屈光性调节性内斜视眼位回退的临床观察  

Clinical observation of eye position regression after refractive accommodative esotropia

作　　者：陈自新[1] 董凤[1] 张婷 

机构地区：[1]爱尔眼科集团黄石爱尔眼科医院,中国湖北省黄石市435002

出　　处：《国际眼科杂志》2010年第3期604-605,共2页International Eye Science

摘　　要：目的:观察分析屈光性调节性内斜视矫正后眼位回退。方法:选120例患者,初诊年龄1.5～3岁,初诊时用10g/L阿托品眼膏每晚点眼,1wk后散瞳检影,屈光度在+2.00～+10.00D,散光在0～+4.00D,屈光参差0～+4.00D,在散瞳检影的度数上最多减去+0.50D作最大量的光学矫正。戴镜最小年龄为1.5岁,有弱视者同时治疗弱视。每3mo复诊重新用阿托品散瞳验光,根据验光结果调整屈光度。结果:随访5a,在120例中19例发生眼位回退,回退内斜度>+15°,回退发生年龄在4～12岁。结论:屈光性调节性内斜视眼位回退率13%～17%,发生原因主要与发病年龄、发病后未及时戴镜矫正和无双眼单视功能有关。早期发现,早期戴镜矫正是减少屈光性调节性眼位回退的重要手段。AIM： To observe and analyze eye position regression after refractive accommodative esotropia correction. METHODS： A total of 120 cases of patients, with first diagnosed age of 1.5 to 3 years old, were treated with 10g/L atropine eye ointment every night and dilated retinoscopy a week after showed refraction in the ＋ 2.00～ ＋ 10. 00D, astigmatism in the 0 refractive accommodative esotropia; eye position regression; clinical observation 0～＋ 4. 00D, refractive irregular 0～ ＋ 4.00D. ＋ 0.50D was subtracted at most from the dilated retinoscopy degree for the largest amount of optical correction. Minimum age for wearing glasses was 1.5 years old, amblyopia was treated at the same time. Atropine mydriasis optometry was reused every three months of return visit. Diopter was adjusted according to the results of optometry. RESULTS： After follow-up of 5 years, eye position regression occurred in 19 cases of 120 cases with slope greater than ＋ 15°. Regression occurred at 4 to 12 years old. CONCLUSION： Refractive accommodative esotropia has an eye position regression rate of 13%-17%, which is due mainly to age of onset, no wearing glasses correction after onset and non-binocular single vision function. Early detection, early wearing glasses correction is an important means to reduce the refractive accommodative eye position regression.

关 键 词：屈光性调节性内斜视 眼位回退 临床观察 

分 类 号：R777.4[医药卫生—眼科]