远视性儿童弱视脱镜的探讨

Discussion on the Off-Glasses Index of the Hyperopic Children with Amblyopia

摘要: 目的：探讨远视性儿童弱视脫镜的必备条件与规律。方法：经过验光配镜矫治、遮盖疗法、应用家庭弱视治疗仪治愈后须按：1) 双眼裸眼远近视力 ≥ 1.0半年以上者，2) 眼位正常或斜视性弱视治愈后残余斜视度 < 5˚者，3) 远视屈光度 ≤ +1.00 DS，4) 远视散光度 ≤ +0.50 DC。4项指标[1]脫镜。结果：324例577只眼脫镜，1、初诊年龄与脱镜的关系：初诊时2.5~6周岁脫镜161例49.69%和7~12周岁脫镜129例39.81%脫镜率高于其他年龄组(P < 0.05)。2、初诊时屈光类型与脱镜的关系：初诊时属单纯远视脫镜384只眼66.6%，均高于单纯远视散光者脫镜61只眼10.6%和复性远视散光者脫镜132只眼22.8%。(P < 0.05)。结论：远视性儿童弱视经过治疗是能脫镜的。其规律是初诊年龄以2.5~12周岁单纯远视性弱视脫镜率高。

Abstract: Objective: To explore the necessary conditions and rules of amblyopia in children with hyperopia. Methods: After optometry, occlusion therapy, and application of the family amblyopia treatment device, the rules should be: 1) Both eyes with near-eye vision ≥ 1.0 for more than half a year, 2) normal or strabismic amblyopia after cure, residual strabismus < 5˚, 3) hyperopic diopter ≤ +1.00 DS, 4) hyperopic astigmatism ≤ +0.50 DC, totally four indicators [1]. Results: 324 cases of 577 eyes were off glasses. 1) The relationship between the age of newly diagnosed and the off-the-glasses: 161 cases of 49.69% of the eyes of the patients at the initial diagnosis, 49.69% of the eyes and 129 cases of the 7 - 12 years old were off glasses (P < 0.05). 2) The relationship between refractive type and devitrification at the time of initial diagnosis: 384 eyes with simple hyperopia (66.6%) at the time of initial diagnosis, all of which were higher than 61 eyes (10.6%) with simple hyperopic astigmatism and refractory hyperopic astigmatism 132 eyes (Only 22.8%) (P < 0.05). Conclusion: Children with hyperopia in hyperopicopia can be treated with eyeglasses. The regularity is that the initial diagnosis age is 2.5 - 12 years old, and the rate of simple hyperopic amblyopia is high.