本文選題：弱視 + 雙眼視覺(jué)　； 參考：《青島大學(xué)》2017年碩士論文

【摘要】：目的:通過(guò)觀察屈光性弱視患兒雙眼視力達(dá)到正常時(shí)的融合功能及遠(yuǎn)、近立體視,分析影響屈光性弱視患兒治療過(guò)程中雙眼視覺(jué)發(fā)育的因素。方法:通過(guò)回顧性隊(duì)列研究,選擇1998年3月至2016年11月青島大學(xué)附屬醫(yī)院眼科收集收治的164例經(jīng)治療雙眼矯正視力達(dá)1.0的屈光不正和屈光參差性弱視患兒,在此樣本中男82例,女82例,初診年齡為3.0至12.0歲,平均年齡為4.86±0.71歲,視力恢復(fù)正常年齡為5.4至13.0歲,平均年齡為6.79±1.23歲,所有弱視患兒均經(jīng)常規(guī)眼科檢查,通過(guò)顏少明編寫《數(shù)字化立體視覺(jué)檢查圖》(Digital stereoscopic test chart,DSTC)檢測(cè)患兒近立體視,同視機(jī)隨機(jī)點(diǎn)立體視畫片(random-dot stereosgrams,RDS)檢查融合和遠(yuǎn)立體視,記錄患兒性別、初診年齡、視力恢復(fù)正常年齡、治療持續(xù)時(shí)間、弱視程度、是否采取遮蓋、單眼或雙眼弱視,采用X2檢驗(yàn)、確切概率法和Kruskal-Wallis秩和檢驗(yàn),統(tǒng)計(jì)分析這些因素與融合功能及遠(yuǎn)、近立體視覺(jué)的關(guān)系。結(jié)果:1.164例患兒中,患兒初診年齡、視力恢復(fù)正常年齡、治療持續(xù)時(shí)間、弱視程度均對(duì)近立體視的恢復(fù)有影響(χ2=8.220、9.338、4.931、7.615,P均0.05),患兒性別、是否采取遮蓋、單眼或雙眼弱視對(duì)近立體視的恢復(fù)結(jié)果差異無(wú)顯著性(χ2=0.994、2.836、0.187,P均0.05)。2.164例患兒樣本中,患兒性別、初診年齡、視力恢復(fù)正常年齡、弱視程度、治療持續(xù)時(shí)間、是否采取遮蓋、單眼或雙眼弱視對(duì)遠(yuǎn)立體視的恢復(fù)影響均無(wú)顯著性差異(P均0.05)。3.164例患兒中,患兒性別、初診年齡、視力恢復(fù)正常年齡、治療持續(xù)時(shí)間、弱視程度、是否采取遮蓋、單眼或雙眼弱視對(duì)融合功能的恢復(fù)影響均無(wú)顯著性差異(P均0.05)。4.遠(yuǎn)立體視基本同步視力恢復(fù),近立體視尚未隨之同步恢復(fù)。結(jié)論:1.患兒初診的年齡愈小、視力恢復(fù)正常的年齡愈小、治療持續(xù)時(shí)間愈短、弱視程度較輕,越有利于近立體視的恢復(fù),患兒性別、單眼或雙眼弱視、是否采取遮蓋對(duì)近立體視的恢復(fù)則無(wú)影響。2.患兒性別、初診年齡、視力恢復(fù)正常的年齡、治療持續(xù)時(shí)間、弱視程度、是否采取遮蓋、單眼或雙眼弱視對(duì)遠(yuǎn)立體視及融合的恢復(fù)均無(wú)影響。弱視患兒治愈后,融合均有不同程度的恢復(fù),但仍低于正常水平。3.遠(yuǎn)立體視的恢復(fù)好于近立體視的恢復(fù)。
[Abstract]:Objective: to investigate the binocular visual development in children with ametropia amblyopia by observing the fusion function, distant vision and near stereopsis when the vision of children with refractive amblyopia reached normal level, and to analyze the factors affecting the development of binocular vision in children with refractive amblyopia. Methods: a retrospective cohort study was conducted in 164 children with ametropia and anisometropic amblyopia whose binocular corrected visual acuity reached 1.0 from March 1998 to November 2016 in the affiliated Hospital of Qingdao University. There were 82 males in this sample. 82 cases of female were diagnosed at the age of 3.0 to 12.0 years old, the average age was 4.86 鹵0.71 years old, the normal visual acuity was 5.4 to 13.0 years old, the average age was 6.79 鹵1.23 years old. All the children with amblyopia underwent routine ophthalmic examination. Using Yan Shaoming to compile "Digital Stereo Vision Diagram" (DSTC) to detect the near stereopsis of children, random dot stereopsis film (random-dot stereopsis) to check fusion and distant stereopsis, to record the gender, the age of first visit, the visual acuity to return to normal age, to record the sex of the child, the age of first visit, and the visual acuity to return to normal age. The duration of treatment, degree of amblyopia, whether or not to take cover, monocular or binocular amblyopia, X2 test, exact probability method and Kruskal-Wallis rank sum test were used to analyze the relationship between these factors and fusion function and distant and near stereoscopic vision. Results among the 164 children, the age of first visit, the age of visual acuity, the duration of treatment and the degree of amblyopia had influence on the recovery of near stereopsis (蠂 ~ 2 = 8.220 / 9.338 / 4.931 / 7.615P, P = 0.05). There was no significant difference in the recovery of near-stereopsis between monocular and binocular amblyopia (蠂 ~ 2 / 0.994n = 2.836 / 0.187P). The sex, age at first visit, visual acuity return to normal age, degree of amblyopia, duration of treatment, whether or not to cover up, were all observed in the sample of monocular amblyopia and binocular amblyopia (蠂 ~ 2 = 0.994, 2.836, 0.187). There was no significant difference in the effect of monocular or binocular amblyopia on the recovery of far stereopsis (P = 0.050.3.164). Sex, age at first visit, age of visual recovery, duration of treatment, degree of amblyopia, whether to take cover or not. There was no significant difference in the restoration of fusion function between monocular amblyopia and binocular amblyopia (P < 0.05). Distant stereopsis basic synchronous vision recovery, near stereopsis has not yet recovered synchronously. Conclusion 1. The younger the first visit, the younger the age of recovery of visual acuity, the shorter the duration of treatment, the lighter the degree of amblyopia, the more favorable to the recovery of near stereopsis, the gender of the child, the amblyopia of monocular or binocular amblyopia. There was no effect on the restoration of near stereopsis by shading. 2. Gender, age at first visit, age at which visual acuity returned to normal, duration of treatment, degree of amblyopia, whether covered or not, and unilateral or binocular amblyopia had no effect on the recovery of distant stereopsis and fusion. After the amblyopia was cured, the fusion was recovered to some extent, but still lower than the normal level. 3. 3. The recovery of distant stereopsis is better than that of near stereopsis.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R777.44

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李靜姣;周華;鐘華;;近視兒童雙眼視覺(jué)功能的研究進(jìn)展[J];國(guó)際眼科縱覽;2015年04期

2 陶俊;;間歇性外斜視術(shù)后應(yīng)用同視機(jī)訓(xùn)練對(duì)雙眼視功能變化的療效觀察[J];中國(guó)斜視與小兒眼科雜志;2015年03期

3 魯誠(chéng);魏盟;魏承麗;任靜;;近視性和遠(yuǎn)視性弱視視功能發(fā)育臨床觀察[J];國(guó)際眼科雜志;2015年07期

4 王利華;趙堪興;;間歇性外斜視治療中的熱點(diǎn)問(wèn)題[J];中華眼科雜志;2015年06期

5 Xian Yang;Teng-Teng Man;Qiao-Xia Tian;Gui-Qiu Zhao;Qing-Lan Kong;Yan Meng;Yan Gao;Mei-Zhen Ning;;Long-term postoperative outcomes of bilateral lateral rectus recession vs unilateral recession-resection for intermittent exotropia[J];International Journal of Ophthalmology;2014年06期

6 滿滕滕;楊先;田巧霞;張杰;李慧;;不同方式直肌手術(shù)治療間歇性外斜視術(shù)后眼位的觀察[J];青島大學(xué)醫(yī)學(xué)院學(xué)報(bào);2014年04期

7 楊亮;胡礎(chǔ)圖;劉密密;項(xiàng)凱;薩楚拉;芳原草;其其格;;立體視覺(jué)的研究進(jìn)展[J];醫(yī)學(xué)綜述;2014年11期

8 張?chǎng)?;青少年間歇性外斜視手術(shù)前后立體視覺(jué)的臨床觀察[J];中華眼科醫(yī)學(xué)雜志(電子版);2014年03期

9 鄭樹(shù)鋒;王建明;;不同手術(shù)方式治療小度數(shù)基本型間歇性外斜視療效觀察[J];國(guó)際眼科雜志;2013年12期

10 亓昊慧;洪德建;;屈光不正性弱視近立體視功能的臨床觀察[J];新疆醫(yī)學(xué);2013年08期

相關(guān)博士學(xué)位論文 前1條

1 劉嶸;對(duì)比敏感度發(fā)育及立體錯(cuò)覺(jué)輪廓完型機(jī)制的研究[D];中國(guó)科學(xué)技術(shù)大學(xué);2014年

相關(guān)碩士學(xué)位論文 前6條

1 欒亞楠;間歇性外斜視分型與融合控制力的相關(guān)性研究[D];山東大學(xué);2015年

2 王巖琳;兒童間歇性外斜視分型與AC/A關(guān)系的研究[D];山東大學(xué);2015年

3 郭敬麗;單眼外直肌后徙術(shù)治療兒童間歇性外斜視與殘余性外斜視的臨床療效比較[D];山東大學(xué);2014年

4 姚婕穎;間歇性外斜視術(shù)后立體視恢復(fù)規(guī)律的研究[D];安徽醫(yī)科大學(xué);2014年

5 吳艷平;基本型和集合不足型間歇性外斜視的臨床分析[D];天津醫(yī)科大學(xué);2013年

6 李榮榮;非睫狀肌麻痹攝影驗(yàn)光篩查兒童屈光性弱視相關(guān)因素的可行性研究[D];河北醫(yī)科大學(xué);2013年

，

本文編號(hào)：1920323