Özen Tunay Zuhal, Çalışkan Deniz, İdil Aysun, Öztuna Derya
Zekai Tahir Burak Women's Health Training and Research Hospital, Ophthalmology Clinic, Ankara, Turkey.
Ankara University Faculty of Medicine, Department of Public Health, Ankara, Turkey.
Turk J Ophthalmol. 2016 Apr;46(2):68-72. doi: 10.4274/tjo.82653. Epub 2015 Apr 5.
To determine the clinical features and the distribution of diagnosis in partially sighted school-age children, to report the chosen low vision rehabilitation methods and to emphasize the importance of low vision rehabilitation.
The study included 150 partially sighted children between the ages of 6 and 18 years. The distribution of diagnosis, accompanying ocular findings, visual acuity of the children both for near and distance with and without low vision devices, and the methods of low vision rehabilitation (for distance and for near) were determined. The demographic characteristics of the children and the parental consanguinity were recorded.
The mean age of children was 10.6 years and the median age was 10 years; 88 (58.7%) of them were male and 62 (41.3%) of them were female. According to distribution of diagnoses among the children, the most frequent diagnosis was hereditary fundus dystrophies (36%) followed by cortical visual impairment (18%). The most frequently used rehabilitation methods were: telescopic lenses (91.3%) for distance vision; magnifiers (38.7%) and telemicroscopic systems (26.0%) for near vision. A significant improvement in visual acuity both for distance and near vision were determined with low vision aids.
A significant improvement in visual acuity can be achieved both for distance and near vision with low vision rehabilitation in partially sighted school-age children. It is important for ophthalmologists and pediatricians to guide parents and children to low vision rehabilitation.
确定学龄期视力部分受损儿童的临床特征和诊断分布，报告所选用的低视力康复方法，并强调低视力康复的重要性。
该研究纳入了150名6至18岁视力部分受损的儿童。确定了诊断分布、伴随的眼部检查结果、儿童在使用和不使用低视力设备时的近视力和远视力，以及低视力康复方法（远视力和近视力）。记录了儿童的人口统计学特征和父母的血缘关系。
儿童的平均年龄为10.6岁，中位数年龄为10岁；其中88名（58.7%）为男性，62名（41.3%）为女性。根据儿童的诊断分布，最常见的诊断是遗传性眼底营养不良（36%），其次是皮质视觉障碍（18%）。最常用的康复方法是：用于远视力的望远镜式镜片（91.3%）；用于近视力的放大镜（38.7%）和望远显微镜系统（26.0%）。使用低视力辅助器具后，远视力和近视力的视力均有显著改善。
学龄期视力部分受损儿童通过低视力康复，远视力和近视力均可显著提高。眼科医生和儿科医生指导家长和儿童进行低视力康复很重要。
