华文娟，王 珍，徐丹丹

·临床报告·

不同类型屈光参差与弱视和立体视的相关研究

华文娟，王 珍，徐丹丹

Department of Ophthalmology，Suzhou Municipal Hospital，Suzhou 215002，Jiangsu Province，China

Correspondenceto:Wen-JuanHua.Departmentof Ophthalmology，SuzhouMunicipalHospital，Suzhou215002，Jiangsu Province，China.239424988@qq.com

·AIM:To investigate the effects of different types and differentials of anisometropia on vision development and stereopsisandtoanalyzetherelevancebetween anisometropia with monocular amblyopia and stereopsis.

·METHODS:From January 2013 to December 2014，326 patients with anisometropia went for their first visits were collected with clinical data.Best corrected distant and near visions，near stereopsis after the correction were recorded，inordertoanalyzetheproportionsof amblyopia and abnormal stereopsis.

·RESULTS:Asthedifferentialsofanisometropia increased，the corrected far and near vision in patients with high refractive error decreased，the incidence of amblyopia increased.There was also a growth on the incidenceofabnormalstereopsiswhichmadea statisticallydifference.Amblyopiaandabnormail stereopsisoccurredearliestandwasthemostin hyperopia group，which was different from other groups and the discrepancy was statistically significant.

·CONCLUSION:The differentials of anisometropia affect the percentages of abnormal stereopsis and amblyopia directly.Thedifferentialsofamblyopiacausedby hyperopic anisometropia is the least which is related to the lack of regulatory function in patients with high refractive error and their incapability to develop proper near vision.

目的：观察不同类型不同差值的屈光参差对视力发育和立体视形成的影响，分析屈光参差与单眼弱视、立体视之间的相关因素。

方法：收集2013-01/2014-12在我院门诊初诊屈光参差患者326例的临床资料，记录最佳矫正远、近视力，以及矫正后近立体视，分析弱视和立体视异常的比例。

结果：随着屈光参差差值的增大，高屈光眼远近矫正视力下降，弱视发生率增高，异常立体视增多，有统计学差异。远视组出现弱视和立体视异常最早且比例最大，有显著统计学差异。

结论：屈光参差差值的大小直接影响弱视和立体视异常的比例，远视性屈光参差形成弱视的差值最小，与其高屈光眼调节功能不足，近视力无法正常发育有关。

屈光参差；弱视；立体视

引用：华文娟，王珍，徐丹丹.不同类型屈光参差与弱视和立体视的相关研究.国际眼科杂志2016；16（3）:585-587

0　引言

屈光参差是双眼屈光度不一致的一种状态，达到一定程度可影响双眼单视，是导致儿童单眼弱视的最常见的原因之一。不同类型、不同差值的屈光参差对视功能的影响并不完全一致，为对其进行观察比较，本文收集了门诊就诊的屈光参差患者进行分类，观察不同类型不同差值的屈光参差对视力发育和立体视形成的影响，分析屈光参差与弱视、立体视之间的相关因素，结果报告如下。

1　对象和方法

1.1对象 收集2013-01/2014-12在我院门诊初诊的屈光参差患者326例，男178例，女148例，年龄4.5～12岁，能理解并配合检查。……