综合疗法治疗小儿微小度数斜视性弱视  

Combined therapy of amblyopia with primary microtropia

作　　者：刘向玲[1] 张子英[2] 胡俊喜[2] 周玉兰[2] 李高粱[2] 

机构地区：[1]新乡医学院第三附属医院眼科,河南新乡453003 [2]新乡医学院第一附属医院眼科,河南卫辉453100

出　　处：《新乡医学院学报》2005年第4期305-306,309,共3页Journal of Xinxiang Medical University

基　　金：河南省教育厅科技公关计划项目(9632003)

摘　　要：目的评价综合疗法对小儿微小度数斜视性弱视的治疗效果。方法对5～13岁微小度数斜视性弱视儿童53例,采用遮盖、光学压抑、手眼精细家庭作业、红光闪烁及Haidinger刷综合疗法,平均随访1～3年。并对不同的注视性质、不同的弱视程度及不同的屈光参差程度与疗效关系进行统计学分析。结果治愈24.52%,进步52.83%,无效22.64%,总有效率77.35%。中心注视者疗效好于旁中心注视者(P<0.005)。弱视程度越重疗效越差(P<0.005)。屈光参差程度≤2.25D组疗效好于≥2.50D组(P<0.005)。结论综合疗法治疗儿童微小度数斜视性弱视有效;患者的旁中心注视性质、弱视程度加深、双眼屈光参差程度加大影响治疗效果。Objective To evaluate the effect of the complex treatment of amblyopia with primary microtropia.Methods Fifty-three children(53 eyes)with primary microtropic amblyopia in age from 5 to 13 years were study,and were treated with occlusion and penalization and red light flash therapy. The mean follow-up time was 1-3 years. A statistical analysis was made in fixation character, amblyopic degree, antimetropic degree and the effect of treament.Results In sitnented children,24.52% cases were Cured, 52.83% improve and 23.65% failed.The total effectiveness rate was 77.35%.The effect of center fixation was better than parafovea fixation. (P<0.005).The more heavy amblyopia was,the less the results was(P<0.005) and the greater antimetropia,the worse the results was(P<0.005).Conclusion The combined treatment is effective for most of children's amblyopia with primary microtropia.

关 键 词：微小度数斜视 弱视 遮盖疗法 光学压抑疗法 

分 类 号：R777.44[医药卫生—眼科]