眼科 ›› 2013, Vol. 22 ›› Issue (5): 295-298.

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儿童弱视治疗中几个问题的讨论

王洪峰, 王恩荣   

  1. 138000 吉林省松原市中心医院眼科
  • 收稿日期:2013-05-27 出版日期:2013-09-25 发布日期:2013-09-29
  • 通讯作者: 王恩荣,Email: enrongwang@163.com

Several problems in treatment of amblyopia in children

 WANG  Hong-Feng, WANG  En-Rong   

  1. Department of Ophthalmology, Songyuan Central Hospital, Songyuan Jilin 138000, China
  • Received:2013-05-27 Online:2013-09-25 Published:2013-09-29
  • Contact: WANG En-rong, Email: enrongwang@163.com

摘要: 在儿童弱视治疗中,有许多标准及概念需要讨论:(1)脫镜指标。我们认为双眼裸眼远、近视力≥1.0半年以上者,眼位正常或斜视性弱视治愈后残余斜视度<5°者,远视屈光度≤+1.00 DS者,远视散光度≤+0.50 DC者可以脱镜。(2)弱视复发的概念。我们认为弱视经过治疗后,矫正视力≥0.9或裸眼视力≥1.0后,视力又下降,散瞳验光后证明屈光度明显增加,即弱视复发。依此,按治疗儿童弱视不同阶段,弱视复发应分:基本治愈后弱视复发、痊愈后弱视复发和脫镜后弱视复发三类。(3)治疗年龄限制范围。我们认为应为2岁半即可验光配镜开始弱视治疗,2~6岁是治疗儿童弱视最佳时期,治愈率最高,7~12岁是治疗儿童弱视适宜年龄,对13~18岁的儿童弱视也不能轻易放弃治疗。(4)治疗期限。我们认为在弱视基本治愈后应随访观察3年,脱镜后结束治疗最安全,视力回退率最低。(眼科, 2013, 22:295-298)  

关键词: 弱视;脫镜指标;弱视复发 

Abstract: In the clinical treatment of amblyopia in children, many standards need to be defined. This article discussed the following problems in children amblyopia treatment. (1) Indicators of taking off the glasses  are thought to be as follow: (a) uncorrected visual acuity ≥1.0 remained more than half a year, (b) normal position of eyes or residual angle <5° for strabismic amblyopia, (c) the refraction ≤+1.00 DS for hyperopia, (d) the refraction ≤+0.50 DC for hyperopic astigmatism. (2)The recurrence standard of amblyopia is that visual acuity reduces and cycloplegic refractive error increases obviously after corrected visual acuity≥0.9 or uncorrected visual acuity ≥1.0 through treatment of amblyopia. According to different stages of the treatment, the recurrence of amblyopia should be divided into 3 types: recurrence after basically cured, recurrence after wholly cured and recurrence after taking off the glasses. (3)The age for treatment. Treatment of amblyopia can begin as early as two and a half years old. The best time for treatment is from 2 to 6 years old with the highest rate of recovery. The appropriate age for treatment of amblyopia is from 7 to 12 years old. The treatment for children aged 13~18 should not be given up easily. (4)Treatment period. Patients should be followed up for 3 years after amblyopia basically cured. Finishing treatment after taking off the glasses would be the safest with the lowest rate of visual acuity reduction. (Ophthalmol CHN, 2013, 22: 295-298)

Key words: amblyopia, indicators of taking off the glasses, recurrence of amblyopia