【摘要】 目的 :研究弱视在小学生中的发病率、屈光状态分布和主要影响因素。方法 :在全市视力不良的小学生中 ,用列镜筛选 ,再用扩瞳检影验光进行屈光测定 ,选择矫正视力≤ 4.9;眼科检查无器质性病变的弱视患者 ,分别检查注视性质、眼位、单视功能及询问填写调查表。并分别作统计学处理。结果 :在受检 6 36 90眼中 ,确诊弱视 12 0 5人 ,2 2 6 6只眼 ,患病率为 3.78% ;以屈光不正弱视为主 ,其中远视性弱视最高。弱视程度与屈光度、注视性质密切有关 ;其发生有多种因素。结论 :弱视是一种严重影响儿童视功能发育的眼病 ,屈光不正是造成弱视的主要病因 ,强调早发现、早治疗有重要的意义 ,建议在新生入学时即进行弱视筛选及防治更多还原

【Abstract】 Objective:To investigate the prevalence of amblyopia, refraction distribution and major related factors among pupils in Wenzhou.Methods:63690 pupils eyes were included for regular eye exam. Cycloplegic refraction were performed. The corrected visual acuity was <4.9 without organic diseases were dignosised as amblyopia eyes. Using questionnaire to record eye position, fixation of eye and reading habit.Results:Amblyopia were confirmed in 1205 pupils (2266 eyes) from 63690 examed eyes. The incidence was 3.78%. Most of which were ametropic amblyopia , especially hypermetropia amblyopia . The degree of amblyopia was closely associated with refractive status, and many other factors had been related to the development of amblyopia.Conclusion:Amblyopia is high prevalence among pupils. Ametropia is the main cause. It is suggested that regular screening for amblyopia in registered pupils is essential for early prevention and correction.更多还原