轻度远视性屈光参差性弱视患儿调节功能分析

Analysis on the Accommodative Function of Mild Hyperopic Amblyopic Eyes

目的 研究轻度远视性屈光参差性弱视患儿调节功能状态.方法 双眼视疲劳患者共42例,年龄7～12岁,排除干眼症、屈光参差、集合不足和斜弱视等疾病,确诊后均予屈光矫正和调节功能分析.结果 远视性屈光参差性弱视患儿非弱视眼的调节幅度和调节灵活度与正视儿童差异无统计学意义（P＞0.05）;弱视眼的调节幅度和调节灵活度与正视儿童眼的差异有统计学意义（P＜0.05）;远视性屈光参差性弱视患儿弱视眼与非弱视眼调节幅度相比较,差异有统计学意义（P＜0.05）,调节灵活度比较差异无统计学意义（P＞0.05）.结论 远视性屈光参差性弱视患儿进行调节检查可有助于判断病情,为针对性治疗提供依据.

Objective To investigate the accommodative function of mild hyperopic amblyopic eyes.Methods 42 patients with mild hyperopic amblyopic eyes and 38 normal subjects were included in the study.All patients had routine eye examinations to exclude eye disease.Accommodative parameters were assessed.Results Compared with the control group,the accommodative amplitude and the accommodative facility of the normal eyes of the patients with mild hyperopic amblyopic eyes had no differences （P ＞0.05）,but there were significant differences between amblyopic eyes and eyes of control group （P＜0.05）.The accommodative amplitude between two eyes of the same mild hyperopic amblyopic patient had significant differences （P ＜0.05）,but the accommodative facility two eyes of the same amblyopic patient had no significant differences （P ＞0.05） Conclusion It is helpful to diagnose and treat patients with mild hyperopic amblyopic eyes by investigating the accommodative amplitude and the accommodative facility of eyes.