儿童弱视愈后转归的探析

Outcome of the Recovered Children Amblyopia

摘要: 目的：探讨儿童弱视治愈后的转归，寻找儿童弱视治愈后和脫镜后，防止弱视复发、发生假性近视和形成真性近视的途径，及残余斜视的处理。方法：对治愈的弱视儿童均进行3~7年的追踪观察，每1~2个月复查一次，均检查裸眼远近视力、眼位、屈光间质、眼底、注视性质、电脑验光、小瞳孔下检影或必要时阿托品散瞳验光等。若发现裸眼远视力<1.0时，就一定要查清原因，给予恰当治疗。结果：对368例678眼的弱视儿童治愈后，经3~7年的追踪观察，发现弱视复发6例9眼，复发率为1.33%；发生调节性近视7例10眼，发生率为1.47%；形成真性近视57例62眼，发生率为9.14%；残余斜视4例4眼，发生率为0.59%。有205例364眼脱镜，占治愈眼数的53.69%。脫镜后追踪观察，发生调节性近视7例13眼，发生率为3.57%；形成真性近视16例29眼，发生率为7.97%；还需要继续观察者182例322眼，占脫镜眼数的88.46%。结论：从转归情况分析：长期定期追踪观察能早期发现弱视复发、调节性近视，及时釆取正确治疗措施，可防止形成真性近视和提高弱视的远期治疗效果。

Abstract: Objective: To explore the outcome after amblyopia cure, looking for the way to prevent recurrence and pseudo myopia amblyopia occurred and the formation of true myopia approach, and residual bosseyed processing when the children amblyopia cure and take off glasses. Methods: Observe the recovered amblyopia children three to seven years and review and check them every one or two months about sight, a refractive interstitium, fundus, Computer optometry, and small pupil detection under the shadow or necessary specialized atropine, etc. If we discover the bare eye vision <1.0 far, we must find out the reason and give appropriate treatment. Results: By 3 to 7 years following ob-servation, among the 368 cases of 678 eyes of recovered children amblyopia, we discover the amblyopia recurrence 6 cases 9 eyes, the recurrence rate was 1.33%; 7 cases 10 eyes happened regulatory myopia rate of 1.47%; The true myo-pia in 57 cases 62 eyes, in a rate of 9.14%; Residual strabismus 4 cases 4 eyes, in a rate of 0.59%. There were 205 cases of 364 eyes take off glasses, accounting for 53.69% of the number of recovered eyes. To follow-up observe the children taking off glasses, 7 patients 13 eyes occurred regulatory myopia, in rate of 3.57%; The true myopia 16 cases of 29 eyes, in rate of 7.97%; 182 eyes still need to continue to observe, accounting for 88.46% to the number of eyes taking off glasses eye. Conclusion: To analysis the outcome condition: long-term regular follow-up observations can find out amblyopia recurrence and the regulatory myopia early, so we can adopt the correct treatment measures in time to prevent the for- mation of true myopia and to improve the effect of long-term treatment of amblyopia.