弱视治疗的临床疗效观察及影响因素

目的:探讨儿童弱视临床治疗效果及其影响因素。方法:回顾分析本院2008年1月至2011年1月斜弱视门诊诊治弱视患者的临床资料,分析弱视治疗基本治愈率及影响因素。结果:183例(325眼)儿童患者经综合疗法治疗后,基本治愈253眼(77.84%)、进步56眼(17.23%)、无效16眼(4.92%)。屈光不正性弱视的治愈率最高(85.47%),远视性弱视、散光引起的弱视、轻度弱视和年龄越小的弱视患儿疗效较好,旁中心注视效果差。结论:儿童弱视应用综合疗法的效果较好,弱视的程度、注视性质、弱视类型、治疗年龄是弱视治疗效果的影响因素。

Treatment efficacy of amblyopia and its influence factors

Objective:To discuss the treatment efficacy of amblyopia and its influence factors.Methods: A retrospective study was conducted with 183 children(253 eyes) with amblyopia undergoing clinical treatment in the strabismus and amblyopic department since 2008.And the near-recovery rate and the influencing factors were analyzed.Results: The near-recovery rate,improvement rate and ineffectiveness rate were 77.84%,17.23% and 4.92% respectively.The ametropic amblyopia cure rate was the highest(85.47%).The therapeutic effect in mild amblyopia was better than the other two types of amblyopia.Hyperopic and astigmatic amblyopia patients showed higher efficacy than myopic amblyopia patients.Older patients had poorer treatment efficacy and the treatment effect of eccentric fixation amblyopia was very poor.Conclusion: Comprehensive therapy for children with amblyopia is better.The treatment efficacy in amblyopia is associated with the severity of amblyopia,type of amblyopia and patient's age and fixation nature.