小儿微小度数斜视性弱视的综合治疗

Combined therapy for amblyopia with primary microtropia in children

目的观察小儿微小度数斜视性弱视的综合治疗效果。方法对4～12岁微小度数斜视性弱视儿童106例,采用遮盖、光学压抑、手眼精细家庭作业、红光闪烁及Haidinger刷综合疗法,平均随访1～3年。并对不同的注视性质、不同的弱视程度及不同的屈光参差程度与疗效关系进行统计学分析。结果治愈24.51%、进步52.84%、无效22.64%,总有效率77.35%。中心注视者疗效好于旁中心注视者。弱视程度越重疗效越差。屈光参差程度高于2.50D组差于低于2.50D组。结论综合治疗对儿童微小度数斜视性弱视有效,患者的旁中心注视性质、弱视程度、双眼屈光参差程度影响治疗效果。

[ Objective ] To evaluate the effect of the complex treatment for amblyopia with primary mierotropia. [Methods ] 106 children with primary microtropic amblyopia in age of 4 to 12 years were studied, and were treated with occlusion and penalization and red light flash therapy. The mean fellow up time was 1-3 years. A statistical analysis was made in fixation character, amblyopie degree, antimetropic degree and the effect of treatment. [Results ] In sitnented children, 24.51% cases were cured, 52.84% were improved and 23.65% were failed. The total effective rate was 77.35%. The effect of center fixation was better than that of parafovea fixation. The heavier the amblyopia was, the less effective the results was. And the greater the antimetrpia was, the worse the results was. The effect in the group with anisometropia degree below 2.50D was better than that in the group with higher anisometropia degree. [ Conclusion ] The combined treatment is effective for most of the children＇s anblyopia with primary mierotropia. The fixation character, amblyopic degree and antimetropic degree of the patients can influence the effect of treatment.