儿童屈光参差性弱视复发原因探讨

Exploration of the case of palindromia in children ani-sometropic amblyopia

目的探讨屈光参差性弱视远期疗效的相关影响因素。方法随访观察了123例217眼屈光参差性弱视,基本治愈后3a以上的病例,经再次扩瞳验光后证实矫正视力低于0.8以下。结果本组屈光参差性弱视的复发因其类型和程度不同存在着明显的差异,总复发率为25.2%,其中近视性屈光参差性弱视的复发率最高,依次为单眼性屈光参差性弱视,远视性屈光参差性弱视,和双眼性屈光参差性弱视。结论屈光参差性弱视治愈后的巩固是预防复发的根本。对弱视中易复发的病例应进行重点观察,早期发现、了解视力下降的原因,及时治疗是非常重要的。

Objective To explore the related factors about the long-term effect of the therapy anisometropic amblyopia. Methods We followed up 217 eyes of 123 cases diagnosed as anisometropic amblyopia. In these cases they have been cured for more than three years. But we found their corrected visions were less 0.8 in myclriatic condition. Results The category and degree of anisometropic amblyopia might have bright difference with its palindromia. The total ratio was 25. 2%. The palindromia rate was different in the myopia anisometropic , the amblyopia monocular anisometropic , the amblyopia hypermetropia anisonietropic, and the amblyopia binocular anisometropic amblyopia. Conclusion Consolidate of anisometropia amblyopia have been cured is found to arrest palindromia. These cases of easier palindromia in ambiyopia shall be specially observed, found early and finding the reason of vision droped.and the treation in time is very important.