【摘要】 目的研究不同遮盖时间对3～8岁远视性弱视儿童治疗效果及立体视功能的影响。方法选取于我院眼科门诊初诊的远视性弱视儿童284例,采用健眼遮盖法治疗弱视,连续随访18个月。根据每天遮盖时间的不同,将纳入研究的儿童随机分为三组:2h/d组、6h/d组、全天组。结果对于弱视眼BCVA<0.3的儿童,6h/d组及全天组的治愈率较2h/d组高,基本治愈所需时间较短,融合功能恢复效果较好;对于BCVA≥0.3的轻中度弱视患者,2h/d组和6h/d组的同时视及融合功能改善情况优于全天组。结论远视性弱视儿童遮盖时间不同,弱视的疗效也不尽相同;轻中度弱视采用部分遮盖,对立体视功能的建立具有积极意义;重度弱视儿童采用较长时的遮盖方案,有利于提升治愈率,缩短疗程及视功能的建立。更多还原

【Abstract】 Objective To investigate the effect of different patching time on hyperoPic amblyopia children aged from 3 to 8 years. Methods Two hundred and eighty-four amblyopic children were collected. According to the result of retinoscopy after mydriasis, all patients underwent refraction correction and 2 hours or 6 hours or more than 12 hours of daily patching. Results For amblyopic children whose baseline BCVA <0.3, 6 h/d group and full-time patching had higher cure rate, shorter the time needed for basic cure and better fusion function recovery effect, compared to 2 h/d group. Among those children whose baseline BCVA ≥0.3,the improvement of simultaneous vision and fusion function in group 2 h/d and 6 h/d was better than full-time patching. Conclusion Hyperopia amblyopic patients underwent different patching regimens therapeutic,efficacy of amblyopia was different.That mild or moderate amblyopia children adopted part-time patching regimens is conducive to the establishment of stereo vision function, severe amblyopia children adopting longer patching regimens is conducive to improving amblyoPia cure rate, shortening the treatment course and the establishment of stereo vision function.更多还原