连续完全遮盖法治疗屈光参差性弱视的效果

Effect of Continuous Complete Occlusion on Anisometropia Amblyopia

目的评价连续完全遮盖法治疗屈光参差性弱视的近期效果。方法 2017 年3 月—2018 年1 月,医院眼科门诊收治的屈光参差性弱视84 例122 只眼,连续完全遮盖法治疗,根据疗效决定是否采用其他方法。将痊愈与显效对象纳入愈显组,其余对象纳入对照组。收集资料,进行因素分析。结果治疗前122 只患眼视力(0.38±0.15),治疗后(0.61±0.22),差异有统计学意义(P < 0.05)。6 个月后,痊愈22只(18.0%)、基本痊愈50 只(41.0%)、进步48 只(39.3%)、无效2只(1.6%)。多因素分析,结果显示年龄、双眼弱视、遮眼依从性好成为独立影响因素(P < 0.05)。结论连续完全遮盖法治疗屈光参差性弱视的近期疗效肯定,但是痊愈率低,疗效影响因素较多,适合年龄较低、单眼、依从性好对象。

Objective To evaluate short-term effect of continuous complete occlusion in the treatment of anisometropic amblyopia. Methods From March 2017 to January 2018, 122 eyes of 84 patients with anisometropic amblyopia were treated by continuous complete occlusion method in the ophthalmological clinic of our hospital. The other methods were decided according to the curative effect. Rehabilitation and effective subjects were included in the treatment group, while the rest were included in the control group. Data were collected and factors were analyzed. Results The visual acuity of 122 eyes before treatment (0.38±0.15) and after treatment (0.61±0.22), the difference was statistically significant (P < 0.05). Six months later, 22 (18.0%) were cured, 50 (41.0%) were basically cured, 48 (39.3%) were improved, and 2 (1.6%) were ineffective. Multivariate analysis showed that age, binocular amblyopia and good compliance with shading were independent influencing factors (P < 0.05). Conclusion Continuous and complete occlusion is effective in the treatment of anisometropic amblyopia in the near future, but the cure rate is low and there are many factors influencing the curative effect. It is suitable for the younger, monocular and good compliance subjects.