红光闪烁治疗仪联合红色视力表远距离视功能训练对儿童近视性弱视的影响

目的：探讨红光闪烁治疗仪联合红色视力表远距离视功能训练对儿童近视性弱视的影响。

方法：将我院收治的112例近视性弱视患儿分组，对照组予短小遮盖+近距离功能性视力训练，观察组在此基础上予红光闪烁治疗仪联合红色视力表远距离视功能训练。比较两组患儿临床疗效和治疗前后屈光动态变化、BCVA、弱视复发率。

结果：观察组的临床总有效率高于对照组(P<0.05)。治疗后，观察组近视性屈光度与治疗前对比无差异(P>0.05)，而对照组随时间延长逐渐升高(P<0.05)； 观察组治疗1a后的近视性屈光度、年均屈光度变化值和弱视复发率低于对照组(P<0.05)。两组患儿治疗后BCVA优于治疗前，治疗1a时优于治疗6mo(P<0.05)。

结论：红光闪烁治疗仪联合红色视力表远距离视功能训练治疗儿童近视性弱视可有效降低年平均屈光度变化值，矫正最佳视力，降低弱视复发率。

Effects of red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart on myopic amblyopia in children

AIM: To explore the effects of red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart on myopic amblyopia in children.

METHODS: Totally 112 cases of children patients with myopic amblyopia treated in our hospital were assigned to the control group and the observation group. The control group was given short covering method and short-range visual function training, and the observation group was given red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart on the basis of the above treatment. The clinical efficacy, refractive dynamic changes, the BCVA and amblyopia recurrence rate were compared between the two groups.

RESULTS: The total clinical effective rate in the observation group was significantly higher than that in the control group(P<0.05). Before and after treatment, the myopic diopter was no significant difference in the observation group(P>0.05), the control group gradually increased myopic diopter with time(P<0.05). The myopic refraction, the change value of average annual refraction and the recurrence rate of amblyopia after 1y of treatment in the observation group was lower than that in the control group(P<0.05). The BCVA after 1y of treatment was significantly higher than that after 6mo of treatment(P<0.05).

CONCLUSION: Red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart for children patients with myopic amblyopia can effectively reduce the change value of average annual refraction, correct the best visual acuity, and reduce the risk of amblyopia recurrence.