摘要
目的 调查和了解婴幼儿的屈光状态 ,并予以合理矫正 ,以期尽早治疗和预防弱视、斜视。方法 采用随机整群抽样方法 ,对 1146例 (2 2 91只眼 )生后 1个月至 3岁的婴幼儿用托品酰胺眼液麻痹睫状肌后行视网膜检影验光 ,并对其结果进行统计学分析。结果 正视 89只眼 (3 88% ) ;远视 2 139只眼 (93 37% ) ;近视 38只眼 (1 6 6 % ) ;散光 5 6 0只眼 (2 4 44 % ) ;其中混合散光 2 5只眼(1 0 9% ) ;各类型屈光不正均以轻度为主 ,中、高度屈光不正 97只眼 (4 2 3 % ) ;屈光参差 34例(2 97% ) ;斜视 7例 (11只眼 ,0 48% )。随年龄增长 ,远视度逐渐减低 ,散光眼数逐渐减少 (χ2 =7 46 ,P <0 0 1) ,散光度逐渐减低 (χ2 =2 6 11,P <0 0 1) ,近视眼数逐渐增多 (χ2 =4 0 6 ,P <0 0 5 )。结论 儿童弱视、斜视防治工作应从婴幼儿开始 ,对中、高度的屈光异常者应尽早配戴眼镜。
Objective To study the infant refraction, detect ametropia in mass screening refraction and correct the ametropia properly for the treatment and prevention of amblyopia and strabismus as early as possible. Methods The refraction status of 1 146 children (2 291 eyes, aged 1 month 3 years) were determined with retinoscopy after tropicamide cycloplegia. Results The results of statistics showed that 89 eyes (3 88%) had emmetropia, 2 139 eyes (93 37%) hypermetropia, 38 eyes (1 66%) myopia, 560 eyes (24 44%) astigmatism and 25 eyes (1 09%) mixed astigmatism In cases with ametropia, most of them were mild, and 97 eyes (4 23%) were moderate and severe Anisometropia occurred in 34 infants (2 97%), and 7 infants (11 eyes, 0 48%) had strabismus The degree of hypermetropia decreased with the increase of age The percentage of astigmatism decreased with the age increase (χ 2=7 46, P < 0 01), and the degree of astigmatism also decreased with the age increase (χ 2=26 1l, P <0 01). Myopia increased with the age increase (χ 2=4 06, P < 0 05). Conclusions The prevention of amblyopia and strabismus in children should begin at the infant period, and the cases with moderate and severe ametropia should wear eye glasses as early as possible.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2001年第1期24-27,共4页
Chinese Journal of Ophthalmology
