隐形遮盖镜与压抑膜疗法治疗大龄单眼弱视的疗效比较
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摘要
目的:比较隐形遮盖镜与压抑膜疗法治疗大龄弱视患者的疗效。方法:前瞻性研究。选取2015-06/2016-12于我院就诊的10～14岁单眼弱视患者112例112眼,其中应用压抑膜疗法治疗者55例(A组),应用隐形遮盖镜疗法者57例(B组)。评估两组患者的治疗依从性和疗效,观察两组患者治疗前后矫正视力的变化情况。结果:治疗3、6、12mo,A组患者治疗依从性(98. 2%、96. 4%、92. 7%)与B组(94. 7%、91. 2%、89. 5%)无明显差异(均P>0. 05),但治疗有效率(27. 8%、50. 9%、76. 5%)均明显低于B组(46. 3%、71. 2%、92. 2%),且B组患者弱视眼矫正视力均优于A组(P<0. 05)。治疗12mo,A组患者总治愈率和实际治愈率(52. 7%和56. 9%)均明显低于B组(71. 9%和80. 4%)。结论:隐形遮盖镜疗法治疗10岁以上单眼弱视,弱视眼视力提高速度和治愈率均优于压抑膜遮盖疗法。
?AIM: To compare the efficacy of invisible occlusion mirror and depressant membrane therapy in treatment of elderly amblyopia.?METHODS: Prospective study.Totally 112 cases ( 112 eyes) of monocular amblyopia aged 10 - 14 years were selected from June 2015 to December 2016 in our hospital.Among them,55 cases ( Group A ) were treated with depressant membrane therapy and 57 cases ( Group B) were treated with invisible concealer.The treatment compliance and efficacy of the two groups were evaluated,and the changes of corrected visual acuity before and after treatment were observed.?RESULTS: For 3,6 and 12mo,there was no significant difference in treatment compliance between group A ( 98. 2%,96.4%,92.7%) and group B ( 94.7%,91.2%, 89. 5%) ( all P>0.05) ,but the effective rate of treatment ( 27.8%,50.9%,76.5%) was significantly lower than that of group B ( 46.3%,71.2%,92.2%) ,and the amblyopic corrected visual acuity of group B was better than that of group A ( P< 0.05) .After 12mo treatment,the total and actual cure rates of group A ( 52.7% and 56.9%) were significantly lower than those of group B ( 71.9% and 80.4%) .?CONCLUSION: The treatment of monocular amblyopia over 10 years old with invisible occlusion mirror is superior to that of depressor membrane occlusion in improving visual acuity and curing rate.
?AIM: To compare the efficacy of invisible occlusion mirror and depressant membrane therapy in treatment of elderly amblyopia.?METHODS: Prospective study.Totally 112 cases ( 112 eyes) of monocular amblyopia aged 10 - 14 years were selected from June 2015 to December 2016 in our hospital.Among them,55 cases ( Group A ) were treated with depressant membrane therapy and 57 cases ( Group B) were treated with invisible concealer.The treatment compliance and efficacy of the two groups were evaluated,and the changes of corrected visual acuity before and after treatment were observed.?RESULTS: For 3,6 and 12mo,there was no significant difference in treatment compliance between group A ( 98. 2%,96.4%,92.7%) and group B ( 94.7%,91.2%, 89. 5%) ( all P>0.05) ,but the effective rate of treatment ( 27.8%,50.9%,76.5%) was significantly lower than that of group B ( 46.3%,71.2%,92.2%) ,and the amblyopic corrected visual acuity of group B was better than that of group A ( P< 0.05) .After 12mo treatment,the total and actual cure rates of group A ( 52.7% and 56.9%) were significantly lower than those of group B ( 71.9% and 80.4%) .?CONCLUSION: The treatment of monocular amblyopia over 10 years old with invisible occlusion mirror is superior to that of depressor membrane occlusion in improving visual acuity and curing rate.
引文
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2中华眼科学会全国儿童弱视斜视防治学组.弱视的定义、分类及疗效评价标准.中国斜视与小儿眼科杂志1996;4(3):97
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4李梅,侯正玉.两种方法治疗大龄儿童弱视疗效观察.实用防盲技术2015;10(3):115-117
5陈子东,李劲嵘,余敏斌.Bangerter压抑膜在眼科中的应用.中华眼视光学与视觉科学杂志2013;11(15):701-704
6陈锐群.Bangerter压抑膜在弱视治疗中的应用.海南医学2008;19(10):71-72
7张晋英.Bangerter弱视压抑膜在轻中度屈光参差中的疗效分析.医学理论与实践2015;28(23):3189-3191
8王小莉,陈莉.探讨遮盖法在弱视治疗中的意义.国际眼科杂志2009;9(11):2129-2131
9姜宁,牛兰俊,吴夕,等.依从性影响弱视治疗效果的重要因素.中国实用眼科杂志2007;10(25):935-937
10 A1vord LA,Hall WJ,Keyes LD,et al.Corneal oxygen distribution with contact lens wear.Cornea 2007;26(6):654-664
11 Braun DA,Anderson Penno EE.Effect of contact lens wear on central corneal thickness measurements.J Cataract Refract Surg 2003;29(7):1319-1322
12 Nourouzi H,Rajavi J,Okhovatpour MA.Time to resolution of corneal edema after long-term contact lens wear.Am J Ophthalmol 2006;142(4):67l-673
13姚雪辉,丁洁,张士宏,等.不同遮盖方法治疗弱视的比较.实用医学杂志2011;27(8):1416-1417
2中华眼科学会全国儿童弱视斜视防治学组.弱视的定义、分类及疗效评价标准.中国斜视与小儿眼科杂志1996;4(3):97
3 Bangerter A.Occlusion in pleoptics and orthoptics.Klin Monbl Augenheilkd Augenarztl Fortbild 1960;136:305-331
4李梅,侯正玉.两种方法治疗大龄儿童弱视疗效观察.实用防盲技术2015;10(3):115-117
5陈子东,李劲嵘,余敏斌.Bangerter压抑膜在眼科中的应用.中华眼视光学与视觉科学杂志2013;11(15):701-704
6陈锐群.Bangerter压抑膜在弱视治疗中的应用.海南医学2008;19(10):71-72
7张晋英.Bangerter弱视压抑膜在轻中度屈光参差中的疗效分析.医学理论与实践2015;28(23):3189-3191
8王小莉,陈莉.探讨遮盖法在弱视治疗中的意义.国际眼科杂志2009;9(11):2129-2131
9姜宁,牛兰俊,吴夕,等.依从性影响弱视治疗效果的重要因素.中国实用眼科杂志2007;10(25):935-937
10 A1vord LA,Hall WJ,Keyes LD,et al.Corneal oxygen distribution with contact lens wear.Cornea 2007;26(6):654-664
11 Braun DA,Anderson Penno EE.Effect of contact lens wear on central corneal thickness measurements.J Cataract Refract Surg 2003;29(7):1319-1322
12 Nourouzi H,Rajavi J,Okhovatpour MA.Time to resolution of corneal edema after long-term contact lens wear.Am J Ophthalmol 2006;142(4):67l-673
13姚雪辉,丁洁,张士宏,等.不同遮盖方法治疗弱视的比较.实用医学杂志2011;27(8):1416-1417