综合疗法治疗儿童弱视100例远期疗效观察

目的:探讨综合疗法治疗不同类型儿童弱视的远期临床疗效。方法：对100例190眼儿童按弱视类型、弱视程度、注视性质和年龄进行分类，并采用矫正屈光不正、遮盖疗法、家庭精细目力训练及红光治疗、综合治疗仪对其进行治疗，随访观察达5a以上。结果：屈光不正性弱视治愈率最高，明显高于屈光参差性、斜视性弱视和遮盖性弱视，轻度弱视的治愈率明显高于中度和重度弱视。中心注视高于旁中心注视，弱视治疗的年龄越小，疗效越好，3~6岁组明显高于其他年龄组。结论：弱视治疗的疗效与弱视类型、弱视程度、注视性质及开始治疗的年龄、家长及患儿的依从性有密切关系，用综合疗法治疗弱视可以提高其治愈率，并缩短疗程。

Long-term efficacy of comprehensive treatment for 100 cases of amblyopia in children

AIM:To investigate the comprehensive treatment of different types of amblyopia in children and evaluate its long-term clinical efficacy. METHODS:Totally 100 cases (190 eyes) were classified by the type of amblyopia, degree of amblyopia, fixation nature, and age, treated with correction of refractive error, occlusion therapy, family fine eyesight training and red light therapy, comprehensive therapeutic apparatus, and followed up over 5 years. RESULTS:Ametropic amblyopia was significantly higher than the anisometropic, strabismic amblyopia and occlusive amblyopia in the curative rate.Mild amblyopia was significantly higher than the moderate and severe amblyopia in the curative rate. Central fixation was higher than the paracentral fixation.The younger treatment of amblyopia, the better efficacy. The 3 to 6-year-old group was significantly higher than other age groups. CONCLUSION:Amblyopia treatment efficacy is closely related to type of amblyopia, degree of amblyopia, fixation nature and age of starting treatment, parents and children compliance. Comprehensive treatment of amblyopia can improve the curative rate and shorten the course of treatment.