大龄儿童弱视69例疗效观察  

The effect of amblyopia in older children

作　　者：张松[1] 潘勇[1] 葛军[1] 

机构地区：[1]江苏省盐城市妇幼保健院眼科,224001

出　　处：《中国斜视与小儿眼科杂志》2009年第4期168-170,177,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨大龄儿童弱视治疗的方法及疗效。方法10～17岁弱视儿童69例(81眼),经综合疗法治疗弱视,观察其治疗效果,并对年龄和弱视类型、弱视程度、注视性质等相关影响因素进行统计分析。结果69例81眼,基本治愈53眼(65.43%),进步20眼(24.69%),无效8眼(9.88%),总有效率90.12%;按年龄分组,10～12岁组50眼,基本治愈34眼(68.00%),13～17岁31眼,基本治愈19眼(61.29%),两组间差异无统计学意义(P>0.05)。不同程度弱视之间的疗效差异有非常显著意义(P<0.01);屈光不正性弱视疗效优于屈光参差性弱视和斜视性弱视(P<0.01);中心凹注视和中心凹旁注视患者的疗效明显优于黄斑旁注视和周边注视患者(P<0.01)。结论大龄弱视儿童,只要坚持治疗,大部分治疗有效。其疗效与弱视类型、程度、注视性质密切相关。Objective To investigate the therapy of amblyopia in older children and its effect. Methods We included 69 children （81 eyes） between 10 to 17 years old, who all received integrated treatment.The effects were observed and analysed, considering the influencing factors such as age, fixation pattern, type and severity of amblyopia. Results In all 81 eyes, 53 eyes（65.43%） achieved basic cure, 20 eyes（24.69%） got progress, and 8 eyes （9.88%） had no change, the effective percentage went up to 90.12%; 34 of 50 eyes （68.00%） reached basic cure in the group aged from 10 to 12 years old, and 19 of 31 eyes（61.29%） reached basic cure in the group aged from 13 to 17 years old, without statistic difference （P0.05）. Distinct statistic difference was found among groups with different severity of amblyopia （P0.01）; ametropic amblyopia got better effect than anisometropic amblyopia and strabismic amblyopia （P0.01）; central fixation and parafoveal fixation had better effect than eccentric fixation （P 0.01）. Conclusions The majority amblyopia in older children can be cured with persistent treatment, the effect correlated with the type, severity and fixation pattern of amblyopia.

关 键 词：大龄儿童 弱视 综合治疗 

分 类 号：R777.44[医药卫生—眼科]