摘要
目的探究基于不同球镜度数差值的矫治处方在小儿高度远视屈光不正性弱视中的应用价值。方法选取2019年1月至2020年4月厦门大学附属妇女儿童医院眼科收治的75例(150眼)高度远视屈光不正性弱视患儿作为研究对象,依据患儿配镜处方及睫状体肌麻痹验光结果差异分为观察组[球镜度数相差≥1.5 D,n=44(88眼)]与对照组[球镜度数相差≤0.25 D,n=31(62眼)]。比较两组临床疗效及矫正视力、屈光度。结果观察组治疗总有效率为93.18%,高于对照组的74.19%,差异有统计学意义(P<0.05);治疗后2、3年,两组屈光度均低于治疗前,且治疗后3年低于治疗后1年,差异有统计学意义(P<0.05),治疗后2、3年,观察组屈光度均低于对照组,差异有统计学意义(P<0.05);治疗后1、2、3年,两组矫正视力LogMAR值均低于前一时间点,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于不同球镜度数差值的欠矫正处方对小儿高度远视屈光不正性弱视的效果优于足矫正治疗,前者对视力、屈光度的改善效果更好。
Objective To investigate the application value of correction prescriptions based on different spherical equivalent differences in children with high hyperopic and ametropic amblyopia.Methods A total of 75 children(150 eyes)with high hyperopic and ametropic amblyopia who were admitted to Xiamen Women and Children's Hospital Affiliated to Xiamen University from Janrury 2019 to April 2020 were selected as the research subjects,they were divided into the observation group(spherical equivalent difference≥1.5 D,n=44[88 eyes])and the control group(spherical equivalent difference≤0.25 D,n=31[62 eyes])according to the prescribed spectacles and differences in optometry results after paralysis of the ciliary muscle.The clinical efficacy,corrected visual acuity and diopter were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.18%,which was higher than 74.19%in the control group,and the difference was statistically significant(P<0.05).At 2 and 3 years after treatment,the diopters of the two groups were lower than those before treatment,and the diopter at 3 years after treatment was lower than that at 1 year after treatment,the differences were statistically significant(P<0.05);at 2 and 3 years after treatment,the diopters in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At 1,2 and 3 years after treatment,the LogMAR values of corrected visual acuity of the two groups were lower than the previous time points,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion The correction prescriptions based on different spherical equivalent differences are more effective than sufficient-correction prescriptions in the treatment of children with high hyperopic and ametropic amblyopia,the former can better improve vision and diopter.
作者
童林利
熊永强
林春堤
吕月娥
林琳
TONG Linli;XIONG Yongqiang;LIN Chundi;LYU Yue'e;LIN Lin(Department of Ophthalmology,Xiamen Women and Children's Hospital Affiliated to Xiamen University/Xiamen Maternal and Child Health Hospital,Xiamen,Fujian,361001,China)
出处
《当代医学》
2025年第4期94-97,共4页
Contemporary Medicine
关键词
球镜度数差值
矫治处方
儿童
高度远视
屈光不正性弱视
Spherical equivalent difference
Correction prescription
Child
High hyperopia
Ametropic amblyopia
