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目的 :探讨弱视儿童近视化的影响因素。方法 :选择有完整资料并符合条件者纳入分析 :1)初诊除外斜视性弱视、屈光参差性弱视等 ,且除外近视性屈光不正 ;2 )原始远视力相差≤ 2行 ,除外眼部器质性病变 ;3)经散瞳验光配镜 ,视力均≤ 0 8者 ,确诊后每半年复查一次 (视力、眼位等 ) ;每年散瞳验光一次 ;随访期末矫正视力≥ 0 9,共 30例。随访期为 6～ 7年。结果 :随访期间有 2 0例发生近视 ,10例未发生近视。比较符合诊断组和未发生近视组原始最佳矫正远视力 ,差异无显著性 (P>0 1) ,说明本组病例资料中发生近视与弱视的程度没有明显关系。近视力检查结果示两组比较差异有显著性 (P <0 0 5 ) ;原始最佳屈光矫正球镜 (D)的两组比较 (发生近视组 +2 13D± 1 97D ,未发生近视组 +4 4D± 2 97D)差异有显著性 (P <0 0 1) ,散光比较两组间差异无显著性 (P >0 1)。结论 :近视力好可能预示较好的调节力以及存在发生近视的可能性。屈光不正性弱视在给予治疗同时应预防近视的发生和发展
Objective: To investigate the influencing factors of myopia in amblyopia children. Methods: Select the complete data and meet the conditions were included in the analysis: 1) newly diagnosed except strabismic amblyopia, anisometropic amblyopia, etc., and except for myopic refractive errors; 2) the original distance vision ≤ 2 lines, except eye device Qualitative lesions; 3) Mydriasis optometry, visual acuity were ≤ 0 8, diagnosed every 6 months after a review (visual acuity, eye position, etc.); annual mydriatic optometry once; corrected visual acuity ≥ 09, a total of 30 example. Follow-up period of 6 to 7 years. Results: During follow-up, 20 cases had myopia and 10 cases had no myopia. Compared with the original best corrected visual acuity of the diagnosis group and no myopia group, the difference was not significant (P> 0 1), indicating that the incidence of myopia and amblyopia in this group of patients there is no significant relationship. The results of near vision test showed that there was significant difference between the two groups (P <0 05); compared with the original best spherical correction (D) (myopia + 213D ± 1 97D, no myopia +4 4D ± 2 97D) (P <0.01). There was no significant difference in astigmatism between the two groups (P> 0 1). CONCLUSIONS: Good near vision may predict better accommodative power and the possibility of myopia. Refractive amblyopia in the treatment given should prevent the occurrence and development of myopia