传统弱视治疗方法联合视功能训练治疗远视性屈光参差性弱视的疗效  

Effect of traditional treatment combined with visual function training on hyperopic anisometropic amblyopia

作　　者：田璐[1] 南莉[1] 丁肇凤 郭雅图 TIAN Lu;NAN Li;DING Zhao-Feng;GUO Ya-Tu(From the Tianjin Eye Hospital,Tianjin Key Lab of Ophthalmology and Visual Science,Tianjin Eye Institute,Tianjin Medical University Clinical College of Ophthalmology,Tianjin 300020,China)

机构地区：[1]天津市眼科医院天津市眼科学与视觉科学重点实验室天津市眼科研究所天津医科大学眼科临床学院,天津市300020

出　　处：《眼科新进展》2018年第10期955-958,共4页Recent Advances in Ophthalmology

基　　金：国家自然科学基金(编号:81300791);天津市卫生局科技基金(编号:2014KZ069);天津市应用基础与前沿技术研究计划青年项目(编号:14JCQNJC10500)~~

摘　　要：目的评价传统弱视治疗方法联合视功能训练治疗远视性屈光参差性弱视的疗效。方法收集2016年3月至2017年5月就诊于天津市眼科医院弱视训练室的50例远视性屈光参差性弱视患者,年龄(7. 57±2. 65)岁。所有患者均排除其他眼部疾病、危险因素和全身性疾病。在屈光矫正、遮盖健眼的基础上对弱视眼进行治疗,分析治疗前后的视力、立体视变化情况。结果根据筛选最终纳入31例远视性屈光参差性弱视患者,其中轻度弱视10例,中度弱视15例,重度弱视6例。31例患儿治疗前及治疗后3个月、6个月视力差异有统计学意义(F=48. 591,P=0. 000);中、重度弱视组治疗前后3个时间点差异均有统计学意义,轻度弱视组治疗后与治疗前视力相比,差异有统计学意义,但治疗后6 个月与治疗后3个月视力相比差异无统计学意义(P=0. 223)。轻度弱视组与中、重度弱视组治疗后视力进步情况差异均有统计学意义(χ~2=6. 005,P=0. 022;χ~2=5. 760,P=0. 026);治疗后立体视比治疗前明显提高,与视力呈负相关(r=-0. 537,P=0.002; r=-0. 885,P=0. 000)。结论传统弱视治疗方法联合视功能训练不仅可以提高远视性屈光参差性弱视患者视力,而且有助于双眼视功能的恢复。Objective To evaluate the effect of traditional treatment combined with visual function training on hyperopic anisometropic amblyopia.Methods Totally 50 patients with hyperopic anisometropic amblyopia treated by amblyopia training room in Tianjin Eye Hospital from March 2016 to May 2017 were enrolled,and the average age was(7.57±2.65)years.All patients had routine examination to exclude other eye disease,risk factors and systemic diseases.The treatment of amblyopia was based on refractive correction and sound eye occlusion to analyze the changes in visual acuity and stereoscopic acuity before and after treatment.Results Together 31 patients with hyperopic anisometropic amblyopia were enrolled after screening,including 10 cases of mild amblyopia,15 cases of moderate amblyopia,and 6 cases of severe amblyopia.There were significant differences in average visual acuity before and after treatment in 31 patients(F=48.591,P=0.000);there were significant differences between the 3 time points before and after treatment in the moderate and severe amblyopic groups.The visual acuity of the mild amblyopic group was significantly different before and after treatment,but there was no significant difference between 6 months after treatment and 3 months after treatment(P=0.223).There were significant differences in visual acuity improvement between the mild amblyopic group and moderate and severe amblyopic groups after treatment(χ2=6.005,P=0.022;χ2=5.760,P=0.026).The stereoscopic acuity was obviously improved after treatment and was negatively correlated with visual acuity(r=-0.537,P=0.002;r=-0.885,P=0.000).Conclusion The traditional treatment combined with visual function training can not only improve the visual acuity of patients with hyperopic anisometropic amblyopia,but also contribute to the restoration of binocular vision.

关 键 词：远视性屈光参差性弱视 传统治疗 视功能训练 

分 类 号：R778.1[医药卫生—眼科]