方法：选取125例受试者，按照双眼屈光参差的程度分为生理性屈光参差组与病理性屈光参差组。在医学验光基础上分别运用Worth四点法及卡洞法判别双眼中优势眼的眼别。

结果：(1)生理性屈光参差组(卡洞法)优势眼眼别与双眼中近视性屈光程度较大眼眼别显著相关(Z=-4.057，P<0.01)； Worth四点法优势眼眼别与双眼中近视性屈光程度较大眼眼别显著相关(Z=-3.558， P<0.01)； 而病理性屈光参差组，两种方法所测均无显著相关(P>0.05)。(2)Worth四点法和卡洞法测得的优势眼眼别差异无显著性(n=125， P>0.05)。

结论： 优势眼由基因决定或幼年时期形成并持续维持，而近视性屈光参差可能影响优势眼的选择。优势眼的测量中Worth四点法具有一定的参考意义。

METHODS: Totally 125 cases were divided into two groups as physiogenic anisometropic group and pathological anisomitropic group according to the degree of binoculus anisometropy. Worth 4 dot test and hole-in-the-card test were used to distinguish oculus dominans respectively based on medical optometry.

RESULTS: In physiogenic anisometropic group, the oculus dominans and the eye with higher diopter among myopes had significant relationship by hole-in-the-card test(Z = -4.057, P<0.01)and Worth 4 dot test(Z=-3.558, P<0.01). However, in pathological group, No statistical significance was between two tests(P>0.05); distinguish the oculus dominans had no statistically significant difference between the Worth 4 dot test and hole-in-the-card test(n=125, P>0.05).

CONCLUSION:The oculus dominans is determined by gene or formed during juvenile period, then myopia anisometropic may affect the choice of that. The Worth 4 dot test has some reference significance for observing oculus dominans.