远视性儿童弱视脱镜的探讨

Discussion on the Off-Glasses Index of the Hyperopic Children with Amblyopia

目的:探讨远视性儿童弱视脫镜的必备条件与规律。方法:经过验光配镜矫治、遮盖疗法、应用家庭弱视治疗仪治愈后须按:1) 双眼裸眼远近视力 ≥ 1.0半年以上者,2) 眼位正常或斜视性弱视治愈后残余斜视度 <5?者,3) 远视屈光度 ≤ +1.00 DS,4) 远视散光度 ≤ +0.50 DC。4项指标[1]脫镜。结果:324例577只眼脫镜,1、初诊年龄与脱镜的关系:初诊时2.5~6周岁脫镜161例49.69%和7~12周岁脫镜129例39.81%脫镜率高于其他年龄组(P <0.05)。2、初诊时屈光类型与脱镜的关系:初诊时属单纯远视脫镜384只眼66.6%,均高于单纯远视散光者脫镜61只眼10.6%和复性远视散光者脫镜132只眼22.8%。(P <0.05)。结论:远视性儿童弱视经过治疗是能脫镜的。其规律是初诊年龄以2.5~12周岁单纯远视性弱视脫镜率高。

Objective:To explore the necessary conditions and rules of amblyopia in children with hyperopia.Methods:After optometry,occlusion therapy,and application of the family amblyopia treatment device,the rules should be:1)Both eyes with near-eye vision≥1.0 for more than half a year,2)normal or strabismic amblyopia after cure,residual strabismus.