Ingram R M
Kettering District General Hospital, Northamptonshire.
BMJ. 1989 Apr 8;298(6678):935-6. doi: 10.1136/bmj.298.6678.935.
The progress of 108 children who were identified by the vision screening programme in school as having defective vision (excluding those with puberty onset myopia) was reviewed. Treatment of these children resulted in improvement in visual acuity of the worst eye (two lines or better) for 16 children. Eighteen children had severe amblyopia (6/24 or worse). Among these the vision of only five was improved by treatment. Two thirds of the children had refractive errors in the better eye which required correction. It seems sensible to identify and treat children with bilateral refractive errors, but the need to treat children with lesser degrees of amblyopia is questioned.
对学校视力筛查项目中确定为视力有缺陷的108名儿童（不包括青春期开始出现的近视儿童）的进展情况进行了回顾。对这些儿童的治疗使16名儿童最差眼睛的视力提高了（提高两行或更好）。18名儿童患有重度弱视（视力为6/24或更差）。在这些儿童中，只有5名儿童的视力通过治疗得到了改善。三分之二的儿童较好眼睛有屈光不正，需要矫正。识别和治疗双眼屈光不正的儿童似乎是合理的，但对于治疗弱视程度较轻的儿童的必要性存在疑问。
