This study aimed to examine the clinical characteristics and quality of life of adult patients with acute acquired comitant esotropia (AACE) in China and to identify factors associated with patients’ quality of life. This study employed a cross-sectional survey design. The case group comprised 50 patients diagnosed with AACE, whereas the strabismus control group consisted of 47 patients with other forms of strabismus. Additionally, 54 individuals with normal eye positions were included in the control group. The Chinese version of the Adult Strabismus Quality of Life Scale (CAS-20) was utilized to evaluate the quality of life of all participants. Concurrently, individual variables were documented. Statistical analyses were performed to compare the clinical attributes and quality of life scores across the three groups, and an analysis was conducted to determine the influence of various factors on the quality of life of AACE patients. The disease duration in the AACE group was significantly shorter than that in the other strabismus group (p < 0.001). Both the near and distance stereopsis proportions were significantly lower in both the AACE group and the other strabismus group than in the normal group (p < 0.001). Additionally, the time spent on near-vision tasks was significantly greater in the AACE group than in the other two groups (p < 0.001). The total scores for social psychology and visual function were lower in both the AACE group and the other strabismus group than in the normal control group (p < 0.001). However, the total score for social psychology was higher in the AACE group than in the other strabismus group (p < 0.001). Among AACE patients, the total scores for social psychology and visual function were higher in the distance stereopsis function group than in the non-distance stereopsis function group (p < 0.05) and higher in the near stereopsis group than in the non-near stereopsis group (p < 0.001). Prolonged use of close-up eye activities poses a risk for AACE in susceptible populations. Patients with adult AACE in China typically exhibit a short disease duration. The quality of life of these patients is significantly deteriorated, primarily due to factors such as loss of stereopsis, an increased degree of strabismus, and extended disease duration.

Few studies of vision screening in school-aged children were reported in Tibetan Plateau. We herein summarize the results of a mandatory vision screening conducted in young children in the Tibetan Plateau of Southwest China. The Lhasa Childhood vision Screening (LCVS) performed uncorrected distant visual acuity (UCVA) test on primary school students in urban Lhasa from July to September 2019. Pin-hole corrected VA (PCVA) was obtained for individuals with the UCVA less than 20/25. Decreased VA was defined for UCVA based on the American Academy of Pediatrics guidelines 2016 (UCVA < 20/32 for over 60 months). Visual impairment (VI), Mild VI, and moderate VI to blindness, defined as a PCVA less than 20/40, less than 20/40 to 20/63 and less than 20/63 in the better eye, respectively. Overall, 34,848 children aged 9.03 ± 1.87 years fulfilled the screening with a response rate of 98.5%. 18,412 (52.8%) of the participants were males, and 30,531(87.6%) were Tibetan. The prevalence of decreased VA, VI, Mild VI, and moderate VI to blindness was 35.6%, 4.4%, 3.5%, and 1.0%, respectively. The prevalence of decreased VA in grade 1–6 students was 28.8%, 20.8%, 26.9%, 40.7%, 50.8%, 59.5%, respectively. The prevalence of VI in grade 1 to 6 students was 1.5%, 1.4%, 2.4%, 5.6%, 7.7% and 9.9%, respectively. This study documented a relatively low prevalence of decreased VA and VI in Tibetan primary school students than other urban populations in China. An increasing trend of poor vision with grades was found.

目的 采用眼底照相为客观检查方法,探讨先天性单侧上斜肌麻痹(USOP)患者眼底旋转情况与立体视觉的相关性.方法 收集2018年1月至2021年12月在我院行手术治疗的先天性USOP患者,对其病历资料进行回顾性分析,测量眼底照片中黄斑中心凹-视盘中心夹角(fovea-disc angle FDA),分析眼底旋转状况及FDA大小与患者立体视觉之间的关系.结果 研究共纳入43例USOP患者,35％(15例)眼底正常(双眼均无旋转),65％(28例)眼底外旋.眼底正常组的双眼总FDA为12.62°±3.24°,外旋组为22.74°±8.60°,正常组双眼总FDA明显小于外旋组,P＜0.05.眼底正常组和外旋组远近立体视均存在者分别为33％(5例)和7％(2例),差异显著,P＜0.05.所有患者双眼总FDA与远、近立体视均存在相关性(r=-0.307,P=0.046,r=-0.326,P=0.033);正常组双眼总FDA与远近立体视无相关性,外旋组双眼总FDA与近立体视存在相关性(r=-0.521,P=0.004);外旋组中单眼外旋患者,其外旋眼FDA与远近立体视相关程度最高(r=-0.627,P=0.002,r=-0.587,P=0.004),而非外旋眼FDA与远近立体视无相关性.结论 先天性USOP患者眼底正常者,立体视保存率高,眼底外旋者立体视功能差.双眼FDA(尤其是外旋眼FDA)与远近立体视负相关,FDA越小.远近立体视越好.

Abstract Background The aim of this study was to observe the effectiveness of botulinum toxin type A (BTA) in the treatment of intermittent exotropia (IXT) in children compared with strabismus surgery. Methods One hundred forty-four children with a clear diagnosis of IXT and an indication for surgery were eligible for inclusion. Subjects were divided into two groups based on parental decision: the BTA injection group (injection group) or the conventional surgery group (surgery group). All cases were followed up for 6 months. The primary outcome was a comparison of the success rate (deviation between − 10 and + 10 PD) between the two groups at 6 months after the initial treatment. Secondary outcomes included change in deviation, visual function, and post-surgical complications. Results Seventy-two patients were enrolled in each group. At 6-month follow-up, there was no significant difference in the success rate between the injection and surgery groups (52.8% vs 66.7%, P = 0.13; postoperative deviation − 12.22 ± 10.80 PD vs − 9.17 ± 10.30 PD, P = 0.09). The binocular Visual function, except for near stereoacuity, improved after treatment in both groups, while the fusion recovery rate was higher in the surgical group (68.1% vs 95.8%, P < 0.001). Transient complications in the injection group included diplopia, ptosis, and subconjunctival hemorrhage, whereas subconjunctival hemorrhage, conjunctival edema, foreign body sensation, pain, and diplopia were seen in the surgical group. The complications of BTA were relatively mild. Conclusions BTA is as effective as surgery in the treatment of IXT in children, but the recovery of the fusion is lower than surgery. Trial registration The study has completed the clinical registration on ( ChiCTR-INR-17013777 ).

目的 探讨小角度后天性上斜肌麻痹引起复视的三棱镜矫正处方量及其相关性参数.方法 回顾性收集2015年1月-2019年3月小角度后天性上斜肌麻痹引起复视并接受三棱镜矫正的患者19例,分别予以Von Graefe棱镜分离、马氏杆、同视机行斜视度检查;三棱镜矫正以达到复视消除、可耐受的最小三棱镜度数作为最终处方量.对不同方法斜视度测量数据进行统计分析,以及对垂直斜视度测量结果与处方量进行线性相关分析.结果 (1)水平斜视度:Von Graefe棱镜分离(-0.74±1.99)△,马氏杆测量(-0.21±3.05)△,同视机测量(-0.73±4.03)△,三者比较差异无统计学意义(F=0.179,P=0.837);(2)垂直斜视度:Von Graefe棱镜分离(7.36±4.45)△,马氏杆测量(8.57±4.62)△,同视机测量(9.00±4.94)△,三者比较差异无统计学意义(F=0.623,P=0.540);(3)3种方法与处方量相关分析:棱镜处方量为(5.79±2.41)△.与棱镜处方量的线性相关关系分别为,Von Graefe棱镜分离(r=0.648,P=0.003)、马氏杆检查(r=0.613,P=0.005)、同视机(r=0.502,P=0.028),均有统计学意义;与棱镜处方量的差异,Von Graefe棱镜分离(Z=-1.746,P=0.081),无统计学意义,而马氏杆(Z=-3.066,P=0.002),同视机(Z=-2.976,P=0.003),均有统计学意义.结论 小角度后天性上斜肌麻痹患者以Von Graefe棱镜分离法测量的垂直斜视度可以作为三棱镜试戴的参考值,水平斜视度在处方中可以忽略.

Abstract Background Decreased best corrected visual acuity among children should be treated early in life, and vision screening in schoolchildren is an efficient and feasible selection for developing countries. Thus, the screening accuracy of different visual acuity tests is the key point for making vision screening strategies. The present study aims to explore the screening accuracy of uncorrected visual acuity (UCVA) and pin-hole corrected visual acuity (PCVA) using different vision chart in the detection of decreased best-corrected visual acuity (BCVA) among schoolchildren. Methods Grade one primary schoolchildren in urban Lhasa with data of UCVA using tumbling E chart (UCVAE), PCVA using tumbling E chart (PCVAE), UCVA using Lea Symbols chart (UCVAL), PCVA using Lea Symbols chart (PCVAL) and BCVA using Lea Symbols chart were reviewed. Decreased BCVA was defined as BCVA≤20/32(≥0.2 logMAR). Difference, reliability, and diagnostic parameters in the detection of decreased BCVA of different visual acuity results were analyzed. Results Overall, 1672 children aged 6.58 ± 0.44 years fulfilling the criteria. The prevalence of decreased BCVA was 6.8%. Although no significant differences were found between UCVAE vs UCVAL (p = .84, paired t-test) as well as PCVAE vs PCVAL (p = .24), the ICC between them was low (0.68 and 0.57, respectively). The average difference between BCVA and UCVAE, UCVAL, PCVAE, PCVAL was logMAR -0.08 (− 0.37, 0.21), − 0.08 (− 0.29, 0.17), − 0.05 (− 0.30, 0.19), − 0.06 (− 0.23, 0.12) using Bland–Altman method. The area under the receiver operating characteristic curve of UCVAE, PCVAE, UCVAL, PCVAL for the detection of decreased BCVA was 0.78 (0.73, 0.84), 0.76 (0.71, 0.82), 0.95 (0.94, 0.96), 0.93 (0.91, 0.95), respectively. Conclusion Pinhole does not increase the screening accuracy of detecting decreased BCVA in grade one primary schoolchildren. Visual acuity test using Lea Symbols is more efficient than Tumbling E in the screening of that age. Trial registration Data were maily from the Lhasa Childhood Eye Study which has finished the clinical registration on ( ChiCTR1900026693 ).

目的 比较A型肉毒毒素(BTA)注射与手术治疗儿童共同性斜视的疗效.方法 纳入2018年4月至2019年8月就诊于北京同仁医院眼科中心的共同性斜视患儿142例作为研究对象.其中,男性74例,女性68例;年龄3～15岁,平均年龄(7.2±2.6)岁.按照家属的选择意愿分为注射组和手术组.注射组患儿采用BTA眼外肌注射治疗,手术组患儿采用斜视矫正术治疗.检查并记录治疗前与治疗后6个月患儿的斜视度、双眼视觉功能以及并发症情况,治疗后6个月患儿的眼位正位率等指标.注射组和手术组患儿斜视度与双眼视觉功能的定量数据,用均数±标准差描述,采用独立样本t检验进行组间比较,采用配对样本t检验进行组内比较.患儿双眼视觉功能的定性数据,眼位正位率与并发症等指标的描述采用频数和百分率表示,采用卡方检验进行组间比较.结果 治疗后6个月,注射组患儿的眼位正位率为58.2％,手术组患儿的眼位正位率为69.3％.两组患儿眼位正位率的比较,差异无统计学意义(x2=1.90,P＞0.05).注射组患儿斜视度绝对值在注射前和注射后6个月分别为(35.23±6.69)△和(12.35±10.16)△;手术组患儿斜视度绝对值在手术前和手术后6个月分别为(35.40±8.74)△和(9.16 ±9.43)△.治疗前与治疗后6个月,两组患儿斜视度绝对值的比较,差异无统计学意义(t=-0.13,1.92;P＞0.05).注射组和手术组患儿在治疗后6个月随访时,具有正常同视机Ⅰ级功能(同时视)的分别有25例(占39.1％)和38例(占50.7％);具有正常同视机Ⅱ级功能(融合视)的分别有43例(占67.2％)和70例(占93.3％);具有正常同视机Ⅲ级功能(立体视)的分别有26例(占40.6％)和37例(占49.3％);具有正常近立体视功能的分别有27例(占42.2％)和38例(占50.7％),与治疗前相比均有所增加.治疗后6个月,手术组具有同视机Ⅱ级功能(融合视)患儿的比例高于注射组,差异有统计学意义(x2=15.52,P＜0.05),其余差异均无统计学意义(x2=1.88,1.06,0.99;P＞0.05).注射组所有患儿主诉出现复视,16例患儿表现出轻度上睑下垂和结膜下出血,均于随访1～3个月时消失.结论 对于斜视度为中低度数(15△～50△)的患儿,BTA注射与手术治疗儿童共同性斜视在治疗后6个月临床疗效相近,是一种安全有效的治疗方法.

Objective: To analyze the clinical features of acute acquired c oncomitant esotropia (AACE) type Ⅲ and the effect of prism correction, including three-stage visual function, stability and the degree of satisfaction.Methods: This was a self-control study. Patients with AACE (Ⅲ) were examined for strabismus with a von Graefe prism, Maddox rod and synoptophore. The fusion range was measured with a synoptophore, and a prism was prescribed. The changes in values before and after wearing the prism were analyzed, and a satisfaction survey was done. The data were analyzed by a paired t test. The follow-up period ranged from 2 months to 2 years (0.7±0.5 years). Results: The degree of distance and near strabismus with the von Graefe prism was 16.9△±7.0△ and 15.1△±7.5△; with Maddox rod it was 22.6△±8.5△, 16.3△±9.0△; and the degree of distance strabismus with a synoptophore was 18.0△±8.2△. The fusion range with synoptophore was 25.4°±8.8°. The prism preschiption was 6.4△±3.0△. The comparison of distance strabismus and near strabismus with the von Graefe prism separation was no significant difference before and after wearing the prism (t=0.266, P=0.792 and t=0.731, P=0.471). The comparison of distance strabismus and near strabismus with Maddox rod was no significant difference before and after wearing the prism (t=-0.040, P=0.969 and t=-0.587, P=0.562). The comparison of distance strabismus with the synoptophore was t=-0.523, P=0.606 before and after wearing the prism. There was no significant difference in the fusion range (t=-1.210, P=0.237) or the strength of the prescription (t=0.000, P=1.000). There was no difference in stereopsis before and after wearing the prism. After wearing the prism, diplopia disappeared and the subjective evaluation of the effect of the prism was satisfactory for 11％ and very satisfactory for 89％. Conclusions: AACE type Ⅲ has the clinical features of a wide onset age range, large strabismus degree, greater distant strabismus degree than near strabismus degree, fusion function and potential stereopsis function. Prism correction is a good method that can eliminate diplopia, and will not affect the degree of strabismus, fusion range, or stereopsis.

目的 通过对120例间歇性外斜视患者知觉眼位检查眼位扭曲指标偏离距离以及偏移角度的分析,初步探讨间歇性外斜视患者随时间、空间变化的知觉眼位变化情况.方法 选择2017年2月至2017年8月在北京同仁医院就诊的120例间歇性外斜视患者,应用基于偏振分视平台的视感知觉检查方法对间歇性外斜视患者知觉眼位层面的眼位扭曲情况进行检测,分别记录其3.6度,4.4度,5.2度直径圆范围下十字偏离圈中心的位移像素值和十字偏离圈中心的角度值,并进行随机区组方差分析.结果 120例间歇性外斜视患者眼位扭曲检查中,3.6度圆平均偏移距离为237.58±189.07像素,4.4度圆平均偏移距离为233.83±189.89像素,5.2度圆平均偏移距离为227.76±184.77像素,3.6度圆、4.4度圆、5.2度圆范围内平均偏移距离有统计学差异(P=0.034).3.6度圆平均偏移角度为40.02± 28.34deg(度),4.4度圆平均偏移角度为36.30±27.66deg,5.2度圆平均偏移角度为32.28±25.75deg,3.6度圆、4.4度圆、5.2度圆范围下偏移角度有统计学差异(P＜0.001).结论 间歇性外斜视患者知觉眼位检查眼位扭曲指标中的圆半径越大,偏移距离和偏移角度越小.眼位扭曲指标中的偏移距离和偏移角度在随着时间轴变化,以及视觉空间扩大,其偏移距离和角度都有所变小,可能跟不同时空范围的双眼整合能力相关.

目的 探讨棱镜矫治急性共同性内斜视引起复视的棱镜处方量.设计 回顾性病例系列.研究对象 急性共同性内斜视所引起复视并进行棱镜矫正患者42例.方法 对急性共同性内斜视引起复视的患者分别予以马氏杆、同视机、Von Graefe棱镜分离、三棱镜加交替遮盖法行斜视度检查;同时行聚散力测量;给患者试戴棱镜,以达到复视消除、无不适效果的处方量作为棱镜最终处方量.分析各测量结果与处方量之间的相关性.主要指标 斜视度.结果 马氏杆测量患者平均斜视度(20.57±9.53)△;同视机测量(16.01±8.30)△;Von Graefe棱镜分离(15.95±7.07)△;三棱镜加交替遮盖(13.24±5.01)△;破裂点(5.17±4.20)△;回归点(9.14±5.76)△.棱镜处方量(6.92±3.49)△.马氏杆检查、同视机检查、Von Graefe棱镜分离、三棱镜加交替遮盖、破裂点、回归点与棱镜处方量的pearson相关系数分别为0.496、0.546、0.647、0.408、0.831、0.708.结论 由聚散力测量眼球外转的破裂点与棱镜处方量相关性最大,可以以破裂点作为棱镜试戴的起点.

目的 通过对间歇性外斜视患者随机点中距离立体视觉的观察,研究知觉眼位和同视机重合点检查与中距离立体视觉的相关性.方法 入选北京同仁医院2016年7月至2017年2月就诊的119名间歇性外斜视患者,进行知觉眼位、随机点中距离立体视、同视机重合点、三棱镜遮盖试验等检查.结果 随机点中距离立体视觉正常组,知觉眼位水平方向和垂直方向偏移分别为(295.16±208.05)像素和(18.35±26.66)像素.随机点中距离立体视觉异常组,知觉眼位水平方向和垂直方向偏移分别为(413.05±265.30)像素和(35±40.11)像素.两组间的水平和垂直方向偏移均有统计学差异.随机点中距离立体视觉正常组和异常组的同视机水平重合点分别为(-8.42±5.28)°和(-7.68±5.45)°,两组间无统计学差异.随机点中距离立体视觉正常组和异常组的看远和看近三棱镜度分别为(-32.95±14.21和-33.38±14.95)Δ和(-35.83±18.71和-35.17±19.45)Δ,两组间均无统计学差异.结论 间歇性外斜视患者中,随机点中距离立体视觉异常组的患者相较于正常组的患者的知觉眼位水平和垂直偏移明显增加,而同视机重合点、三棱镜度数均无显著差异.提示知觉眼位偏移大的间歇性外斜视患者的中距离立体视损伤的可能性大,而同视机重合点检查则不能反映.

Objective To investigate the characteristics of the binocular rivalry of children with amblyopia.Design Prospective case series.Participants 90 mild,moderate,severe amblyopic children with normal eye position,each group included 30 cases.Method The main test method was the computer based visual perceptual test software,each amblyopic child must take the binocular visual balance point of dynamic signal to noise ratio,static signal to noise ratio,dynamic contrast sensitivity,static contrast sensitivity.Main Outcome Measures The measured value of each binocular visual balance point.Results (1) In mild,moderate,severe amblyopic children,the binocular balance point of static signal to noise ratio was 6.17±1.548,5.51±1.800 and 2.08±0.935 respectively (H=51.526,P＜0.001);the binocular balance point of dynamic signal to noise ratio was 6.42±1.334,5.73±1.840 and 2.34±1.260 respectively (H=58.453,P＜0.001);the binocular balance point of static contrast sensitivity was 7.08±2.350,6.44±2.520 and 3.52±2.365 respectively (H=26.826,P＜0.001);the binocular balance point of dynamic contrast sensitivity was 7.40±2.430,7.13±2.554 and 3.31±2.007 respectively (H=42.200,P＜0.001).(2) In mild,moderate,severe amblyopic children,the difference between two eyes of static signal to noise ratio was 1.67±1.561,2.20±1.584 and 4.71±2.312 respectively (H=20.873,P＜0.001);the difference between two eyes of dynamic signal to noise ratio was 1.33±1.241,1.90±1.739 and 4.52±2.293 respectively (H=26.684,P＜0.001);the difference between two eyes of static contrast sensitivity was 2.67±1.709,2.73±2.651 and 5.48±3.329 respectively (H=11.116,P=0.004);the difference between two eyes of dynamic contrast sensitivity was 2.50±2.080,2.72±2.534 and 5.00±3.327 respectively (H=10.396,P=-0.006).Conclusion The binocular visual balance point of signal to noise ratio and contrast sensitivity was abnormal in amblyopic children with normal eye position.The more severe the degree of amblyopia,the more serious the abnormality was.The difference between two eyes of signal to noise ratio and contrast sensitivity increased with the degree of amblyopia.

目的 评估弱视儿童的双眼视差信息改变.设计 前瞻性病例系列.研究对象眼 位正常的轻度、中度、重度弱视儿童,各30例.方法 应用基于计算机平台的视感知觉检查方法对弱视儿童的双眼视差信息进行量化检测.分别测定随机点0阶视差、线条0阶视差、2阶视差、随机点动态1阶视差.主要指标 视差测量值或通过百分比.结果 轻度、中度、重度弱视儿童随机点0阶视差达100"的比例分别为43.3％、16.7％、0％(r=25.550,P=0.000);线条0阶视差达100"的比例分别为83.3％、50.0％、13.3％(x2=30.835,P=0.000),2阶视差正确率达100"的比例分别为86.7％、80.0％、40.0％(x2=22.144,P=0.000),随机点动态1阶视差低速通过者的比例分别为80.0％、50.0％、13.3％(x2=27.379,P=0.000).结论 眼位正位的弱视儿童其双眼视差信息均存在异常,弱视程度越深,异常越严重.

目的 调查弱视儿童在双眼分视状态下的眼位及注视稳定性的状况.设计 前瞻性病例系列.研究对象 临床眼位正常的弱视儿童,轻度、中度、重度各30例.方法 应用基于计算机平台的视感知觉检查方法对弱视儿童的知觉眼位与注视稳定性状况进行量化评估检测.主要指标 眼位差值与注视稳定性的对齐差值.结果 弱视儿童注视3°视标其水平眼位均值:轻、中、重度组分别为(12.70±9.57)像素、(23.33±21.03)像素、(53.79±58.92)像素(H=14.765,P=0.001);垂直眼位均值分别为(4.93±5.21)像素、(9.23±9.03)像素、(20.48±23.75)像素(H=13.569,P=0.001).注视1°视标其水平眼位均值:轻、中、重度分别为(18.67±16.19)像素、(33.27±27.95)像素、(81.61±76.02)像素(H=17.941,P=0.000);垂直眼位均值分别为(4.27±5.46)像素、(7.50±10.52)像素、(20.75±22.99)像素(H=19.927,P=0.000).轻、中、重度组注视稳定性对齐差值平均分别为(4.77±3.18)像素、(7.23±5.54)像素、(20.44±22.99)像素(H=29.944,P=0.000).结论 临床眼位正位的弱视儿童其知觉眼位及注视稳定性均存在异常,弱视程度越深,异常越严重.弱视治疗应注重双眼视功能的改善.

眼睛是暴露于外界的最精密、脆弱的器官,许多看起来微不足道的损伤,均可直接或间接损伤眼睛甚至导致失明.据眼科流行病学调查,全国每年发生眼外伤约500万～1200万例,眼外伤患者占眼科住院患者总数的16%～35%.

Objective To study the feature and the distribution of high order aberration in the children's eyes and analyzed the mechanism of the high order aberration in the forming of amblyopia.Methods The objective aberrometer was used to examine children's eyes in 4 groups.The emmetropic group with 25 subjects,recovered amblyopic group with 63 subjects,amblyopic group with 79 subjects,and the intractable amblyopic group with 25 subjects.The aberration of the emmetropic eye and the amblyopia eye were compared.Results There was no significant difference in total high order aberration and different order aberration in the emmetropic group,amblyopic group and recovered amblyopic group(P>0.05).The total high order aberration(0.30±0.12)μm and the fifth order aberration(0.11±0.07)μm in the intractable amblyopic group were higher than the total high order aberration(0.25±0.12)μm and fifth order aberration(0.06±0.04)μm(P<0.05) in the emmetropic group.In the recovered amblyopic group,there was no difference in the total high order aberration(0.27±0.14)μm and fifth order aberration(0.08±0.04)μm compared with emmetropic group(P>0.05).Conclusion There was some correlation between the formation of the intractable amblyopic and the high order aberration.

亮亮是个5岁的小男孩,妈妈发现他总是眯着眼睛看东西,看电视总是爱站在电视机前,有时还斜着眼看,妈妈每次都要提醒他坐到座位上去,还告诉他,距离太近会把眼睛看坏.但却一直没在意孩子为什么这样.直到幼儿园普查视力,发现亮亮双眼视力0.3,低于正常.妈妈这才明白原来孩子的眼睛已经出了问题.于是急忙带亮亮到同仁医院斜弱视门诊就诊,经吴晓主任医师检查,并散瞳验光,结果双眼都是高度远视,矫正视力0.5,诊断结果:双眼屈光不正性弱视.

目的:探讨治疗眼前部缺血性视神经病变有效的治疗方法.方法:应用复方樟柳碱注射液2ml做患眼球后及颞浅动脉旁交替注射,每日1次,10次为一疗程.结果:治疗43例68眼,经1～3个疗程治疗,治愈18眼(26.47%),显效38眼(55.88%),有效5眼(7.35%),无效7眼(10.30%),总有效率(89.70%).结论:复方樟柳碱治疗眼前部缺血性视神经病变效果良好,无明显副作用,优于传统的扩血管药物治疗,具有较高的临床应用价值.

急性视神经炎是眼科常见疾病,发病突然,进展快,视力损害严重 ,如不能得到即时有效的治疗,将丧失视力.自1995年以来我们应用中西医结合的方法治疗本病,收到良好效果,现报告如下.