郴州市区学龄前儿童斜弱视调查

Investigation on Preschool Children’ Strabismus and Amblyopia in Chenzhou City

目的：通过普查，早期发现并及时诊断治疗郴州市区儿童斜弱视及其他眼病，以减少可预防盲及低视力．方法：随机抽取10家郴州市区幼儿园1530例学龄前儿童，检查外眼、眼位、远近视力、屈光状态、眼前节、眼底、斜弱视就诊及治疗情况．结果：1530例2-6岁学龄前儿童中屈光不正患病率6．73％，弱视患病率1．83％，斜视患病率0．33％，弱视中82．14％为单纯远视＋复性远视．主动就诊率为6．06％．结论：主观检查法查视力和客观检查法小瞳检影都可作为幼儿园筛查斜弱视的方法，筛出后进一步确诊和治疗．对幼儿尽早进行眼科普查意义重大．

Objective： Through general survey in Chenzhou city, to diagnose and treat childrens＇ strabismus, amblyopia and other diseases earlier, to reduce preventable blindness and low visual acuity. Methods：1530 preschool children aged 2 - 6 of 10 kindergartens in Chenzhou city were examined, including： visual acuity, eye position, refractive status. The refractive status were determined with retinoscopy after cycloplegia by atropine. Results： The rate of refraction, amblyopia and strabismus were 6.73%, 1.83% and 0.33% respectively. 82.14% of the amblyopia patients had simple or compound hyperopia. Only 1 strabismus patient and 1 amblyopia patient were diagnosed and treated before the investigation（6.06%）.Conclusion：Checking visual acuity and noncycloplegic retinoscopy are effective and simple ways to find suspicious children patients so as to earlier diagnose and treat, so it has great significance for general ophthalmology survey.