6个月起治疗异常远视的随机试验结果。
Results of a randomised trial of treating abnormal hypermetropia from the age of 6 months.
作者信息
Ingram R M, Arnold P E, Dally S, Lucas J
机构信息
Kettering District General Hospital, Northants.
出版信息
Br J Ophthalmol. 1990 Mar;74(3):158-9. doi: 10.1136/bjo.74.3.158.
Abstract
Children who were abnormally hypermetropic at the age of 6 months were randomly allocated treatment with spectacles or no treatment. The eventual incidence of squint was the same in both groups (approximately 24%). The last known visual acuity of the two groups was not significantly different either. Therefore there is no indication to screen infants with a view to preventing squint/amblyopia by optical correction of hypermetropia. If, however, the children allocated treatment are divided into two subgroups--those who wore glasses consistently and those who probably or certainly did not do so--the incidence of squint was the same, but the last known acuities of those who consistently wore glasses may be better than those who did not do so. This suggests that it may yet prove possible to prevent severe amblyopia.
摘要
6个月大时远视异常的儿童被随机分配接受眼镜治疗或不治疗。两组斜视的最终发生率相同（约24%）。两组的最后已知视力也无显著差异。因此，没有迹象表明对婴儿进行筛查以通过光学矫正远视来预防斜视/弱视。然而，如果将接受治疗的儿童分为两个亚组——那些持续戴眼镜的和那些可能或肯定没有戴眼镜的——斜视发生率相同，但持续戴眼镜者的最后已知视力可能优于未戴眼镜者。这表明预防严重弱视仍有可能。
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本文引用的文献
1
[Ophthalmological investigation of 1200 1-year-old children].[对1200名1岁儿童的眼科检查]
Acta Ophthalmol (Copenh). 1966;44(3):473-9. doi: 10.1111/j.1755-3768.1966.tb08061.x.
2
Prediction of amblyopia and squint by means of refraction at age 1 year.1岁时通过验光预测弱视和斜视
Br J Ophthalmol. 1986 Jan;70(1):12-5. doi: 10.1136/bjo.70.1.12.
3
A first attempt to prevent amblyopia and squint by spectacle correction of abnormal refractions from age 1 year.从1岁起通过眼镜矫正异常屈光来初步尝试预防弱视和斜视。
Br J Ophthalmol. 1985 Nov;69(11):851-3. doi: 10.1136/bjo.69.11.851.
4
Changes in refraction between the ages of 1 and 3 1/2 years.1岁至3岁半之间屈光的变化。
Br J Ophthalmol. 1979 May;63(5):339-42. doi: 10.1136/bjo.63.5.339.
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