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目的探讨成人弱视治疗效果及成人视细胞仍具有可朔性的依据。方法对一组成人弱视患者43例50眼治疗前后做黄斑光相干断层扫描(OCT)检查,观察、比较治疗前后黄斑OCT像情况。弱视采取综合治疗方法。结果43例中38例患者OCT示黄斑结构正常,治疗前后无变化。另5例7眼OCT像示黄斑神经上皮层异常增厚,中心凹形成不良。其中的2例3眼经弱视治疗后黄斑神经上皮层变薄,中心凹明显,视力均有进步;3例4眼OCT像无变化,包括其中1例1眼视力有进步的情况。42例成人患者的弱视疗效观察,治愈24%,进步54%,无效22%,总有效率78%。结论成人视细胞仍具有一定程度可朔性,可根据OCT检查所显示黄斑情况试行弱视治疗。
Objective To investigate the therapeutic effect of adult amblyopia and the evidence that adult cells still have scalability. Methods A total of 50 patients (50 eyes) with adult amblyopia were examined by macular optic coherence tomography (OCT) before and after treatment. The OCT findings of the macula before and after treatment were compared. Amblyopia to take comprehensive treatment. Results 38 cases of 43 patients showed OCT macular structure is normal, no change before and after treatment. The other 5 cases of 7 OCT images abnormal thickening of the macular epithelial cortex, foveal into a bad. The visual acuity improved in 3 eyes of 2 eyes (3 eyes) after amblyopia treatment. The visual acuity improved in 3 eyes (4 eyes), including 1 case (1 case). 42 cases of adult patients with amblyopia efficacy of observation, cure 24%, 54% improvement, 22% ineffective, the total effective rate 78%. Conclusion Adult retinal cells still have a certain degree of repeatability. Trial treatment of amblyopia can be performed according to the macular findings revealed by OCT.