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[晶状体半脱位中的弱视问题(作者译)]

[The problem of amblyopia in subluxated lenses (author's transl)].

作者信息

Schulz E

出版信息

Klin Monbl Augenheilkd. 1980;177(2):228-34. doi: 10.1055/s-2008-1057638.

Abstract

A re-evaluation of the incidence and development of amblyopia was carried out in 27 patients with a history of lens subluxation at pre-school age. Due to insufficiently accurate histories and the heterogeneous composition of the material it is impossible to make any valid statement regarding the critical phase of development of deprivation amblyopia. However, it appears that "form-deprivation" amblyopia may regress spontaneously up to early school age following hygienization of the optic media and if optimal spectacles or contact lenses are worn. In individual cases it has been shown that unilateral amblyopias can and should be treated (pleoptics) following hygienization of the optic media. Therefore, early surgical treatment should be considered in such cases, above all in view of the fact that complications are rare.

摘要

对27例有学龄前晶状体半脱位病史的患者进行了弱视发病率及发展情况的重新评估。由于病史不够准确且材料构成不均一,因此无法就剥夺性弱视发展的关键阶段做出任何有效论断。然而,似乎“形觉剥夺性”弱视在视介质清洁并佩戴最佳眼镜或隐形眼镜后,在学龄早期之前可能会自发消退。个别病例表明,单侧弱视在视介质清洁后可以且应该进行治疗(增视疗法)。因此,在此类病例中应考虑早期手术治疗,尤其是鉴于并发症罕见这一事实。

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