儿童弱视复发的原因及治疗措施

Reasons of amblyopia recurrence and its curing methods in children

目的:探讨儿童弱视复发的原因及治疗措施。方法:对基本治愈的278例(391眼)弱视行3年以上的随访观察。经散瞳验光后证实视力下降至≤0.9时为弱视复发眼。结果:复发率为30.91%。轻、中、重度弱视组复发率分别为9.21%、45.7%、84.93%,差异均有统计学意义(P<0.05);旁中心注视弱视的复发率明显高于中心注视的弱视眼,差异有统计学意义(P<0.01)。不同年龄组的复发率比较,差异无统计学意义(P>0.05)。结论:弱视复发因注视性质和弱视程度不同而异,对于易复发的弱视类型应进行重点监测并长期系统治疗。

Objective To discuss the reasons of amblyopia recurrence and its curing methods. Method Three years＇ close observation was made On 278 cases of amblyopia that had been cured. After testing pupil,if eyesight reduces to a certain degree （ ≤ 0.9） ,it is defined as recurrence. Results The recurrence rate was 30. 91% and the recurrence rate of light, middle and severe amblyopia were 9.21% 45.7% and 84. 93% respectively. Discrepancies were quite obvious （ P 〈 0. 05 ）. The recurrence rate of lateral central fixation was much higher than central fixation. The discrepancy was obvious （P 〈 0.01 ）. The recurrence rate of different ages didn＇t differ in statistics. Conclusion The recurrence differs in types of fixation and the degree of amblyopia. Careful observation and long-term cure are needed for the types that easily recur.