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目的探讨大龄儿童弱视治疗的方法及疗效。方法10～17岁弱视儿童69例(81眼),经综合疗法治疗弱视,观察其治疗效果,并对年龄和弱视类型、弱视程度、注视性质等相关影响因素进行统计分析。结果69例81眼,基本治愈53眼(65.43%),进步20眼(24.69%),无效8眼(9.88%),总有效率90.12%;按年龄分组,10～12岁组50眼,基本治愈34眼(68.00%),13～17岁31眼,基本治愈19眼(61.29%),两组间差异无统计学意义(P>0.05)。不同程度弱视之间的疗效差异有非常显著意义(P<0.01);屈光不正性弱视疗效优于屈光参差性弱视和斜视性弱视(P<0.01);中心凹注视和中心凹旁注视患者的疗效明显优于黄斑旁注视和周边注视患者(P<0.01)。结论大龄弱视儿童,只要坚持治疗,大部分治疗有效。其疗效与弱视类型、程度、注视性质密切相关。
Objective To investigate the methods and effects of amblyopia treatment in older children. Methods A total of 69 children (81 eyes) with amblyopia aged from 10 to 17 years old were treated with combined therapy for amblyopia. The therapeutic effects were observed and the related factors such as age and type of amblyopia, amblyopia and gaze were analyzed statistically. Results Of 69 eyes (81 eyes), 53 eyes (65.43%) were basically cured, 20 eyes (24.69%) were progressive, 8 eyes (9.88%) were ineffective, and the total effective rate was 90.12% There were 34 eyes (68.00%) cured, 31 ~ 17 years old (31 eyes) and 19 eyes (61.29%) cured basically. There was no significant difference between the two groups (P> 0.05). (P <0.01). The effect of ametropia amblyopia was better than that of anisometropic amblyopia and strabismic amblyopia (P <0.01). The patients with foveal and foveal fixation The curative effect is obviously superior to the macular gazing and peripheral gaze patients (P <0.01). Conclusion The older children with amblyopia, as long as adhere to the treatment, most of the treatment effective. The efficacy and amblyopia type, degree, the nature of the gaze is closely related.