对学龄前儿童屈光不正的分析

An analysis of ametropia in preschool children

目的：探讨学龄前儿童屈光不正的一般规律。方法：对学龄前儿童１０２例（２０４只眼）详细了解就诊原因，并作散瞳检影及斜视检查。结果：就诊原因以看电视时头位姿势异常者最多，屈光状态则以远视和远视散光为主，而斜视发生率在低龄组明显高于高龄组。结论：学龄前儿童看电视时出现头位姿势异常提示可能有屈光不正的存在。学龄前儿童屈光不正者，其屈光状态以远视和远视散光为主，且低龄者更易合并斜视。

OBJECTIVE:to explore the general law of ametropia in preschool children. METH-ODS:Complaint of 102 cases(204 eyes)preschool children patients were investigated in detail,and the refractive examnation with retinoscopy after mydriasis and a strabismic examination werecarried out.RESULTS:The most common complaints were abnormal head position while watcli-ing TV,The majorities of refractive status were hyperopia and hypemetropic astigmatism.The rateof strabismus in the younger group was significantly than that in the elder group.CONCLUSION:The abnormal head position of children while they watch TV suggests possible ametropia.Therefractive status in preschool children with ametropia were usually hyperopia and hypermetropicastigmatism.Younger children have higher tendency for the complication of strabismus.