摘要
目的探讨遮盖法、远距离压抑疗法对部分调节性内斜视弱视复发的治疗效果。方法对28例术前诊断为部分调节性内斜视术后弱视复发的患儿,随机分为两组,分别以遮盖法及压抑主眼看远行弱视治疗,观察治疗后3个月、6个月、1年的视力及眼位。结果遮盖法与压抑主眼看远相比,视力提高在3个月及6个月时差异有显著性(P<0.05);在1年差异无显著性(P>0.05)。眼位变化在3个月及6个月时差异无显著性(P>0.05);在1年差异较明显(P<0.05)。结论遮盖法与压抑主眼看远相比视力恢复快,但遮盖时间过长,部分患儿出现斜视度增加;压抑主眼看远,弱视的治疗时间长,但眼位较为稳定。对于术后两眼屈光参差不大、轻度弱视的患儿,可选择遮盖法,使治疗时间缩短;而对于术后两眼屈光参差较大、中度弱视的患儿,可选择压抑主眼看远,眼位更为稳定。
Purpose To evaluate the therapeutic effects of optical and pharmacological penalization or occlusion in recurrent amblyopia alier pallially accommodative esotropia operation. Methods 28 children with recurrent amblyopia after strabismus surgry were divided into 2 groups randomly by different methods and were followed up for 3,6 and 12 months. A group were treated with occlusion. B group with pharmacological penalization and plus spectacle lense（ ＋ 3.00D）. Results The differences of the visual acuity imporvement were significant between two groaps in 3 and 6 months（ P 〈 0.05）, but the difference in 12 months was not significant （P〉 0.05）. The strabusmic deviation enlarged following the treatment and the differences betweeu two ways were not significanl in 3 and 6 months（ P 〉 0.05）, but the difference in 12 months was signifieant（ P 〈 0.05）. Conclusion The visual acuity was increased more quickly in occlusion group than that in optical and pharmacological penalization one. Deviation enlarged following the long time occlusion. Through the more time you taken in penalization method, the less esotropia appeared. You can choose occlusion wethod for these children with mild anisometropia and anblyopia. For those children with moderate anisometropia and amblyopia, penalization maybe is right choice.
出处
《中国眼耳鼻喉科杂志》
2005年第5期301-302,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
