儿童弱视愈后转归的探析
Outcome of the Recovered Children Amblyopia
作者: 王洪峰 , 王恩荣 ：吉林省松原市中心医院眼科，松原;
关键词: 儿童弱视愈后； 弱视复发； 调节性近视； 真性近视； 残余斜视； Children Amblyopia Recover； Amblyopia Recurrence； Accommodative Myopia； True Myopia； Residual Strabismus
摘要:Abstract: Objective: To explore the outcome after amblyopia cure, looking for the way to prevent recurrence and pseudo myopia amblyopia occurred and the formation of true myopia approach, and residual bosseyed processing when the children amblyopia cure and take off glasses. Methods: Observe the recovered amblyopia children three to seven years and review and check them every one or two months about sight, a refractive interstitium, fundus, Computer optometry, and small pupil detection under the shadow or necessary specialized atropine, etc. If we discover the bare eye vision <1.0 far, we must find out the reason and give appropriate treatment. Results: By 3 to 7 years following ob-servation, among the 368 cases of 678 eyes of recovered children amblyopia, we discover the amblyopia recurrence 6 cases 9 eyes, the recurrence rate was 1.33%; 7 cases 10 eyes happened regulatory myopia rate of 1.47%; The true myo-pia in 57 cases 62 eyes, in a rate of 9.14%; Residual strabismus 4 cases 4 eyes, in a rate of 0.59%. There were 205 cases of 364 eyes take off glasses, accounting for 53.69% of the number of recovered eyes. To follow-up observe the children taking off glasses, 7 patients 13 eyes occurred regulatory myopia, in rate of 3.57%; The true myopia 16 cases of 29 eyes, in rate of 7.97%; 182 eyes still need to continue to observe, accounting for 88.46% to the number of eyes taking off glasses eye. Conclusion: To analysis the outcome condition: long-term regular follow-up observations can find out amblyopia recurrence and the regulatory myopia early, so we can adopt the correct treatment measures in time to prevent the for- mation of true myopia and to improve the effect of long-term treatment of amblyopia.
文章引用: 王洪峰 , 王恩荣 (2012) 儿童弱视愈后转归的探析。 眼科学， 1， 5-10. doi: 10.12677/hjo.2012.12002
参考文献
[1] 中华医学会眼科学分会斜视与小儿眼科学组. 弱视诊断专家共识(2011年)[J]. 中华眼科杂志, 2011, 47(8): 768.
[2] 中华眼科学会全国儿童弱视斜视学组. 弱视的定义、分类及疗效评价标准[J]. 中国斜视与小儿眼科杂志, 1996, 4: 974.
[3] 王洪峰, 王恩荣, 邢玉琴. 中西医结合治疗中小学生假性近视眼1180例分析[J]. 吉林医学, 2009, 30(21): 2580-2581
[4] 王洪峰, 王恩荣. 儿童弱视愈后脱镜指标的探讨[J]. 中国妇幼健, 2011, 26(1): 49-51.
[5] 李丽伟, 刘明霞. 儿童弱视复发的原因及治疗措施[J]. 吉林学, 2009, 30(23): 2942.
[6] 陈伟文, 龚建华. 弱视复发因素分析[J]. 江西医学院学报, 2004, 44(2): 64.
[7] 曾容斌. 80例儿童弱视复发原因分析[J]. 中国斜视与小儿眼科杂志, 2010, 18(1): 38-39.
[8] 胡祥进, 汪芳润. 儿童弱视治愈后脱镜指标的探讨[C]. 第11届中华医学会全国眼科学术大会论文汇编, 北京, 2006, 8.31-9.4: 199.
[9] 党群, 张建越. 弱视愈后易发功能性近视的防治[J]. 家庭医学杂志, 2001, 11: 52.