文章摘要
从金菊,宁宏.屈光性调节性内斜视屈光参差对弱视及远期立体视觉的影响[J].安徽医药,2017,21(5):834-837.
屈光性调节性内斜视屈光参差对弱视及远期立体视觉的影响
Effects of anisometropia on amblyopia and long-term stereoscopic vision in children with refractive accommodative esotropia
投稿时间:2016-06-01  
DOI:
中文关键词: 屈光性调节性内斜视  屈光参差  弱视  立体视觉
英文关键词: 
基金项目:辽宁省自然科学基金(2013021029)屈光性调节性内斜视屈光参差对弱视及远期立体视觉的影响从金菊1,宁宏2 (1.潜江市中心医院眼科,湖北 潜江 433199;2.中国医科大学第四医院眼科,辽宁 沈阳 110032)屈光性调节性内斜视屈光参差对弱视及远期立体视觉的影响 从金菊1,宁宏2 Effects of anisometropia on amblyopia and long-term stereoscopic vision in children with refractive accommodative esotropia CONG Jinju1,NING Hong2
作者单位
从金菊 潜江市中心医院眼科,湖北 潜江 433199 
宁宏 中国医科大学第四医院眼科,辽宁 沈阳 110032 
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中文摘要:
      目的 探讨屈光性调节性内斜视患儿屈光参差与弱视检出率相关性及对远期立体视觉的影响。 方法 收集2010年3月—2016年4月在眼科门诊就诊且资料完整已治愈的屈光性调节性内斜视患儿146例,回顾性收集所有病历资料,根据初诊时检影验光的等效球镜(SE)值将患儿分为低度组(n=92),中度组(n=31),高度组(n=23),所有患儿初次就诊时,对眼位进行检查,完成检影验光,均行全矫配镜,对合并有弱视的患儿同时进行弱视治疗。于末次随访时,对远近距离立体视觉进行测定。 结果 高度组患儿初诊时弱视检出率均高于中度组和低度组,且中度组高于低度组,均差异有统计学意义(χ2=4.088、61.924、54.482,P=0.043、P<0.001、P<0.001);与初诊时结果相比,末次随访检影验光双眼SE差≤1.0 D患儿比例显著升高,而1.0 D<双眼SE差<2.5 D和双眼SE差≥2.5 D患儿比例均降低,差异有统计学意义(χ2=15.344,P<0.001);与初诊时相比,中度组和高度组患儿末次随访时屈光参差均降低,均差异有统计学意义(t=7.943、17.391,均P<0.001);高度组患儿末次随访时立体视盲比例均高于中度组和低度组,且中度组高于低度组,均差异有统计学意义(χ2=9.891、32.986、5.682,均P<0.001)。 结论 屈光性调节性内斜视伴屈光参差患儿初诊屈光参差越大,弱视检出率越高,末次随访时立体视觉恢复越差。
英文摘要:
      Objective To investigate the correlation between the anisometropia and the detection rate of amblyopia and its effect on long-term stereoscopic vision in children with refractive accommodative esotropia. Methods 146 cases of children with refractive accommodative esotropia who had been cured in ophthalmology clinic of our hospital from March 2010 to April 2016 with intergrated data were selected and all medical data were retrospectively collected.Cases were divided into low group (n=92),moderate group (n=31) and high group (n=23),according to SE value in the initial visit.In the initial visit,the eye positions were checked,the retinoscopy were completed.All the children were accepted full correction glasses.Meanwhile,the children combined with amblyopia were accepted amblyopia treatment.At last follow-up,three-dimensional visions of the near and far distances were measured. Results The detection rate of amblyopia in the high group was higher than that in the moderate group and the low group,and that in the moderate group was higher than in the low group in the initial visit.The differences were statistically significant (χ2=4.088,1.924 and 54.482,P=0.043,P<0.001 and P<0.001).Compared with the results in the initial visit,at the last follow-up,the proportion of SE≤1.0 D was increased,while the proportions of 1.0 D2=15.344,P<0.001).Compared with the results in the initial visit,the anisometropia in the moderate group and high group at the last follow-up were decreased,the differences were statistically significant (t=7.943 and 17.391,all P<0.001).The proportion of stereo blindness at last follow-up in the high group was higher than that in the moderate group and the low group,and that in the moderate group was higher than in the low group,the differences were statistically significant (χ2=9.891,2.986 and 5.682,all P<0.001). Conclusion In children with refractive accommodative esotropia combined with anisometropia,the higher degree of anisometropia in the initial visit was correlated with higher detection rate of amblyopia,and worse stereo vision at last follow-up.
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