Lavenant Françoise
Pôle tête et cou, clinique ophtalmologique, CHU de Nantes, Hôtel-Dieu, Nantes Cedex.
Rev Prat. 2007 Nov 30;57(18):2003-8.
The refractive error and the strabismus are the most frequent of the visual abnormalities of the children. Without early treatment a high bilateral refractive error produces a bilateral amblyopia. The asymmetric refractive error and the strabismus can produce unilateral amblyopia when the treatment is delayed (glasses for the first and glasses and alternative fixation for the last). The early diagnosis is necessary to a preventive action. The search of these anomalies is systematic when the family has history of amblyopia or strabismus. Sometimes, a strabismus is the first manifestation of a severe visual abnormality, the ophthalmologist must quickly examinate all the children with a strabismus. The other high abnormalities of visual function (cataracte, glaucoma, retinal disease) cause a comportemental dysfunction and/or involve ocular modifications. Most of these visual manifestations are diagnosed with an attentive easy examination of the children.
屈光不正和斜视是儿童最常见的视觉异常。如果不及早治疗,高度双侧屈光不正会导致双侧弱视。不对称屈光不正和斜视若治疗延迟(前者配镜,后者配镜并交替注视)会导致单侧弱视。早期诊断对于预防措施至关重要。当家族中有弱视或斜视病史时,需系统排查这些异常情况。有时,斜视是严重视觉异常的首发表现,眼科医生必须迅速对所有斜视儿童进行全面检查。其他严重的视觉功能异常(白内障、青光眼、视网膜疾病)会导致行为功能障碍和/或眼部改变。这些视觉表现大多通过对儿童进行仔细的简易检查即可诊断。