弱视复发因素探讨  

The factors affecting amblyopia recurrence

作　　者：许江涛[1] 郝玉星[1] 马艳玲[1] 

机构地区：[1]昆明市儿童医院眼科,650034

出　　处：《中国斜视与小儿眼科杂志》2001年第1期15-17,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的　了解弱视治愈远期疗效的影响因素。方法　对 2 59例 (4 4 8眼 )基本治愈的弱视患者进行了 3年以上的随访观察。经散瞳验光后证实视力下降至≤ 0 9时为弱视复发眼。结果　本组弱视复发率为 2 9 2 4 %。屈光参差性弱视和斜视性弱视的复发率明显高于屈光不正性弱视的复发率 ;弱视程度越重 ,复发率就越高 ;中心注视性弱视复发率低于旁中心注视性弱视复发率。结论　弱视复发率因弱视类型和弱视程度不同而异。随停止治疗的时间逐渐延长 ,弱视复发病例逐渐减少。对于易复发的弱视类型应进行重点监测。Objective In this paper, factors affecting long term results amblyopia were reviewed. Methods The examination was done over three years for 259(448eyes) patients of amblyopia who have been cured basically. After cycloplegic optometry it is confirmed as recurrence of amblyopia when vision is reduced to ≤09. Results The ratio of amblyopia is recurrence 2924% in this study. The recurrence ratio of anisometropic amblyopia and strabismic amblyopia is higher than that of ametropic amblyopia significantly. The more serious amblyopia occurs, the higher recurrence ratio occurs. Recurrence ratio of amblyopia of central fixation is lower than that of amblyopia of eccentric fixation. Conclusion There exists difference of recurrence ratio of amblyopia when there is difference of pattern of amblyopia or degree of amblyopia. The longer the time of cessation of treatment is, the less recurrence cases of amblyopia are observed. The amblyopia pattern of easy recurrence should be monitored especially.

关 键 词：弱视 复发率 影响因素 

分 类 号：R777.44[医药卫生—眼科]