【摘要】：目的：研究雙眼屈光不正性弱視患者單純屈光矯正后的治療效果。 方法：根據(jù)國內(nèi)最新弱視診斷標(biāo)準(zhǔn)，收集首次在我院門診確診為雙眼屈光不正性弱視患者58例（116只眼），年齡在4-15歲（平均年齡6.2±2.13歲），8歲以上9例，8歲以下49例。其中中度遠(yuǎn)視19例38只眼（平均等效球鏡+3.45±0.93），高度遠(yuǎn)視17例34只眼（平均等效球鏡+7.4±1.18），遠(yuǎn)視散光18例36只眼（平均等效球鏡+2.22±1.32），混合散光4例8只眼（平均等效球鏡+0.22±0.45）。在排除雙眼屈光參差，斜視或形覺剝奪等其它可能導(dǎo)致弱視的影響因素后，所有患者用1%硫酸阿托品眼用凝膠點(diǎn)雙眼，睫狀肌麻痹后驗(yàn)光，配鏡原則是根據(jù)患者年齡并結(jié)合患者眼位（隱斜）給予全矯或保留生理性的遠(yuǎn)視度數(shù)，散光足矯。然后進(jìn)行追蹤隨訪并記錄患者戴鏡后三個(gè)月、六個(gè)月及一年時(shí)的視力。所有結(jié)果均采用SPSS18.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析。 結(jié)果：屈光矯正三個(gè)月時(shí)視力達(dá)到同齡兒童視力參考值下限的有57只眼（49.1%），六個(gè)月時(shí)有84只眼（72.4%），一年時(shí)有102只眼（87.9%），其差異有統(tǒng)計(jì)學(xué)意義（χ~2=41.981，P=0.000）。隨訪一年視力平均提高3.59±2.04行，其中視力提高"g2行的弱視眼占90.5%（105只眼）。100%（38只眼）中度遠(yuǎn)視患者、82.4%（28只眼）高度遠(yuǎn)視患者、83.3%（30只眼）遠(yuǎn)視散光患者及75.0%（6只眼）混合散光患者達(dá)到同齡兒童視力參考值下限。50%（9只眼）8歲以上患者視力達(dá)1.0。 結(jié)論：多數(shù)屈光不正性弱視患者通過單純屈光矯正治療即可取得良好的治療效果，，準(zhǔn)確的驗(yàn)光和正確的屈光矯正方法是提高這類弱視患者視力的關(guān)鍵。
[Abstract]:Objective: to study the therapeutic effect of ametropia amblyopia patients after simple ametropia correction. Methods: according to the latest diagnostic criteria of amblyopia in China, 58 patients (116 eyes) with ametropic amblyopia diagnosed in our hospital for the first time were collected. The age was 4-15 years old (mean age 6.2 鹵2.13 years), and 9 cases were over 8 years old. 49 cases were under 8 years old. Among them, 19 cases (38 eyes) with hyperopia (mean equivalent spherical mirror 3.45 鹵0.93), 17 cases (34 eyes) with high hyperopia (average equivalent spherical mirror 7.4 鹵1.18), 18 cases (36 eyes) with hyperopia (mean equivalent spherical mirror 2.22 鹵1.32), and hypermetropic astigmatism in 36 eyes (mean 2.22 鹵1.32). Mixed astigmatism in 4 cases (8 eyes) (mean equivalent spherical mirror 0.22 鹵0.45). After excluding other factors that could lead to amblyopia, such as binocular anisometropia, strabismus or form deprivation, all patients received 1% atropine sulfate ophthalmic gel points and optometry after ciliary paralysis. The principle of optometry is to give full correction or retain physiologic hyperopia according to the patient's age, combined with the patient's oculomotor position (occlusal), and astigmatism foot correction. Follow-up was followed up and visual acuity was recorded for three months, six months, and one year after wearing glasses. All the results were analyzed by SPSS18.0 software. Results: the visual acuity of 57 eyes (49.1%), 84 eyes (72.4%) and 102 eyes (87.9%) of the same age children reached the reference value of the same age children at the third month of refractive correction, 84 eyes (72.4%) at the sixth month and 102 eyes (87.9%) at one year, respectively. The difference was statistically significant (蠂 ~ 2 = 41.981, P = 0.000). After one-year follow-up, the average improvement of visual acuity was 3.59 鹵2.04 lines, in which 90.5% (105 eyes) of amblyopia with "G2 line", 100% (38 eyes) of moderate hyperopia, 82.4% (28 eyes) of high hyperopia, and 90.5% (105 eyes) of amblyopia with "G2 line". 83.3% (30 eyes) of hyperopia astigmatism patients and 75.0% (6 eyes) of mixed astigmatism patients reached the reference value of the same age children's visual acuity, and the visual acuity of 50% (9 eyes) patients over 8 years old reached 1.0. Conclusion: most ametropic amblyopia patients can get good therapeutic effect by simple refractive correction. Accurate optometry and correct refractive correction are the key to improve the visual acuity of these amblyopia patients.
【學(xué)位授予單位】：華中科技大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R777.44

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