青少年远视屈光参差性弱视LASIK效果观察

目的探讨准分子激光原位角膜磨镶术（LASIK）矫治青少年重度远视屈光参差性弱视的效果与安全性。方法56例（56眼）平均矫正视力为0．38±0．09的9—17岁远视屈光参差性弱视纳入观察,常规行围手术期检查。术后进行双眼训练和弱视治疗。结果术后3个月弱视眼平均裸眼视力由术前的0．07±0．03提高到0．65±0．15;术后6个月平均裸眼视力为0．68±0．14。术后矫正视力较术前明显提高;术后屈光度较术前明显降低（P〈0．05）;52例（92．86％）同时视和融合功能改善,其中36例（64．29％）建立完整立体视功能。结论青少年远视屈光参差性弱视的LASIK安全有效,有助于改善双眼单视功能。     

Paediatric Eye Services: How Much of the Workload Is Amblyopia-Related?

Aims: The proportion of patients seen by the paediatric eye service that attend for reasons related to amblyopia has not been quantified. The purpose of this study was to quantify the proportion of patients seen in the paediatric eye service attending for reasons related to amblyopia.

Methods: Records of all eye appointments of children attending the Hillingdon Hospitals NHS Foundation Trust and St Mary’s Hospital Imperial College Healthcare NHS Trust over one month in 2009 were examined to determine the diagnosis and reason for attendance.

Results: Seven hundred and four patients had appointments booked at St Mary’s and Hillingdon in March 2009. The fail-to-attend rates were not significantly different at the 2 sites (19% at St Mary’s and 9% at Hillingdon; P=0.75). Of the 704 patients, 533 (St Mary’s, 252 [75%]; Hillingdon, 281 [76%]) were attending for amblyopia-related reasons. Of the overall 982 booked appointments, 770 (79%) were amblyopia-related.

Conclusions: Amblyopia diagnosis and management is clearly the most common cause of attendance to the paediatric eye service, accounting for over three-quarters of outpatient visits.     

广西玉林市学龄前儿童重度弱视87例屈光分析

目的:探讨学龄前儿童重度弱视的特点,为制定弱视防治干预措施提供资料。方法:随机收集学龄前儿童重度弱视87例120眼(重度弱视组)和轻中度弱视87例165眼(对照组)进行回顾性分析。结果:学龄前儿童重度弱视组屈光状态以远视性屈光为主,与对照组比较差异无统计学意义,性别间比较无统计学差异;重度弱视组屈光力分布、屈光度绝对值都是以高屈光度为主,与对照组比较有非常显著统计学差异,性别间比较无统计学差异。结论:学龄前儿童重度弱视眼屈光状态以远视性屈光及高屈光度绝对值为主,应加强儿童弱视的防治工作。     

当前弱视诊疗中值得关注的几个问题

弱视是儿童常见眼病,近年来弱视的诊疗水平不断提高。但是,在弱视诊疗中还存在一些值得关注的问题,应当引起重视,如弱视诊断未充分考虑年龄因素,遮盖治疗时遮盖时间、随访时间存在随意性,片面夸大弱视治疗仪的作用,对弱视的复发重视不够等。因此,本文就相关问题进行阐述,并借此与眼科同道探讨。