儿童调节性内斜视临床观察

Clinical Observation of Accommodative Esotropia in Children

目的观察儿童屈光性调节性内斜视戴镜后的眼位、屈光度、视力及双眼单视功能情况。方法搜集106例调节性内斜视儿童,准确验光后即时配戴全矫正眼镜,随访观察4年,并进行回顾性分析。结果观察6个月以上,眼位正位者91例,占85.85%;部分性调节性内斜视,带全矫眼镜6个月以上,远视度数由初时的+6.5 4D,下降为4年后的+5.0 2D。视力由初诊时的0.36上升到4年后的0.82。结论调节性内斜视的治疗是一个综合治疗过程。既要注重眼位的矫正、又要进行弱视治疗,同时注意建立双眼单视功能。

[Objective]To observe the eye position,diopter,visual acuity and binocular vision of children with accommodative esotropia after wearing glasses.[Methods]106 children with accommodative esotropia wore the completely correction glasses after accurate refraction,follow-up for 4 years,and the retrospective analysis was conducted.[Results]After 6 months,91 cases showed orthotropia,which accounted for 85.85%.Some children with accommodative esotropia must wear the completely correction glasses for 6 months or more.The hyperopic diopter declined from ＋6.54D at first visit to ＋5.02D after 4 years.The visual acuity increased from 0.36 at first visit to 0.82 after 4 years.[Conclusion]The treatment of accommodative esotropia is a comprehensive course.It is necessary to pay attention to the correction of eye position,treatment of amblyopia and establishment of binocular vision.