Cobb C J, Russell K, Cox A, MacEwen C J
Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK.
Br J Ophthalmol. 2002 Nov;86(11):1278-81. doi: 10.1136/bjo.86.11.1278.
To identify which factors influence the final visual acuity in children with anisometropic amblyopia.
A retrospective analysis of 112 children with anisometropic amblyopia, identified from examining all case notes of children who had failed preschool or school screening.
The age at presentation had no effect on the final visual outcome (p=0.804). Both the degree of refractive error and the degree of anisometropia at presentation correlated with final visual acuity (p<0.001 and p=0.001). Those with strabismus had a poorer final outcome.
The age at presentation of a child with anisometropic amblyopia appears to have no significant effect on the final visual acuity. The amount of refractive error and degree of anisometropia at presentation do correlate strongly with final visual acuity. This would suggest, firstly, that children with poorer visual acuity at presentation and higher degrees of anisometropia should be treated more aggressively and that, secondly, children with anisometropic amblyopia should be treated regardless of age.
确定哪些因素影响屈光参差性弱视儿童的最终视力。
对112例屈光参差性弱视儿童进行回顾性分析，这些儿童是从对未通过幼儿园或学校筛查的儿童的所有病历检查中识别出来的。
就诊年龄对最终视力结果无影响（p = 0.804）。就诊时的屈光不正度数和屈光参差度数均与最终视力相关（p < 0.001和p = 0.001）。患有斜视的儿童最终结果较差。
屈光参差性弱视儿童的就诊年龄似乎对最终视力无显著影响。就诊时的屈光不正量和屈光参差度数与最终视力密切相关。这首先表明，就诊时视力较差且屈光参差度数较高的儿童应接受更积极的治疗，其次表明，无论年龄大小，屈光参差性弱视儿童均应接受治疗。
