CAJ | 학술논문

目的：分析不同类型及不同程度弱视儿童的立体视觉损害情况。方法回顾性分析2012年1月至2014年1月初诊的不同类型弱视儿童共142例，按照弱视类型将患儿分为屈光不正性弱视78例、屈光参差性弱视39例和斜视性弱视25例三组。每组类型弱视根据不同程度分为轻度、中度和重度。采用颜少明立体视觉检查图测定三种不同类型、不同程度弱视儿童的近零视差、交叉视差和非交叉视差的发生情况。结果屈光不正性弱视组、屈光参差性弱视组与斜视性弱视组比，患儿的近零视差、交叉视差和非交叉视差存在率的差异有统计学意义（ P ﹤0.05），斜视性弱视组的立体视觉存在率最低，屈光不正性弱视组最高。随着弱视程度的加重，立体视也随之损害加重，非交叉视差在三种类型弱视组及不同程度弱视组的存在率最低。结论儿童弱视可影响其立体视觉发育，影响程度随着屈光不正性弱视、屈光参差性弱视和斜视性弱视的顺序而加重，随着弱视程度的加重，立体视也随之损害加重。
목적：분석불동류형급불동정도약시인동적입체시각손해정황。방법회고성분석2012년1월지2014년1월초진적불동류형약시인동공142례，안조약시류형장환인분위굴광불정성약시78례、굴광삼차성약시39례화사시성약시25례삼조。매조류형약시근거불동정도분위경도、중도화중도。채용안소명입체시각검사도측정삼충불동류형、불동정도약시인동적근령시차、교차시차화비교차시차적발생정황。결과굴광불정성약시조、굴광삼차성약시조여사시성약시조비，환인적근령시차、교차시차화비교차시차존재솔적차이유통계학의의（ P ﹤0.05），사시성약시조적입체시각존재솔최저，굴광불정성약시조최고。수착약시정도적가중，입체시야수지손해가중，비교차시차재삼충류형약시조급불동정도약시조적존재솔최저。결론인동약시가영향기입체시각발육，영향정도수착굴광불정성약시、굴광삼차성약시화사시성약시적순서이가중，수착약시정도적가중，입체시야수지손해가중。
Objective To analyze the damage the status in different types and varying degrees of amblyopia stereoscopic for children. Methods A retrospective analysis of 142 cases of newly diagnosed children amblyopia from January 2012 to January 2014 was included into this study. Yan Shao - ming was applied to evaluate children amblyopia. Results The cases of zero disparity,crossed disparity and uncrossed dispari-ty in refractive amblyopia,anisometropia and strabismus amblyopia groups had statistically significances( P ﹤ 0. 05). Three - dimensional strabis-mus amblyopia group visual was the least. The refractive amblyopia group was the highest. Three - dimensional damage increased as the severity of amblyopia. Conclusion Children with amblyopia may affect three - dimensional visual development,by the order of refractive amblyopia,aniso-metropia and strabismus amblyopia. The degree of amblyopia aggravated with the severity of amblyopia.