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目的观察儿童屈光性调节性内斜视戴镜后的眼位、屈光度、视力及双眼单视功能情况。方法随机搜集45例屈光性调节性内斜视儿童,随访观察5年,并进行回顾性分析。结果44例眼位正位,1例眼位回退。远视屈光度平均减少+2.16D。84只眼弱视,治愈70只眼(83.33%),进步14只眼(16.67%)。获得Ⅲ级双眼单视功能者37例(82.22%),Ⅱ级5例(11.11%),无双眼单视功能3例(6.67%)。结论屈光性调节性内斜视患儿要早治疗、坚持长期戴矫正眼镜,定期检查。
Objective To observe the status of eyesight, refraction, visual acuity and binocular vision in children with refractive accommodative esotropia wearing glasses. Methods Forty-five children with refractive accommodative esotropia were randomly selected and followed up for 5 years. Retrospective analysis was performed. The results of 44 cases were positive position, 1 case retreated. Myopic hyperopia decreased by an average of + 2.16D. 84 eyes were amblyopia, 70 eyes were cured (83.33%), 14 eyes improved (16.67%). There were 37 cases (82.22%) with grade Ⅲ binocular vision, 5 cases (11.11%) with grade Ⅱ, and 3 cases (6.67%) with binocular uncorrected function. Conclusion Children with refractive accommodative esotropia should be treated early, adhere to long-term wear corrective glasses, regular inspection.