本文選題：弱視 + 雙眼視覺��； 參考：《青島大學》2017年碩士論文

【摘要】：目的:通過觀察屈光性弱視患兒雙眼視力達到正常時的融合功能及遠、近立體視,分析影響屈光性弱視患兒治療過程中雙眼視覺發(fā)育的因素。方法:通過回顧性隊列研究,選擇1998年3月至2016年11月青島大學附屬醫(yī)院眼科收集收治的164例經(jīng)治療雙眼矯正視力達1.0的屈光不正和屈光參差性弱視患兒,在此樣本中男82例,女82例,初診年齡為3.0至12.0歲,平均年齡為4.86±0.71歲,視力恢復正常年齡為5.4至13.0歲,平均年齡為6.79±1.23歲,所有弱視患兒均經(jīng)常規(guī)眼科檢查,通過顏少明編寫《數(shù)字化立體視覺檢查圖》(Digital stereoscopic test chart,DSTC)檢測患兒近立體視,同視機隨機點立體視畫片(random-dot stereosgrams,RDS)檢查融合和遠立體視,記錄患兒性別、初診年齡、視力恢復正常年齡、治療持續(xù)時間、弱視程度、是否采取遮蓋、單眼或雙眼弱視,采用X2檢驗、確切概率法和Kruskal-Wallis秩和檢驗,統(tǒng)計分析這些因素與融合功能及遠、近立體視覺的關(guān)系。結(jié)果:1.164例患兒中,患兒初診年齡、視力恢復正常年齡、治療持續(xù)時間、弱視程度均對近立體視的恢復有影響(χ2=8.220、9.338、4.931、7.615,P均0.05),患兒性別、是否采取遮蓋、單眼或雙眼弱視對近立體視的恢復結(jié)果差異無顯著性(χ2=0.994、2.836、0.187,P均0.05)。2.164例患兒樣本中,患兒性別、初診年齡、視力恢復正常年齡、弱視程度、治療持續(xù)時間、是否采取遮蓋、單眼或雙眼弱視對遠立體視的恢復影響均無顯著性差異(P均0.05)。3.164例患兒中,患兒性別、初診年齡、視力恢復正常年齡、治療持續(xù)時間、弱視程度、是否采取遮蓋、單眼或雙眼弱視對融合功能的恢復影響均無顯著性差異(P均0.05)。4.遠立體視基本同步視力恢復,近立體視尚未隨之同步恢復。結(jié)論:1.患兒初診的年齡愈小、視力恢復正常的年齡愈小、治療持續(xù)時間愈短、弱視程度較輕,越有利于近立體視的恢復,患兒性別、單眼或雙眼弱視、是否采取遮蓋對近立體視的恢復則無影響。2.患兒性別、初診年齡、視力恢復正常的年齡、治療持續(xù)時間、弱視程度、是否采取遮蓋、單眼或雙眼弱視對遠立體視及融合的恢復均無影響。弱視患兒治愈后,融合均有不同程度的恢復,但仍低于正常水平。3.遠立體視的恢復好于近立體視的恢復。
[Abstract]:Objective: to investigate the binocular visual development in children with ametropia amblyopia by observing the fusion function, distant vision and near stereopsis when the vision of children with refractive amblyopia reached normal level, and to analyze the factors affecting the development of binocular vision in children with refractive amblyopia. Methods: a retrospective cohort study was conducted in 164 children with ametropia and anisometropic amblyopia whose binocular corrected visual acuity reached 1.0 from March 1998 to November 2016 in the affiliated Hospital of Qingdao University. There were 82 males in this sample. 82 cases of female were diagnosed at the age of 3.0 to 12.0 years old, the average age was 4.86 鹵0.71 years old, the normal visual acuity was 5.4 to 13.0 years old, the average age was 6.79 鹵1.23 years old. All the children with amblyopia underwent routine ophthalmic examination. Using Yan Shaoming to compile "Digital Stereo Vision Diagram" (DSTC) to detect the near stereopsis of children, random dot stereopsis film (random-dot stereopsis) to check fusion and distant stereopsis, to record the gender, the age of first visit, the visual acuity to return to normal age, to record the sex of the child, the age of first visit, and the visual acuity to return to normal age. The duration of treatment, degree of amblyopia, whether or not to take cover, monocular or binocular amblyopia, X2 test, exact probability method and Kruskal-Wallis rank sum test were used to analyze the relationship between these factors and fusion function and distant and near stereoscopic vision. Results among the 164 children, the age of first visit, the age of visual acuity, the duration of treatment and the degree of amblyopia had influence on the recovery of near stereopsis (蠂 ~ 2 = 8.220 / 9.338 / 4.931 / 7.615P, P = 0.05). There was no significant difference in the recovery of near-stereopsis between monocular and binocular amblyopia (蠂 ~ 2 / 0.994n = 2.836 / 0.187P). The sex, age at first visit, visual acuity return to normal age, degree of amblyopia, duration of treatment, whether or not to cover up, were all observed in the sample of monocular amblyopia and binocular amblyopia (蠂 ~ 2 = 0.994, 2.836, 0.187). There was no significant difference in the effect of monocular or binocular amblyopia on the recovery of far stereopsis (P = 0.050.3.164). Sex, age at first visit, age of visual recovery, duration of treatment, degree of amblyopia, whether to take cover or not. There was no significant difference in the restoration of fusion function between monocular amblyopia and binocular amblyopia (P < 0.05). Distant stereopsis basic synchronous vision recovery, near stereopsis has not yet recovered synchronously. Conclusion 1. The younger the first visit, the younger the age of recovery of visual acuity, the shorter the duration of treatment, the lighter the degree of amblyopia, the more favorable to the recovery of near stereopsis, the gender of the child, the amblyopia of monocular or binocular amblyopia. There was no effect on the restoration of near stereopsis by shading. 2. Gender, age at first visit, age at which visual acuity returned to normal, duration of treatment, degree of amblyopia, whether covered or not, and unilateral or binocular amblyopia had no effect on the recovery of distant stereopsis and fusion. After the amblyopia was cured, the fusion was recovered to some extent, but still lower than the normal level. 3. 3. The recovery of distant stereopsis is better than that of near stereopsis.
【學位授予單位】：青島大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R777.44

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