儿童弱视愈后脱镜指标的探讨  

Exploration on the indexes of taking off glasses after recovery in children with amblyopia

作　　者：王洪峰[1] 王恩荣[1] 廖美婷 邢玉琴[1] 

机构地区：[1]吉林省松原市中心医院眼科,138000

出　　处：《中国妇幼保健》2011年第1期49-51,共3页Maternal and Child Health Care of China

摘　　要：目的：探讨儿童弱视治愈后脱镜指标。方法：儿童弱视治愈后必须符合4项指标才能脱镜,脱镜后要继续追踪观察3年。结果：368例678眼的弱视儿童治愈后,经3~7年的治疗,有205例364眼脱镜,占治愈眼数的53.69%。其中轻度弱视脱镜244眼,高于中度（114眼）和重度（6眼）;屈光不正性弱视脱镜305眼,屈光参差性29眼,斜视性30眼;单纯远视性弱视脱镜316眼,高于单纯远散（11眼）和复性远散（37眼）;而单纯近视性弱视和单纯近散、复性近散性弱视均没能脱镜。弱视儿童初戴眼镜属低屈光度脱镜289眼,中度58眼,高度17眼。从就诊时的年龄上看3~8周岁者脱镜率高。结论：儿童弱视治愈后按照4项脱镜指标摘掉眼镜是可行的。在脱镜前一定要坚持治疗复诊,即使脱镜后也要坚持追踪观察,最好观察超过视力发育敏感期12周岁之后。Objective：To explore the indexes of taking off glasses after recovery in children with amblyopia.Methods：The children with amblyopia could take off their glasses after recovery when they accorded with four indexes,and all the children were followed up for three years after taking off glasses.Results：368 children（678 eyes） with amblyopia were selected,after treatment for 3～7 years,205 children（364 eyes） took off glasses,accounting for 53.69%,including 244 eyes of mild amblyopia,the proportion was higher than those of middle amblyopia（114 eyes） and severe amblyopia（6 eyes）;305 eyes had ametropic amblyopia,29 eyes had anisometropic amblyopia and 30 eyes had strabismic amblyopia;316 eyes had simple hypermetropic amblyopia,the proportion was higher than those of simple hypermetropic astigmatism（11 eyes） and complex astigmatism（37 eyes）;the children with simple myopic amblyopia,simple myopic astigmatism and complex myopic astigmatism did not take off glasses;289 eyes were low diopter,58 eyes were middle diopter and 17 eyes were high diopter;the rate of taking off glasses in children aged 3～8 years old was high.Conclusion：It is feasible for children with amblyopia taking off glasses after recovery according to four indexes,treatment and follow-up before taking off glasses are necessary,even after taking off glasses,the time of follow-up more than 12 years（the sensitive period of visual development） is the best.

关 键 词：儿童弱视 脱镜指标 类型 

分 类 号：R174[医药卫生—妇幼卫生保健]