CAJ | 학술논문

目的探讨传统遮盖疗法对12～16岁屈光参差性弱视的治疗效果.方法 41例12～16岁屈光参差性弱视儿童,男23例女18例,在适宜的屈光矫正基础上,传统的完全遮盖与精细作业相结合,每月随访视力变化,弱视眼视力不再继续提高后3月改为每天遮盖4～6 h.结果全部41例患儿视力均有明显提高,治疗前弱视眼视力平均0.21,治疗后平均0.62,差异具有统计学意义(P＜0.01),平均提高4.1行,提高最明显的2例从0.2提高至1.0,提高了8行,平均遮盖时间9.1月,其中遮盖开始后的前5个月视力提高最为明显,随后进入平台期,遮盖至12月部分患儿的视力仍有提高.12岁组视力提高程度与15～16岁组差异具有统计学意义(P＜0.05),与13岁组和14岁组差异无统计学意义(P＞0.05).治疗结束后,健眼视力无1例下降,无1例因遮盖发生外伤,2例遮盖开始后,发生遮盖区皮肤轻度瘙痒,此后自行缓解.全部患儿在家长和学校老师帮助下能完成课业任务,无1例退学.结论年长儿童屈光参差性弱视仍有治愈的可能,传统遮盖疗法效果较好.
목적 탐토전통차개요법대12～16세굴광삼차성약시적치료효과.방법 41례12～16세굴광삼차성약시인동,남23례녀18례,재괄의적굴광교정기출상,전통적완전차개여정세작업상결합,매월수방시력변화,약시안시력불재계속제고후3월개위매천차개4～6 h.결과 전부41례환인시력균유명현제고,치료전약시안시력평균0.21,치료후평균0.62,차이구유통계학의의(P＜0.01),평균제고4.1행,제고최명현적2례종0.2제고지1.0,제고료8행,평균차개시간9.1월,기중차개개시후적전5개월시력제고최위명현,수후진입평태기,차개지12월부분환인적시력잉유제고.12세조시력제고정도여15～16세조차이구유통계학의의(P＜0.05),여13세조화14세조차이무통계학의의(P＞0.05).치료결속후,건안시력무1례하강,무1례인차개발생외상,2례차개개시후,발생차개구피부경도소양,차후자행완해.전부환인재가장화학교로사방조하능완성과업임무,무1례퇴학.결론 년장인동굴광삼차성약시잉유치유적가능,전통차개요법효과교호.
Objective To examine occlusion therapy effects on children aged 12-16 years with ametropic amblyopia. Methods The 41 subjects were provided with spectacle correction and occlusion therapy combined with fine exercise,and underwent visual acuity (VA) follow up by 4 weeks,when visual improvement discontinued,occlusion for 4-6 hours per day one day. Results Improvement in VA of the amblyopic eye during 9.1 months averaged 4.1 lines,and visual performance improved significantly on the first 5.0 months after treatment.The improvement in children aged 12years was statistically significant thani5-16 years (P ＜0.05) and was no longer statistically significant than 13 and 14 years. Conclusions Visual acuity in most teenage amblyopia can be improved by conventional occlusion therapy.