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1、中国实用眼科杂志2005年7月第23卷第7期 ChinJPractOphthalmol,July2005,Vol23,No.7·691··论著·矫正眼镜对远视性弱视儿童屈光演变的影响钟兆贝 【摘要】 目的 探讨远视性屈光不正性弱视儿童不同程度的屈光矫正对屈光演变的影响。方法对124例(248眼)4～5岁复性远视散光的屈光不正性弱视儿童散瞳验光,配镜处方根据检影验光度数分别减低不同球镜度数。第一组减+0150～+1100DS(44例);第二组减+1150～+2100DS(42例);第三组减+2150～+3100DS(38例)。连续观察3年的屈光演变。结果 各组患儿的远视屈
2、光度均逐年降低,但第一组的平均每年递减度数明显低于第二组和第三组(P<0101);第二组和第三组比较无显著性差异(P>0105)。结论 不同程度的屈光矫正对远视性屈光不正性弱视儿童的正视化过程有影响。适量欠矫有利于中、高度远视性屈光不正性弱视儿童的正视化过程。【关键词】 远视; 屈光矫正; 屈光演变TheeffectofrefractivecorrectiononthedynamicvariationofdiopterinchildrenwithhyperopiaametropicamblyopiaZHONGZhao2bei.DepartmentofOphthalmolo
3、gy,QingdaoMedicalCareCenterforWomenandChildren,Qingdao266011,China【Abstract】ObjectiveToevaluatetheeffectofrefractivecorrectiononthedynamicvariationofdiopterinchildrenwithhyperopiaametropicamblyopia.MethodsOptometrywithmydriaticcycloplegicwasusedtoexamine124patients(248eyes)withametropicam
4、blyopiaaged4～5yearsold.Thediopterofallthecaseswerecompoundhyperopicastigmatism.Theprescriptionofspectaclesweremadeaccordingtothatthediopterofretinoscopysubtracteddifferentdagreehyperopia.Thus,allthepatientsweredividedintogroup1(subtract+0150～+1100DS,44cases),group2(subtract+1150～+2100DS,4
5、2cases),andgroup3(subtract+2150～+3100DS,38cases).Duringthreeyears′treatingperiods,theirdynamicvari2ationofhyperopiadiopterwereobservedtimeyearly.ResultsThehyperopiadiopterofeachgrouphadre2ducedyearafteryear.Buttheaveragereductionofhyperopiadiopterofgrouponewassignificantlylowerthanthatofo
6、thertwogroups(P<0101);therewasnodifferencebetweengroup2andgroup3(P>0105).ConclusionsRefractivecorrectionofdifferentdegreehaveeffectonemmetropizationofchildrenwithhyper2opiaametropicamblyopia.Moderateundercorrectionisusefulonemmetropizationofchildrenwithhyperopicametropicamblyopia.【Keyword
7、s】Hyperopia;Refractivecorrection;Dynamicvariationofdiopter 屈光不正尤其是中、高度远视性屈光不正是导对象与方法致儿童弱视的常见病因,对屈光不正性弱视的常规治疗是及早配戴矫正眼镜,配合精细作业等辅助治11对象:初诊年龄4～5岁(平均4161岁)疗。如何配戴矫正眼镜,是全部矫正还是部分矫儿童,共124人(248眼),男60人,女64人。正,不同程度的屈光矫正对远视性屈光不正性弱视经本院眼科门诊检查确诊为屈光不正性弱视、散瞳儿童眼的正视化过程是否有影响,本文对124例验光为
