摘要 目的
探讨单眼弱视的临床特点。
方法
对96 例单眼弱视进行追踪观察，对弱视类型、程度、注视性质与疗效的关系进行统计分析，并观 察其立体视变化。
结果
单眼弱视中屈光参差性弱视占66.67%，斜视性弱 视占33.33%。斜视合并屈光参差性弱视患者基本治愈率仅50%，单眼弱视中重度弱视较多， 占33.33%，立体视恢复正常者55.21%，均为屈光参差性弱视。
结论
单眼弱视患者中常见斜视性弱视和屈光参差性弱视两种临床类型，其中以斜视伴有屈光参差的 弱视治疗效果最差，而斜视对患者的立体视损害最严重。
Clinical analysis of the children whose monocular amblyopia.
Sun Xian-tao. Department of Ophthalmology, Zhengzhou Childrens Hospital.
Zhengz hou 450053
ABSTRACT Objective To study the clinical characteristics of the childr en whose monocular amblyopia. Methods 96 patients have been obse rved for 3～12 years, A statistical analys was made on the relationship between the amblyopic types, degrees, ficxation character and the effect of treatment, t he stereoacuity were observed. Results There were 66.67% anisom etropic amblyopia and 33.33% strabismic amblyopia among the 96 patients. The ba sic recovery rate was only 50% on the strabismic amblyopia combined with anisome tropia. The rate of more severe degree amblyopia was 33.33%. The stereoacuity o f 55.21% patients who suffered from anisometropic amblypia recovered normal. Conclusion The patients whose monocular amblyopia were class into anisometropic amblyopia and strabismic amblyopia. Among which, the effect of str abismic combinedwithanisometropic amblyopia was disappoint. In strabismic grou p the damage of stereoacuity was serious.
单眼弱视临床上较常见，因其一眼视力正常往往不易发现，就诊年龄参差不 齐，治疗困难，学龄儿童尤其不愿配合，延误治疗时机，成为永久性单眼视。本文就我院19 87～1996年随访3～12年(平均随访4.89年)的96例单眼弱视患儿进行总结分析。
对象与方法
1.对象
(1)一般情况：单眼弱视患者96例，96眼。男60例，女36例。右眼44例，左眼52例。初诊年 龄4.5～10岁，平均7岁。
(2)弱视分类：屈光参差性弱视64例，占66.67%；斜视性弱视32例，占33.33%，其中内斜 视23例，外斜视7例，共同性外斜视合并共同性内斜视1例，右眼上斜视1例。斜视性弱视中 单纯因斜视引起者10例，占总数的10.42%，占斜视性弱视的31.25%；而斜视和屈光参差同 时存在者22例，占总数的22.92%，占斜视性弱视的68.75%，因其治疗较单纯斜视更困难， 所以特别将其单列一项。
(3)屈光分布：单纯远视24例，占25%，复性远视性散光58例占60.42%，单纯远视散光8例占 8.33%，复性近视散光6例，占6.25%。
2.方法：
(1)检查：所有病例治疗前后均检查远近视力，眼位，双眼单视功能(用同视机)，立体视锐 度(近用颜氏立体图)，1%阿托品每天3次，连续3天后，检影验光。
(2)治疗：综合治疗。首先配戴合适眼镜，严格遮盖健眼，然后配合后像红光闪烁，CAM光栅 刺激，精细作业等。治疗中酌情1～2个月复诊一次，及时调整眼镜及遮盖比例、训练时间长 短等。
本文按全国儿童弱视斜视防治组1996年4月制定的标准进行诊断分类及评价疗效。
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