CAJ | 학술논문

目的：探讨远视性弱视儿童远视度数与弱视、斜视的关系。方法对远视性弱视儿童300例（550眼）使用阿托品散瞳验光，检查结果进行统计学处理。结果远视性弱视儿童的远视度数由低至高依次为外斜视组、无斜视组、内斜视组。球镜度数越高，弱视程度越高，无斜视组中度弱视比轻度弱视球镜度数高，差异有高度显著性，轻度弱视比中度弱视的柱镜度数高，差异有显著性；重度弱视只有1例。内斜视组中度弱视比轻度弱视的球镜度数高，差异有高度显著性；重度弱视球镜度数比中度弱视低，与斜视和注视性质有关；外斜视组中度弱视比轻度弱视球镜度数高，差异有显著性。结论远视性弱视儿童远视度数与弱视程度有一定关系，但重度弱视还与视觉抑制和中心旁注视关系更为紧密；中高度远视是内斜视的主要原因；远视散光是弱视的重要原因。
목적：탐토원시성약시인동원시도수여약시、사시적관계。방법대원시성약시인동300례（550안）사용아탁품산동험광，검사결과진행통계학처리。결과원시성약시인동적원시도수유저지고의차위외사시조、무사시조、내사시조。구경도수월고，약시정도월고，무사시조중도약시비경도약시구경도수고，차이유고도현저성，경도약시비중도약시적주경도수고，차이유현저성；중도약시지유1례。내사시조중도약시비경도약시적구경도수고，차이유고도현저성；중도약시구경도수비중도약시저，여사시화주시성질유관；외사시조중도약시비경도약시구경도수고，차이유현저성。결론원시성약시인동원시도수여약시정도유일정관계，단중도약시환여시각억제화중심방주시관계경위긴밀；중고도원시시내사시적주요원인；원시산광시약시적중요원인。
Objective Explore the relationship between the degree of hyperopia in children with amblyopia, and the status of amblyopia and strabismus. Methods Three hundreds and twelve children (550 eyes) with hyperopia amblyopia were checked their refraction error after using atropin ,and their refractive datum were analyzed by statistic method. Results In hyperopic amblyopic children, the group of exotropia had the lowest hyperopia degree, followed by the group without strabismus and esotropic group had the highest. The higher degree of spherical, the higher degree of amblyopia. In the esotropia group there are significant difference of spherical degree between moderate amblyopia and mild. But in severe amblyopia there were more close relationship with Properties of fixation than hyperopia degree. Spherical degree between patients with moderate amblyopia and mild amblyopia without strabismus has highly sig-nificant difference.Cylinder power in mild amblyopia is significant high than that in moderate amblyopia.In exotropic group, spherical degree has significant difference between moderate amblyopia and mild amblyopia, and cylinder power also have high significant difference. Conclusions In hyperopic amblyopia of children, the degree of amblyopia asso-ciated with their hyperopic degree, but in serious amblyopia was more directly associated with visual suppression and eccentric fixation, moderate and high degree hyperopia is the primary cause of esotropia. hyperopic astigmatism is an important cause of amblyopia.