硬性透气性角膜接触镜在屈光参差性弱视治疗中的意义  

The significance of RGP in the treatment of anisometropic amblyopia

作　　者：武静 WU Jing(Department of Ophtalmology.Xuchang People's Hospital.XuChang 461000,China)

机构地区：[1]许昌市人民医院眼科,河南许昌461000

出　　处：《潍坊医学院学报》2020年第4期294-296,共3页Acta Academiae Medicinae Weifang

摘　　要：目的探讨硬性透气性角膜接触镜(RGP)在屈光参差性弱视治疗中的意义。方法选取2011年1月~2017年1月我院眼科门诊收治的59例(79眼)屈光参差性弱视患儿(年龄大于8岁)为研究对象,所有患儿均散瞳检影配镜,随机分为治疗组(n=40眼)和对照组(n=39眼),治疗组给予RGP联合增视训练,对照组给予框架眼镜联合增视训练,分别记录和比较两组患儿治疗3、6个月及1年后的治疗有效率,治疗组患儿不同类型屈光参差性弱视的治疗效果及治疗组患儿不同时间点不同屈光参差度的治疗有效率。结果治疗组患儿治疗6个月和1年后的有效率高于对照组,差异有统计学意义(P<0.05);近视性屈光参差性弱视患儿的治疗总有效率最高,差异有统计学意义(P<0.05),散光性屈光参差性弱视患儿的治疗总有效率最低,差异有统计学意义(P<0.05);治疗3个月后,-2.00^-3.00D患儿的治疗有效率高于≤-3.00D患儿,差异无统计学意义(P>0.05);-2.00^-3.00D患儿的治疗有效率高于≥+2.00D患儿,差异有统计学意义(P<0.05);治疗6个月和1年后,-2.00^-3.00D患儿的治疗有效率高于≤-3.00D患儿和≥+2.00D患儿,差异有统计学意义(P<0.05)。结论 RGP在屈光参差性弱视治疗中安全有效,能明显提升患儿的视力,对-2.00^-3.00D单纯性近视性屈光参差弱视患儿效果最佳。Objective To explore the significance of RGP in the treatment of anisometropic amblyopia.Methods A total of 59 children(79 eyes)with anisometropic amblyopia admitted to the ophthalmological clinic of our hospital from January 2011 to January 2017 were selected as the study subjects,all the children were divided into treatment group(n=40 eyes)and control group(n=39 eyes),the treatment group was given RGP combined with visual enhancement training,while the control group was given Frame glasses combined with visual enhancement training,the treatment efficiency of the two groups after 3,6 months and 1 year of treatment was recorded and compared,the treatment effect of different types of anisometropic amblyopia in the treatment group and the treatment efficiency of different refraction at different time points in the treatment group were also recorded and compared.Results The effective rate of the treatment group was higher than that of the control group after 6 months and 1 year of treatment,the differences were statistically significant(P<0.05).The total effective rate was the highest in children with Myopic anisometropic amblyopia,the differences were statistically significant(P<0.05),the total effective rate was the lowest in children with Astigmatic anisometropic amblyopia,the differences were statistically significant(P<0.05).After 3 months of treatment,the effective rates of children with-2.00^-3.00 D were higher than those of children with ≤-3.00 D,the differences were not statistically significant(P>0.05).The effective rates of children with-2.00^-3.00 D were higher than those of children with ≥+2.00 D,the differences were statistically significant(P<0.05).After 6 months and 1 year of treatment,the effective rate of children with-2.00^-3.00 D was higher than that of children with≤-3.00 D and ≥+2.00 D,the differences were statistically significant(P<0.05).Conclusion RGP is safe and effective in the treatment of anisometropic amblyopia,which can significantly improve the visual acuity of children,especi

关 键 词：屈光参差 RGP 弱视 

分 类 号：R778[医药卫生—眼科]