影响弱视治疗远期效果的因素

Factors Affecting Long-term Results of Successfully Treated Amblyopia

对诊治过的７２例单眼弱视患儿进行平均２１３ａ的远期疗效观察，结果：３４例（４７２２％）维持已获得的视力，３８例（５２７８％）视力下降，重度弱视组的平均视力变化值高于中度弱视组，Ｐ＜００５；屈光参差斜视性弱视组与斜视性弱视组和屈光参差性弱视组相比，视力变化分数有显著差异，Ｐ＜００５；各类型组在治疗前后，随访期的平均视力分数无明显不同，Ｐ＞００５，但随访中屈光参差斜视组的平均视力变化值显著高于斜视性弱视组，Ｐ＜００１结果提示，原始视力和屈光参差斜视性弱视是影响弱视治疗远期效果的危险因素对于这些危险病例，要严密监测视力。

72 cases of amblyopia diagnosed and treated successfully were followed up averagely for 2.13 years. Results: 34 cases (47.22%) maintained the acquired visual level and 38 cases (52.78%) declined in vision, with mean deterioration score higher in the severe amblyopia group than in the medium amblyopia group (P<0.05); when comparisons were made among the anisometerepic strabismus amblyopic group, the strabismus amblyopic group and the anisometerepic amblyopic group, a significant difference existed with visual acuity (P<0.05); and all the groups revealed no significant mean visual acuity score (P>0.05) during the follow-up period both before and the treatment, but the mean visual acuity score was obviously higher in the anisometerepic strabismus group than in the strabismus amblyopic group (P<0.01). The results suggested that low initial acuity and anisometerepic strabismus amblyopia are the risk factors affecting the long-term results of amblyopia treatment. 