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1、临床眼科杂志2004年第12卷第2期Journalofclinicalophthalmology,2004,Vol12,No.2·127·3~6岁儿童立体视发育、屈光状态和弱视的调查叶良涂昌森俞阿勇【摘要】目的通过对一所幼儿园全体儿童的眼部体检,了解我市幼儿园儿童弱视患病情况、屈光状态和立体视发育情况,为制定群体防治措施提供科学依据。方法共查181例(362只眼),用标准对数视力表检查视力,Titmus和Frisby立体视板分别检查立体视,Topcon27100型验光仪行小瞳电脑验光,眼位检查,美多丽2P眼药水散瞳检影验
2、光,并行眼科常规检查,了解有无器质性病变。结果弱视患病率为4213%,其中可疑弱视为70131%;Titmus平均立体视为85189S,Frisby平均立体视为81152S,随着年龄的增长,立体视的发育也渐趋成熟;平均电脑验光球镜度数+0.8823D,平均检影验光等效球镜度数为+1.7231D,二者呈正相关(r=0.784)。结论3~6岁儿童的立体视正处于发育的敏感期;Topcon27100型电脑验光仪可作为普查工具;定期对幼儿进行斜视弱视普查,尤其是结合屈光状态和立体视的检查,是发现弱视的关键。【关键词】儿童;弱视;屈
3、光不正;立体视Ainvestigationofchildren'sstereopsisandrefractionandamblyopiaYeLiang,TuChangsen,YuAyong.DepartmentofOptometry,theOphthalmology”OptometryHospitalofWenzhouMedicalCollege,Wenzhou325000,China【Abstract】ObjectiveThroughinvestigatingtheexaminationofallchildren'se
4、yehealthofakindergarten,trytoknowthegrowthofchildren'sstereopsisandrefractionandtheprevalencerateofamblyopia.MethodsOnehundredandeightyonecases362eyes,first,theexaminationofvisionwasdonebythestandardlogarithmvisualacuitychartandtheexaminationofstereopsiswasdoneby
5、TitmusandFrisby;secondly,foroptometry,Topcon27100automaticoptometryinstrumentwasused,andretinoscopyundertheparalyzedciliarymusclesbyMydrin2Pnext;thirdly,theophthalmologyroutineexaminationwasdonebysplitlampandfunduscope.ResultsThepreva2lencerateofamblyopiais42.3%,
6、thereintothesuspiciousis70.31%;theaveragestereopsisusedbyTitmusis85.89S,andFrisbyis81.52S.Increasealongwiththeage,thegrowthofstereopsisistoograduallymature;theaveragepowerwasexaminatedbyTopcon27100automaaticoptometryinstrumentis+0.8823D,andtheretinoscopyis+1.7231
7、D.Tworeportsarepositivecorrelation(r=0.784)1ConclusionThestereopsisof3~6yearsoldchildrenisplacedinthegrowthofsensitiveperiod.Topcon27100automaticoptometryinstrumentcanbeusedasthecensustool.Periodicallytoproceedtheamblyopiacensustoinfants,particularlycombinativewi
8、thretinoscopyandstereop2sis,isakeytodiscoversamblyopia1【Keywords】Infant;Amblyopia;Refraction;Stereopsis弱视是一种严重妨碍儿童视觉发育的眼病。如童进行普查,共查181名(362只眼),受检率何及时有效地防治儿童弱视,