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1、·236·临床眼科杂志2007年第15卷第3期JournalofClinicalOphthalmology,2007,Vol.15,No.3·临床研究·3～11岁视力低常儿童散光与弱视分析梁莉莉黎冬梅【摘要】目的探讨3～11岁儿童弱视散光类型、散光度分布、散光轴分布、双眼散光轴关系、散光轴与弱视的关系。方法对门诊3～11岁视力低常儿童266例(503只眼)散光状况进行统计分析。结果复性远视散光居多,占71.07%,依次为复性近视散光11.53%,混合散光8.95%,单纯远视5.17%,单纯近视散光3.18%。散光程度0.50～1.00DC占52.18%,依次
2、为1.25～2.00DC占30.02%,2.25～3.00DC占10.54%,>3.00DC占6.76%。顺规散光占94.23%,逆规散光占2.19%,斜向散光占3.58%。双眼散光中,对称散光占95.43%,不对称散光占4.57%。双眼散光占89.46%,单眼散光占10.54%。结论远视性散光是儿童散光的主要类型,顺规散光为主,双眼散光以对称散光多见,散光与弱视关系密切,科学合理矫正儿童散光眼,有利于儿童弱视防治。【关键词】儿童;眼;散光;弱视[临床眼科杂志,2007,15:236]Analysisofastigmatismandamblyopiainch
3、ildrenagedfrom3to11yearswhosevisualacuity(VA)isde2clinedLIANGLi2li,LIDong2mei.DepartmentofOphthalmologyGuilinPeople'sHospital,Guangxi541002,China【Abstract】ObjectiveToinvestigatethetypeofastigmatismandamblyopia,distributionruleofastigmatismde2gree,distributionruleaxisofastigmatism,t
4、herelationshipbetweentwoeyesaxisofastigmatism,therelationshipbetweenaxisofastigmatismandamblyopiainchildrenaged3～11old.whosevisualacuity(VA)isdeclined.Methods266cases503eyesofastigmatisminchildrenagedfrom3to11yearswhosevisualacuitydeclinedwereanalysisedstatistically.Re2sultstherati
5、oofcompoundhypermetropicastigmatismispredominant,is71.07%,thencompoundmyopicastigmatismis11.53%,mixedastigmatismis8.95%,simplehypermetropiais5.17%,simplebrachymetropiais3.18%.astigmatismdegree0.50DC～1.00DCis52.18%,1.25DC～2.00DCis30.02%,2.25DC～3.00DCis10.54%,>3.0DCis6.76%.Theratioof
6、astigmatismwithruleis94.23%,astigatismagainsttheruleis2.19%,obliqueastigmatismis3.58%.Symmetricalastigmatismis95.43%,asymmetricalastigmatismis4.57%inthebinoculusastigmatism.Thebinocu2lusastigmatismis89.46%,monoculusastigmatismis10.54%.ConclusionThemaintyreofastigmatismofchildrenish
7、ypermetropicastigmatism,astigmatismwithruleispredominant.Symmetricalastigmatismispredominantinthebinoculusastigmatism.Thereisanassociationbetweenastigmatismandamblyopia.【Keywords】Children;Eyes;Astigmatism;Amblyopia[JClinOphthalmol,2007,15:236]屈光不正是影响儿童视觉发育的常见眼病,而采用国际标准视力表检查视力,角膜映光法
8、及散光是屈光不正的主要类型之一。为了探讨儿童眼遮盖法
