| Objective:To investigate the clinical effect of comprehensive treatment on children with different degrees of
amblyopia, ages and amblyopia types.Methods:Selected 393 children with amblyopia (671 eyes)treated in our hospital from January
2012 to January 2014, who were divided into mild group(299 eyes), moderate group(293 eyes) and severe group(79 eyes) according to
the degrees of amblyopia, all of the three groups were received the comprehensive treatment of cover, fine eyesight training, instrument
training and penalization therapy. lasting 6~12 months, then compared the clinical effect in children with different degrees of amblyopia,
ages and amblyopia types.Results:After treatment, the cure rates of mild, moderate and severe groups were 90.97%, 72.35% and
17.72%,respectively, and the total effective rates were 100.00%, 96.93% and 84.81%, respectively, the difference between each groups
were statistically significance (P<0.05). The cure rates of 3~5 years old children, 6~8 old children and 9~11 years old children were
77.08%,74.72%and 71.03%, respectively, and the total effective rates were 99.48%, 97.36%and 93.93%, respectively, among which the
total effective rate of 3~5 years old children was significantly higher than that of 9~11 years old children (P<0.05), but the difference of
cure rates among the three age groups was not significant (P>0.05). The cure rates of children with amblyopia types of ametropia,
strabismus, anisometropia 85.65%, 45.75% and 61.54%, respectively, and the total effective rates were 99.34%, 90.20% and 95.38%,
respectively, among which the total effective rates and cure rates of children with amblyopia types of ametropia were significantly higher
than that of children with other two types (P<0.05).Conclusion:The clinical effect of comprehensive treatment for amblyopia children is
closely related to the degree of amblyopia, amblyopia type and age.Early treatment base on the amblyopia type is the key to improve the
prognosis. |
