云南省玉溪市多民族地区小瞳检影法在学龄前儿童弱视中的筛查 |
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引用本文: | 杨小梅,王晓林,左芸,师文,胡雪篱,马自明,曹仕涛,杨发斌,赵玉萍,李征雄. 云南省玉溪市多民族地区小瞳检影法在学龄前儿童弱视中的筛查[J]. 中国斜视与小儿眼科杂志, 2012, 20(3): 110-114 |
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作者姓名: | 杨小梅 王晓林 左芸 师文 胡雪篱 马自明 曹仕涛 杨发斌 赵玉萍 李征雄 |
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作者单位: | 1. 650051,云南省妇幼保健院 2. 云南省玉溪市第三人民医院眼科 3. 云南省玉溪市红塔区妇幼保健院儿保科 |
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基金项目: | 云南省2009年社会发展科技计划(应用基础研究)(2009ZC199M) |
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摘 要: | 目的 评价小瞳检影法作为学龄前儿童弱视筛查的客观性、实用性、准确性.方法 用小瞳检影法对玉溪市3所幼儿园2~6岁儿童进行屈光筛查,对在检影时顺影动>+1.50DS、有逆影动或两个子午线影动不对称的儿童,视为屈光不正可疑,对疑有屈光不正的复诊儿童,给1%盐酸环喷托酯滴眼液点眼麻痹睫状肌,每5min1次,连续2次后休息60min,进行视网膜检影验光.结果 在受检的936名(1872只眼)儿童中,可疑弱视共28只眼,可疑弱视的患病率为1.50%,斜视13人,斜视的患病率为1.39%,通知复诊72人,实际复诊45人,复诊率为62.5%.结论 小瞳检影法适用于学龄前儿童的弱视筛查,尤其是对我省经济欠发达、交通不便、语言不通的少数民族地区儿童和不会指认视力的儿童进行弱视筛查.对筛查异常者再进一步散瞳检影验光,确定弱视诊断.由于该方法客观、快捷、简便、经济适用,基层人员只要经过培训即可开展应用,具有推广价值.
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关 键 词: | 小瞳检影 弱视 筛查 学龄前儿童 |
The Application of the Small-Pupil-Retinoscope in Census of Amblyopia among Pre-School Children in Multinomial Region of Yuxi City in Yunnan Province, |
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Affiliation: | Yang Xiao-Mei , Wang Xiao-Lin , Zuo Yun , et al. Depart- ment of Ophthalmology, Yunnan Province Maternal and Children' Health Hospital,Kunming 650051 |
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Abstract: | ABSTRACT Objectives To evaluate it's objectiving, practicabilitg and accuracg which the small puipl retinoscope was wsed in a amblyopia census in pre-school children. Methods There was a census carried out among children aged 2 to 6 in three kindergartens in Yuxi City, using the small-pupil-retinoscope, and examining children with symptoms of direct or indirect shade movements 〉+ 1.50DS, or symptom of unsymmetrical shade movements between the two meridians, who can be considered as ambiguous ametropia patients. When given 1% atropine to palsy ciliary muscles, once every five minutes, totally two times, there will be a retina retionoscopy optometry 60 minutes later. The patients can be considered as ametrapia if the symptoms maintain. Results The census shows: among the 936 children, totally 1872 pupils, there are 28 amblyopia pupils, rating to 1.50% of the children; there are 13 strabismus patients,rating 1.39% of the children. 45 children came for the re-examination rating to 62. 5 % out of 72 who were asked for the re-examination. Conclusions The small-pupil-retinoscope is applicable among pre-schoolamblyopia children. It is especially effectiveamong young children incapable to read and is easy to carry out in remote and underdeveloped areas of miuority people. After the re-examination, those children can be decided as the amblyopia patients if the symptom maintains. Due to the nature of being objective, quick, simple and economical, the methodis applicable by doctors at the basic level after adequate training. And the method is worthy of popularizing. |
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Keywords: | small pupil retinoscope amblyopia census pre-school children |
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