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形觉剥夺性弱视和斜视性弱视。

Form-vision deprivation amblyopia and strabismic amblyopia.

作者信息

Uemura Y, Katsumi O

机构信息

Department of Ophthalmology, School of Medicine, Keio University, Tokyo, Japan.

出版信息

Graefes Arch Clin Exp Ophthalmol. 1988;226(2):193-6. doi: 10.1007/BF02173317.

Abstract

The treatment program for form-vision deprivation and strabismic amblyopia currently followed in our orthoptic clinic is presented. In unilateral congenital cataract, a disease that causes form-vision deprivation amblyopia, good vision up to 20/20 can be obtained through surgery performed before the patient reaches 8 weeks of age, employing new surgical techniques such as lentectomy and vitrectomy, combined with early aphakic eye correction and occlusion of the healthy eye. In strabismic amblyopia, prevention and/or early treatment are very important, particularly in cases of unilateral infantile esotropia. Our success rate with occlusion therapy was 84.6% using a patch and 83.3% employing atropine cycloplegia. Occlusion therapy is monitored with the preferential looking technique to prevent the development of occlusion amblyopia. The visual prognosis for amblyopia due to unilateral congenital cataract and infantile strabismic amblyopia has been improved compared with previous reports. The prognosis for binocular function remains poor.

摘要

介绍了我们斜视诊疗门诊目前采用的形觉剥夺性和斜视性弱视治疗方案。在单侧先天性白内障这种导致形觉剥夺性弱视的疾病中,通过在患者8周龄前进行手术,采用晶状体切除术和玻璃体切除术等新手术技术,并结合早期无晶状体眼矫正和健眼遮盖,可获得高达20/20的良好视力。在斜视性弱视中,预防和/或早期治疗非常重要,特别是在单侧婴儿内斜视的情况下。我们使用眼罩进行遮盖治疗的成功率为84.6%,使用阿托品睫状肌麻痹的成功率为83.3%。采用优先注视技术监测遮盖治疗,以防止遮盖性弱视的发生。与以往报告相比,单侧先天性白内障和婴儿斜视性弱视导致的弱视的视觉预后有所改善。双眼视功能的预后仍然很差。

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