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目的了解脑瘫患儿屈光状态和斜弱视情况及特点,制定多学科的综合康复计划,促进患儿的视力能康复。方法对4~14岁的122例(244眼)脑瘫患儿进行眼部常规检查,眼位检查,散瞳验光等检查,并记录详细的既往病史。结果本组脑瘫患儿中屈光不正220眼,发生率90.2%,其中80%经屈光矫正视力提高2行及以上,并以复性远视散光、远视和混合散光为主。屈光不正状态在痉挛型和其他类型脑瘫患儿间差异无统计学意义(P>0.05)。脑瘫患儿中斜弱视发生率13.1%,其中痉挛型脑瘫占50%,主要病因是早产及低出生体重。结论重视脑瘫患儿的屈光矫正,特别是复性远视散光和混合散光。痉挛型是斜弱视脑瘫患儿最主要的脑瘫类型。
Objective To understand the status and characteristics of refraction and oblique amblyopia in children with cerebral palsy and formulate a comprehensive multidisciplinary rehabilitation program to promote children’s visual acuity. Methods A total of 122 cases (244 eyes) of children with cerebral palsy aged 4-14 years old were examined by routine ophthalmoscopy, eye position examination and mydriatic optometry. The past history of the disease was recorded. Results The group of children with cerebral palsy in 220 eyes, the incidence rate of 90.2%, of which 80% corrected by visual acuity improved 2 lines and above, and the reflex hyperopicosis, hyperopia and mixed astigmatism. Refractive error state in spastic and other types of children with cerebral palsy difference was not statistically significant (P> 0.05). Cerebral palsy children with oblique amblyopia incidence of 13.1%, of which spastic cerebral palsy accounted for 50%, the main cause is premature birth and low birth weight. Conclusion The importance of refractive correction of children with cerebral palsy, especially hyperopia astigmatism and mixed astigmatism. Spasticity is the most important type of cerebral palsy in children with oblique amblyopia.