重医附一院《眼科学课件》5.optic+斜视.pptVIP

斜视的治疗 共同性斜视 矫正屈光不正 手术矫正 早期手术可获得双眼单视。一眼恒定的斜视，要积极治疗弱视，使其变为交替性斜视后再手术 非共同性斜视 应针对病因进行治疗，若病情稳定后仍有斜视， 应在稳定后3~6月后再行手术 * Etiology An eye disease such as a cataract may lead to amblyopia. Any factor that prevents a clear image from being focused inside the eye can lead to the development of amblyopia in a child. This is often the most severe form of amblyopia. Classification strabismic amblyopia anisometropic amblyopia ametropic amblyopia deprivation amblyopia Symptoms · Poor vision in one or both eyes · Squinting or closing one eye while reading or watching television · Crossed or turned eye · Turning or tilting the head when looking at an object Examination of amplyopia Visual function Parents must be very observant of young children and should have a routine eye exam performed by the age of 2-3 to detect potential problems. Examination of amplyopia Doctor often estimates visual acuity by watching how well a baby follows objects with one eye when the other eye is covered. If one eye is amblyopic and the good eye is covered, the baby may attempt to look around the patch, try to pull it off, or cry. Examination of amplyopia Refractive status optometry It is necessary to overcome children-accommodation by using Cycloplegic drugs. 1% atropine eyedrop, applied three times a day for 3 days. Examination of amplyopia Check strabismus Others Slit-lamp and funduscope Eliminating organic disease of eye Treatment Early treatment Success in the treatment of amblyopia depends upon two factors: How severe the amblyopia is; and How old the child is when treatment is begun. If the problem is detected and treated early, vision can improve for most children. Treatment Correction of refractive errors with Glasses For children with problems relating to a refractive error, glasses may be necessary to correct vision. Treatment Surgery Problems that impair visio