Welge-Lüben L, Mössinger V, Schütte E
Klin Monbl Augenheilkd. 1975 Aug;167(2):317-23.
Near penalization was carried out in 113 children, from which 35 were younger than 5 1/2, and 78 older than 5 1/2 years. We were especially interested in the older group with small angles of squint from zero to five degrees. The treatment with regard to amblyopia in this group is difficult, but we saw also in cases with non-foveal fixation a rapid increase of the near visual acuity because of spherical overcorrection. The distant visual acuity was increased mainly to 0.6. There was no influence upon the angle of squint and the correspondence. In the younger group (below 5 1/2 years) the results with regard to visual acuity, fixation and angle of squint were more favourable. We think, that we will get these results only by occlusion and prism over- and full-correction, if there are no external reasons, such as schoolage, which prevent this treatment.
对113名儿童进行了近距离弱视疗法，其中35名年龄小于5岁半，78名年龄大于5岁半。我们特别关注斜视角度为0度至5度的大龄儿童群体。该群体弱视治疗难度较大，但我们也发现，对于非中心凹注视的病例，由于球镜过度矫正，近视力会迅速提高。远视力主要提高到了0.6。这对斜视角度和对应关系没有影响。在低龄儿童群体（5岁半以下）中，视力、注视和斜视角度方面的结果更为理想。我们认为，如果不存在诸如学龄等外部因素妨碍治疗，那么只有通过遮盖以及棱镜欠矫、全矫才能取得这些结果。
