Ehrt O
Augenklinik der Ludwig-Maximilians-Universität, Mathildenstr. 8, 80336, München, Deutschland.
Ophthalmologe. 2011 Apr;108(4):311-7. doi: 10.1007/s00347-011-2344-7.
Refractive errors are the most common visual problem in children apart from squinting. Indications for spectacles include amblyopia prophylaxis and treatment, strabismus, myopia and reading disorders. Objective refraction by retinoscopy is the central part of prescribing spectacles to children. A slight under correction (maximum of 0.5 dpt in cases with and 1.0 dpt without squint) can be considered in hyperopia only. Myopia, astigmatism and anisometropia must be fully corrected. Any prescription must mention "MA=PD" and "plastic lenses" as well as "high bifocal" if needed. Information to the parents is essential for good compliance of spectacle wear. Step-by-step instructions and a list of possible errors will be given.
除斜视外,屈光不正为儿童最常见的视力问题。配镜指征包括弱视预防与治疗、斜视、近视及阅读障碍。通过检影验光进行客观验光,是为儿童配镜的核心环节。远视时仅可考虑轻微欠矫(有斜视者最大欠矫0.5屈光度,无斜视者最大欠矫1.0屈光度)。近视、散光及屈光参差必须完全矫正。如有需要,任何处方均须注明“MA=PD”、“塑料镜片”以及“高双焦点镜片”。向家长提供信息对于提高配镜依从性至关重要。将给出逐步指导及可能出现的错误清单。