目的:探讨学龄前儿童斜、弱视治疗的关键因素。方法:对银川市新市区18所幼儿园中3～7岁儿童进行视力、眼位、屈光检查。结果:在1531例3062眼中,视力<0.9者,经散瞳验光不能矫正者52例78眼,诊断为弱视。弱视患病率为3.4%。男27例,女25例,弱视与性别无明显差异。按全国儿童弱视斜视防治组(1987-10)标准弱视分为五类,并按程度分为轻、中、重三度。结论:弱视是一种发育性紊乱,常伴有斜视、屈光参差或高度屈光不正。弱视和斜视使得患者不仅视力低下,还缺少完善的立体视,即缺少适应科技高速发展所必备的最高级视觉功能。弱视和斜视的疗效及立体视的建立与治疗年龄密切相关。年龄越小,治疗后效果越好,达成人后基本无望。

AIM:To evaluated the key factors of the treatment for strabismus and amblyopic in preschool lhildred.METHODS:The children aged 3-7 of eighteen kinder-gartens in Yinchuan city were examined,including:sight inspection; ocular inspection; refractive inspection; diagnostic criteria. RESULTS:There were fifty-two children 78 cases whose sights were less than 0.9 in 1531 children 3062 eyes. They were amblyopic. Amblyopic prevalence rate was 3.4%. There were 27 male and 25 female. Amblyopic had no significant difference between genders. According to the National Children’s strabismus amblyopic treatment group stan-dard,amblyopic was divided into five categories; accor-ding to the degree,it was divided into slight,normal and severe degree. CONCLUSION:Amblyopic is a developmental disorder,often accompanied by strabismus,anisometropia or high refractive errors. Amblyopic and strabismus are the dangers of not only poor eyesight,but also the lack of complete three-dimensional vision,namely,the lack of the highest level necessary visual function. The efficacy of treatment of amblyopic and strabismus are closely related to the age. The younger,the better after the treatment; adults are hopeless.

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