Munteanu M, Zolog Ileana, Giuri Stela, Gamaniuc Elena
Clinica de Oftalmologie, Timişoara.
Oftalmologia. 2002;53(2):61-6.
There are described a number of 9 clinical cases with unilateral myelinated nerve fibers, associated with myopia or amblyopia. Four cases developed extended myelinated areas, anisometropia with increased values, accentuated amblyopia and macular changes. Patients underwent treatment for amblyopia through correction with spectacles lenses and the occlusion of the congenerous eye. The obtained functional results differentiated the casemix in two groups: with therapeutic failure, 4 cases, characterized by extended myelination, anisometropia with an average of over -10 diopters and macular changes. with therapeutic success, 5 cases, characterized by reduced myelination, anisometropia with an average of over -4 diopters and normal maculae. It has been found a significantly statistical difference between the two groups as regarding the value of the anisometropia. However, the macular aspect has been an important factor in order the therapeutic effect to succeed. This clinical syndrome is differentiated from the unilateral simple myopia with amblyopia and from the myelinated nerve fibers without myopia or amblyopia.
本文描述了9例单侧有髓神经纤维的临床病例，这些病例与近视或弱视相关。4例出现了扩大的有髓区域、屈光参差值增加、弱视加重以及黄斑改变。患者通过佩戴眼镜矫正和遮盖健眼接受弱视治疗。所获得的功能结果将病例组合分为两组：治疗失败组，4例，其特征为有髓区域扩大、平均超过-10屈光度的屈光参差以及黄斑改变；治疗成功组，5例，其特征为有髓区域减少、平均超过-4屈光度的屈光参差以及黄斑正常。已发现两组在屈光参差值方面存在显著统计学差异。然而，黄斑情况是治疗效果成功的一个重要因素。这种临床综合征与伴有弱视的单侧单纯近视以及无近视或弱视的有髓神经纤维不同。
