Yuksel D, Spiritus M, Vandelannoitte S, Hoffmann D
Service d'ophtalmologie, UCL Louvain-en-Woluwé.
Bull Soc Belge Ophtalmol. 1996;263:69-73.
Fifty non-strabismic children with primary anisometropia were reviewed retrospectively. At entry, patients ranged in age from 1 to 10 years with an average of 4.5 years. The follow-up ranged from 0.5 to 9 years with an average of 3.5 years. Criteria for inclusion were a difference in refractive error between the two eyes of at least 1.00 D of spherical value and/or 0.75 D of cylindrical value. In all cases, anisometropia was totally corrected by prescribing glasses. Anisometropic amblyopia was considered to be present when isoacuity at far was not reached despite the glasses, part-time occlusion therapy of the good eye was prescribed. Amblyopia was present in 86% of the patients and was found with all types of anisometropia. It was more severe in anisohyperopia and/or anisoastigmatism. After adequate treatment, amblyopia was clinically cured or less severe in 78% of the patients.
对50例患有原发性屈光参差的非斜视儿童进行了回顾性研究。入组时，患者年龄在1至10岁之间，平均年龄为4.5岁。随访时间为0.5至9年，平均为3.5年。纳入标准为双眼屈光不正的球镜值差异至少为1.00 D和/或柱镜值差异为0.75 D。在所有病例中，屈光参差均通过配镜完全矫正。如果尽管戴了眼镜但远视力仍未达到等视力，则认为存在屈光参差性弱视，此时需对好眼进行部分遮盖治疗。86%的患者存在弱视，且在所有类型的屈光参差中均有发现。在屈光性远视和/或屈光性散光中更为严重。经过充分治疗后，78%的患者弱视临床治愈或症状减轻。
