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目的探讨弱视的综合治疗并评价其临床效果。方法对286例儿童504眼弱视进行弱视的综合治疗,并对其疗效进行随访达3年以上。结果屈光不正性弱视治愈率最高为91.07%,明显高于屈光参差性、斜视性弱视和形觉剥夺性弱视。轻度弱视的治愈率(94.32%)明显高于中度和重度弱视。弱视治疗的年龄越小,疗效越好,3～5岁组(91.71%)明显高于其他年龄组。中心注视者(89.13%)的疗效明显高于旁中心注视者。结论弱视治疗的疗效与弱视类型、弱视程度、注视性质及开始治疗的年龄有密切关系,用综合疗法治疗弱视可以提高其治愈率。
Objective To investigate the comprehensive treatment of amblyopia and evaluate its clinical effect. Methods 504 eyes of 286 children with amblyopia were treated by amblyopia, and the curative effect was followed for more than 3 years. Results The highest cure rate of refractive amblyopia was 91.07%, which was significantly higher than that of anisometropia, strabismic amblyopia and form deprivation amblyopia. The cure rate of mild amblyopia (94.32%) was significantly higher than that of moderate and severe amblyopia. The younger the age of amblyopia treatment, the better the efficacy, 3 to 5 years old group (91.71%) was significantly higher than the other age groups. Central attention (89.13%) was significantly higher than the side of the center of attention. Conclusion The therapeutic effect of amblyopia is closely related to the type of amblyopia, the degree of amblyopia, the nature of gaze and the age at the beginning of treatment. The treatment of amblyopia with combination therapy can improve the cure rate.