6～14岁低视力儿童行屈光矫正与助视器佩戴的视力康复情况研究

Vision rehabilitation of low vision children aged 6 to 14 years old by treatment of refractive correction and wearing of visual aids

目的 分析6~14岁低视力儿童行屈光矫正和助视器佩戴的视力康复情况。方法 对163例低视力儿童临床资料进行回顾性分析,所有患儿均在检查眼光后接受屈光矫正、助视器验配等治疗,观察其视力康复情况。结果 低视力儿童视力分布为近视率44.78%(73/163),远视率44.17%(72/163),盲眼率11.05%(18/163)。单纯屈光校正患儿脱盲率、脱残率均显著低于屈光矫正联合助视器校正患儿(P<0.05);三级、四级低视力儿童脱残率显著高于一级、二级儿童(P<0.05)。结论 屈光矫正联合助视器佩戴对6~14岁低视力儿童视力的恢复有积极意义,且视力康复效果与残余视力呈正比。

Objective To analyze the visual rehabilitation of low vision children aged 6 to 14 years old by treatment of refractive correction and wearing of visual aids.Methods The clinical materials of 163 children with low vision analyzed retrospectively.All the children received refractive correction and wore visual aids after eye examination.Visual rehabilitation condition was observed.Results In the children with low vision,the rate of myopia was 44.78%(73/163),the hyperopia rate was 44.17%(72/163),and the ratio of blind eye was 11.05%(18/163).The reduction rates of blindness and disability in children with simple refractive correction were significantly lower than those in children with refractive correction and wearing of visual aids(P<0.05).The reduction rate of disability in children with grade 3 and 4 of low vision was significantly higher than that of children with grade 1 and 2 of low vision(P<0.05).Conclusion Refractive correction combined with wearing of visual aids has a positive role in treating low vision children aged 6 to 14 years old,and the visual rehabilitation effect is directly proportional to residual visual acuity.