近视过矫眼镜对学龄期间歇性外斜视患儿双眼单视功能及斜视度的影响  

The effects of myopia overcorrection glasses on binocular monocular function and strabismus in school-age children with intermittent exotropia

作　　者：谢莉 XIE Li(Guangzhou Zengcheng Maternal and Child Health Hospital,Guangzhou 510000,China)

机构地区：[1]广州市增城区妇幼保健院,广东广州510000

出　　处：《吉林医学》2021年第6期1372-1374,共3页Jilin Medical Journal

摘　　要：目的:研究近视过矫眼镜对学龄期间歇性外斜视患儿双眼单视功能及斜视度的影响。方法:选取2018年6月~2020年6月于广州市增城区妇幼保健院就诊的间歇性外斜视患儿100例随机分为两组各50例,对照组患儿应用三棱镜疗法,观察组患儿应用近视过矫眼镜治疗,对比分析两组患儿治疗前后双眼单视功能变化,研究两组患儿斜视度改善情况。结果:治疗总有效率组间对比观察组显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患儿矫正视力值、分开性融合、屈光度、集合性融合相比差异无统计学意义(P>0.05);治疗6个月后,两组患儿集合性融合水平、矫正视力值、屈光度均提升,且观察组矫正视力值、集合性融合水平高于对照组,差异均有统计学意义(P<0.05);治疗后两组患儿分开性融合均降低,但两组对比差异无统计学意义(P>0.05)。治疗前,两组患儿斜视度相比差异无统计学意义(P>0.05);治疗6个月后,两组患儿斜视度程度均缓解,且组间对比观察组水平显著低于对照组,差异有统计学意义(P<0.05)。结论:近视过矫眼镜能够有效治疗学龄期小儿间歇性外斜视,可显著改善患儿双眼单视功能及斜视度,对患儿眼部健康具有积极影响。Objective To study the effects of myopia overcorrection glasses on binocular monocular function and strabismus in school-age children with intermittent exotropia.Method 100 children with intermittent exotropia in our hospital from June 2018 to June 2020 were selected and randomly divided into two groups,50 cases in the control group and 50 cases in the observation group.The control group was treated with prism therapy,and the observation group was treated with myopia overcorrection glasses.The changes of binocular single vision function of the two groups before and after treatment were compared and analyzed.The improvement of strabismus degree in the two groups was studied.Results The total efficiency of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the corrected visual acuity,separate fusion,diopter and convergence fusion between the two groups(P>0.05);after 6 months of treatment,the corrected visual acuity,diopter and convergence fusion levels of the two groups were improved,and the corrected visual acuity and convergence fusion levels of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05);after treatment,there was no significant difference between the two groups There was no significant difference between the two groups(P>0.05).Before treatment,there was no significant difference between the two groups in the degree of strabismus(P>0.05);after 6 months of treatment,the degree of strabismus in the two groups decreased,and the degree of strabismus in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Myopia overcorrection glasses can effectively treat school-age children with intermittent exotropia,can significantly improve the binocular monocular function and strabismus,and has a positive impact on children's eye health.

关 键 词：三棱镜 近视过矫眼镜 双眼单视功能 间歇性外斜视 

分 类 号：R779.11[医药卫生—眼科] R777.41[医药卫生—临床医学]