myopia, hyperopia and astigmatism glasses history. Mydriasis refraction was porformed after conventional optometry, and the Schirmer I test, tear film break-up time (BUT) detection and corneal fluorescent staining were performed simultaneously. 43 eyes of 30 patients had a visual acuity of ≥ 0.8, and 17 eyes were between 0.4 and 0.6. Results: Among all patients, 37 eyes presented -0.25DS to -1.25DS with conventional refraction, 36 eyes showed +0.50DS to +1.50DS after dilation; 22 eyes presented 0.00DS to +1.25DS before dilation and 21 eyes showed +0.50DS to +1.50DS after dilation; 27 eyes were diagnosed as moderately dry eye and 33 eyes were slightly dry eye. Conclusion: Patients aged 40-49 years old with normal or close to normal results in conventional inspection still have considerable accommodation ability. There may exist hyperopia or hyperopic astigmatism in the patients with visual fatigue, dry eye and even a special face (frown). The examination results often exist error that is easily overlooked before dilation. The sore eye, dry eye, blurred vision and other visual fatigue symptoms in 30 patients (60 eyes) are significantly improved after optometry and optician. Therefore optometry after mydriasis and wearing glasses should be noted in the treatment of dry eye, that is the fundamental solution to relieve the symptoms of ocular discomfort completely.

Original languageEnglish
Pages (from-to)363-366
Number of pages4
JournalJournal of Jilin University Medicine Edition
Issue number2
StatePublished - 28 Mar 2013
Externally publishedYes


  • Accommodation ability
  • Dry eye
  • Refractive errors
  • Visual fatigue


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