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目的:为了解屈光参差患者的配镜耐受度,及双眼视功能变化．方法:选择屈光参差３．２５Ｄ~１５．００Ｄ的患者１４０例作为观察对象．通过散瞳验光,小瞳复验后足矫配镜,并对其配镜前后的耐受度及视功能进行观察及随访。结果:①全组患者戴镜后,较裸眼视功能明显提高(Ｐ＜０．００１)。②年龄≤１２岁组耐受性明显优于≥１３岁组(Ｐ＜０．００１)。③屈光参数≤６Ｄ者、其耐受性及融像功能明显优于＞６Ｄ(Ｐ＜０．０００３),两眼参差值＞６Ｄ者,多无融像功能。④随访发现:屈光参差≤６Ｄ者,可由原来不耐受而逐渐耐受,视功能亦得到明显改善(Ｐ＜０．００３)．结论:对屈光参差 ≤ ６Ｄ,应全矫配镜,若不能一次全矫,可分段戴镜,直至全矫。儿童足矫配镜是防止弱视,建立良好视功能的关键。
Objective: To understand the patients with anisometropic lens tolerance, and binocular visual function changes. Methods: 140 patients with anisometropic 3.25D ~ 15.00D were selected as the observation object. Through the mydriasis optometry, pupil retest posterior correction glasses, and its lens before and after the tolerance and visual function were observed and followed up. Results: (1) Compared with naked eyes, the visual acuity of all patients was significantly improved after wearing glasses (P <0.001). ② The tolerability of the patients ≤12 years of age was significantly better than that of ≥13 years of age (P <0.001). ③ The refractive parameters ≤ 6D, its tolerance and fusion function was significantly better than> 6D (P <0.0003), the difference between the two eyes> 6D, and no fusion function. Â ’¡Follow-up found: anisometropia ≤ 6D were gradually tolerated from the original and gradually tolerated, visual function has also been significantly improved (P <0.003). Conclusion: For anisometropia ≤ 6D, full-scope glasses should be used. Children with orthognathic glasses is to prevent amblyopia, the key to establishing a good visual function.