目的:初步观察并探讨综合疗法治疗大龄儿童及青少年弱视的临床效果。方法:回顾性调查总结2005-08/2009-01在我院接受遮盖、红光闪烁、后像、光刷、精细作业、激光和心理干预等方法进行弱视治疗的大龄儿童及青少年患者90例148眼,其中8～10岁者114眼,11～13岁者24眼,14～16岁者10眼,治疗时间30～750(平均163)d。结果:眼视力较治疗前提高2行或2行以上,治疗有效率达93.3%,其中有98眼矫正视力>0.9,基本治愈率为66.2%。8～10岁组与11～13岁及14～16岁组之间疗效比较差异显著(P<0.05)。结论:使用综合疗法规范治疗大龄儿童及青少年弱视疗效肯定,特别是屈光不正的中心注视弱视患者经治疗可建立良好的视功能。

·AIM:To observe and discuss the therapeutic efficacy of combining therapy for amblyopia in adolescents and older children.METHODS:A total of 90 cases(148 eyes)were randomly selected from the patients,which were treated with occlusion therapy,red light glitter,photogene,haidinger,meticulous homework,laser therapy and mind-cure in our hospital from August 2005 to January 2009.The 8-10 age group was of 114 eyes,11-13 age group of 24 eyes,and 14-16 age group of 10 eyes.The course of treatment was 30-750 days,the mean was 163 days.The data were analyzed retrospectively.RESULTS:Vision had raised 2 lines or more after the treatment,the effective rate was 93.3%.98 eyes’ corrected visual acuity arrived at 0.9,The recovery rate was 66.2%,the therapeutic efficacy of 8-10 age group was significantly different with that of 11-13 age group and 14-16 age group.CONCLUSION:The therapeutic efficacy of combining therapy for amblyopia in hobbledehoy and older children is affirmed,especially on establishing good visual function after treatment for central fixation amblyopia with ametropia.

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