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1、遼孝壓虧院虧搪2013Dec46jLiaoningMedicalUniversitv?.34(6)RGP聯(lián)合個(gè)性化弱視綜合訓(xùn)練矯正屈光參差性弱視療效觀察蘇敏,杜麗玲,何偉(葫蘆島市眼科醫(yī)院,遼寧葫蘆島125000)摘要:目的通過(guò)對(duì)屈光參差性弱視兒童配戴高透氧硬性角膜接觸鏡(RGP)聯(lián)合個(gè)性化弱視綜合訓(xùn)練的療效觀察,探討一種安全、有效、快捷的矯治屈光參差性弱視的方法。方法將2009年4月至20l2年12月在我院門(mén)診診斷為屈光參差性弱視兒童隨機(jī)分為A、B兩組,A組51人(91只眼)配戴高透氧硬性角膜接觸鏡(RGP),B組52人(92只眼)配載框架眼鏡。兩組患兒
2、根據(jù)屈光異常類(lèi)型和注視性質(zhì)分為兩個(gè)亞組,同時(shí)進(jìn)行個(gè)性化弱視綜合治療,對(duì)比觀察兩組患兒分別在治療1個(gè)月、3個(gè)月、6個(gè)月后視力、立體視的變化。結(jié)果治療1、3個(gè)月后A組有效率分別達(dá)92.3%,100%;B組有效率分別達(dá)54.3%,92.4%。6個(gè)月后A組治愈率達(dá)93.4%;B組治愈率達(dá)84.8%。6個(gè)月后A組立體視有效率65.6%;B組58.8%。。結(jié)論高透氧硬性角膜接觸鏡(RGP)聯(lián)合弱視個(gè)性化綜合訓(xùn)練矯正屈光參差性弱視是一種安全、有效、快捷的方法。尤其是對(duì)于立體視的建立尤為有效。值得在臨床上推廣。關(guān)鍵詞:高透氧硬性角膜接觸鏡(RGP);屈光參差性弱視;個(gè)性化
3、治療中圖分類(lèi)號(hào):R788文獻(xiàn)標(biāo)志碼:A文章編號(hào):1674—0424(2013)06—0046—03ClinicalObservationofCombinedRigidGas—permeableContactLenses(RGP)withIndividualizedSyntheticalTreatmentonAnisometropicAmblyopiaSUMin,DULiling,HEWei(OphthalmicHospitalofHulongdaoCity,Huludao125000China)Abstract:ObjectiveToexploreakin
4、dofsafe,effectiveandrapidmethodtotreatanisometropicamblyopiathroughtheclinicalobsmwationofthecombinedrigidgas—penneablecontactlenses(RGP)withindividualizedsyntheticaltreat—mentonanisometropicamblyopia.Methods103(183eyes)casesdiagnosedwithanisometropieamhlyopiainoutpatientdepartmen
5、tofourhospitalbetweenApril2009toDecember2012wererandomlydividedintotwogroups(groupAandgroupB).51cases(91eyes)ingroupAworeRGPand52cases(92eyes)ingroupworespectacles.Allthepatientsweredividedintotwosubunitsaccnrdingtothetypeofametropiaandpropertiesoffocus,andtheyweregivenindividuali
6、zedsyntheticaltreatmentonamblyopia.Thevisualacuityandstereopsiswerethencomparedandobservedafterthetreatmentf0rlmonth.3monthsand6months.ResultsTheefi~ctiveratewas92.3%and100%respectivelywithRGPafter1monthand3monthsingroupA.a(chǎn)ndtheeffectiveratewas54.3%and92.4%respectivelywithspectacl
7、esafter1monthand3monthsingroupB.Sixmonthslater.thecureratewas93.4%and84.8%respectivelyinbothgroups.Theeffectiverateofstereopsiswas65.6%and58.8%respectivelyinbothgroups.ConclusionThemethodofcombinedrigidgas—permeablecontactlenses(RGP)withindividualizedsyntheticaltreatmentOilanisome
8、tropicamblyopiaisakindofsafe,el-f