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目的评价12岁以上大龄儿童弱视治疗效果,探讨视觉发育期后视觉可塑性。方法收集在我院门诊就诊的3岁～17岁弱视患者65例,3～12岁为A组共35人,>12岁为B组共30人,之前均未进行过弱视治疗。观察大龄弱视儿童的治疗效果并探讨年龄、弱视类型、弱视程度及注视性质等因素与疗效的相关性。结果 B组基本治愈为16眼(53.3%),治愈时间平均2.4年。两组在治愈率和治疗时间上差异均有统计学意义(P<0.05)。结论超过视觉发育期的大龄弱视患儿经过合理治疗,仍有可能获愈,故对年长弱视儿童也不应轻易放弃。
Objective To evaluate the therapeutic effect of amblyopia in children over 12 years of age and to explore the visual plasticity after visual development. Methods 65 cases of amblyopia aged 3-17 years old were collected in outpatient clinics in our hospital. 35 patients in group A were aged from 3 to 12 years, and 30 in group B, aged> 12 years old. All of them had not been treated with amblyopia before. To observe the therapeutic effects of children with amblyopia in older age and explore the age, type of amblyopia, the degree of amblyopia and gaze nature and other factors and the efficacy of the correlation. Results The basic cure in group B was 16 eyes (53.3%), the average healing time was 2.4 years. There was significant difference between the two groups in cure rate and treatment time (P <0.05). Conclusion The older children with amblyopia than the visual development after reasonable treatment, may still be cured, so the elderly should not be easily given up amblyopia children.