4125例哈萨克族儿童斜视及弱视调查

本文对本地区五个县九所哈萨克族小学学生共计4125人进行了斜视、弱视的调查。调查对象全部为4—14岁哈萨克儿童。在受检儿童中发现斜视者48例,患病率为1.1％。外斜视32例占66.67％,内斜视16例占33.33％,斜视并有弱视者15例占31.25％。斜视而视力正常者33例占68.75％。在4125例受检儿童中发现弱视139例(209只眼),其患病率为3.37％,双眼弱视70例,单眼弱视69例,二者无显著差异。139例弱视中男性患者73例,女性患者66例,二者亦无差异。209例只弱视眼中轻度弱视84只眼占40.19％,中度弱视104只眼占49.76％,重度弱视21只眼共占10.05％。调查中笔者发现哈萨克族儿童弱视眼尤以屈光不正为多,209例眼中有106只为单纯性远视眼,因此笔者提出如何早期发现屈光不正并予以纠正将有可能防止许多弱视的发生。

AN INVESTIGATION OF 4 125 CASES OF KAZAK CHILDHOOD STRABISMUS AND AMBLYOPIA

An investigation was made on 4 125 Kazak pupils (aged from 4 to 14 years) with strabismus and amblyopia in 9 schools of 5 counties. Among the subjects examined, 48 cases (1. 1%) were strabismus including 32(66. 67%) external and 16 (33. 33%) internal strabismus ; 15 cases(31. 25%) sufferred from both strabismus and amblyopia and 33(68. 75%) were strabismus but had normal visual acuity; 139 cases (209 eyes) were amblyopia (morbidity rate.- 3. 37%) including 70 binocular and 69 monocular amblyopia, 73 males and 66 females. Out of the 209 amblyopia eyes, 84 (40. 19%) were slight, 104 (49. 76%) medium and 21 (10. 05%) serious. Ametropia was also found to be in the majority in Kazak childhood amblyope. Only 106 of the 209 eyes were simple farsighted. To prevent the occurrence of amblypia the writer suggests that efforts of finding and correcting ametropia at early stage should be made.