单纯屈光矫正治疗屈光不正性弱视的疗效观察

发布时间：2019-03-04 08:30

【摘要】：目的：研究双眼屈光不正性弱视患者单纯屈光矫正后的治疗效果。方法：根据国内最新弱视诊断标准，收集首次在我院门诊确诊为双眼屈光不正性弱视患者58例（116只眼），年龄在4-15岁（平均年龄6.2±2.13岁），8岁以上9例，8岁以下49例。其中中度远视19例38只眼（平均等效球镜+3.45±0.93），高度远视17例34只眼（平均等效球镜+7.4±1.18），远视散光18例36只眼（平均等效球镜+2.22±1.32），混合散光4例8只眼（平均等效球镜+0.22±0.45）。在排除双眼屈光参差，斜视或形觉剥夺等其它可能导致弱视的影响因素后，所有患者用1%硫酸阿托品眼用凝胶点双眼，睫状肌麻痹后验光，配镜原则是根据患者年龄并结合患者眼位（隐斜）给予全矫或保留生理性的远视度数，散光足矫。然后进行追踪随访并记录患者戴镜后三个月、六个月及一年时的视力。所有结果均采用SPSS18.0软件进行统计学分析。结果：屈光矫正三个月时视力达到同龄儿童视力参考值下限的有57只眼（49.1%），六个月时有84只眼（72.4%），一年时有102只眼（87.9%），其差异有统计学意义（χ~2=41.981，P=0.000）。随访一年视力平均提高3.59±2.04行，其中视力提高"g2行的弱视眼占90.5%（105只眼）。100%（38只眼）中度远视患者、82.4%（28只眼）高度远视患者、83.3%（30只眼）远视散光患者及75.0%（6只眼）混合散光患者达到同龄儿童视力参考值下限。50%（9只眼）8岁以上患者视力达1.0。结论：多数屈光不正性弱视患者通过单纯屈光矫正治疗即可取得良好的治疗效果，，准确的验光和正确的屈光矫正方法是提高这类弱视患者视力的关键。
[Abstract]:Objective: to study the therapeutic effect of ametropia amblyopia patients after simple ametropia correction. Methods: according to the latest diagnostic criteria of amblyopia in China, 58 patients (116 eyes) with ametropic amblyopia diagnosed in our hospital for the first time were collected. The age was 4-15 years old (mean age 6.2 卤2.13 years), and 9 cases were over 8 years old. 49 cases were under 8 years old. Among them, 19 cases (38 eyes) with hyperopia (mean equivalent spherical mirror 3.45 卤0.93), 17 cases (34 eyes) with high hyperopia (average equivalent spherical mirror 7.4 卤1.18), 18 cases (36 eyes) with hyperopia (mean equivalent spherical mirror 2.22 卤1.32), and hypermetropic astigmatism in 36 eyes (mean 2.22 卤1.32). Mixed astigmatism in 4 cases (8 eyes) (mean equivalent spherical mirror 0.22 卤0.45). After excluding other factors that could lead to amblyopia, such as binocular anisometropia, strabismus or form deprivation, all patients received 1% atropine sulfate ophthalmic gel points and optometry after ciliary paralysis. The principle of optometry is to give full correction or retain physiologic hyperopia according to the patient's age, combined with the patient's oculomotor position (occlusal), and astigmatism foot correction. Follow-up was followed up and visual acuity was recorded for three months, six months, and one year after wearing glasses. All the results were analyzed by SPSS18.0 software. Results: the visual acuity of 57 eyes (49.1%), 84 eyes (72.4%) and 102 eyes (87.9%) of the same age children reached the reference value of the same age children at the third month of refractive correction, 84 eyes (72.4%) at the sixth month and 102 eyes (87.9%) at one year, respectively. The difference was statistically significant (蠂 ~ 2 = 41.981, P = 0.000). After one-year follow-up, the average improvement of visual acuity was 3.59 卤2.04 lines, in which 90.5% (105 eyes) of amblyopia with "G2 line", 100% (38 eyes) of moderate hyperopia, 82.4% (28 eyes) of high hyperopia, and 90.5% (105 eyes) of amblyopia with "G2 line". 83.3% (30 eyes) of hyperopia astigmatism patients and 75.0% (6 eyes) of mixed astigmatism patients reached the reference value of the same age children's visual acuity, and the visual acuity of 50% (9 eyes) patients over 8 years old reached 1.0. Conclusion: most ametropic amblyopia patients can get good therapeutic effect by simple refractive correction. Accurate optometry and correct refractive correction are the key to improve the visual acuity of these amblyopia patients.
【学位授予单位】：华中科技大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R777.44

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