两种屈光不正性弱视的疗效对比研究  

The comparision of therapy for two different types of ametropic amblyopia in children.

作　　者：毛娅妮[1] 项道满[1] 

机构地区：[1]广州医学院附属广州市儿童医院眼科,510120

出　　处：《中国斜视与小儿眼科杂志》2005年第2期54-56,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的比较远视性弱视与近视性弱视的疗效。方法通过散瞳验光筛选出286例(572眼)屈光不正性弱视患儿,分为远视性弱视组、近视性弱视组进行综合治疗,并将各类弱视分为轻、中、重三组进行疗效比较。治疗包括配戴合适眼镜、遮盖健眼或交替遮盖、精细目力作业训练及弱视治疗仪的应用。结果远视性弱视基本治愈率为77.69%,近视性弱视基本治愈率为36.54%。不论轻度弱视组中度弱视组还是高度弱视组,均以远视性弱视基本治愈率高于近视性弱视,且远视性弱视平均治愈时间明显短于近视性弱视。两者差异具有显著性。结论弱视治疗的疗效与屈光不正的性质密切相关,远视性弱视的治愈率明显高于近视性弱视,且治愈快。必须探讨一种新的治疗近视性弱视的方法。Objective To explore and compare the effect of therapy in hypermetropic and myopic amblyopia, Methods 286 cases of ametropic amblyopia children were selected base on mydriatic retinoscopy, They were divided into two groups： hypermetropic and myopic amblyopia. They were treated with combined therapy and also divided into low, medium and high grade groups,The effectiveness of the treatment was compared. Result The recovery rate of hypermetropic amblyopia was 77.69% and myopic amblyopia was 36.54%.In the low amblyopia group, the medium amblyopia group and the severe amblyopia group the recovery rate of hypermetropic amblyopia was higher than myopic amblyopia .The average recovery time of hypermetropic amblyopia is more shorter. Condusion The results of treatment are associated with types of refractive error. The hypermetropic amblyopia had the better effect, We shall find a new method of curing myopic amblyopia.

关 键 词：儿童 弱视 屈光不正性 远视眼 近视眼 屈光不正性弱视 疗效对比研究 近视性弱视 远视性弱视 综合治疗 平均治愈时间 

分 类 号：R777.44[医药卫生—眼科] R971.1[医药卫生—临床医学]