警惕!被漏诊的斜弱视

 There are crucial aspectsregarding the subjects of amblyopia and strabismus which are important toemphasize. If it is obvious that your child has an eye turn, then it should beclear that you must take him to be evaluated by a professional who can make anoptimal assessment. You cannot know if amblyopia is present just byobservation. From an aesthetics point of view, for an eye turn to beobservable, the deviation must exceed 15-20 prism diopters, or approximately12-15°.

弱视和斜视的患者,有很多方面需要重点强调。如果孩子眼球偏斜明显,家长就知道,要带孩子去找专业的医生,做眼科检查。然而,弱视并不像斜视这么明显,无法只通过观察,就确定孩子是否患有弱视。从外观来看,斜视只有在超过15-20个棱镜度时,约12-15°,才能看得出来。

 

Therefore,if the eye examination is brief and only evaluates visual acuity and arefractive measurement for glasses (which unfortunately is frequently thecase), then the examination is inadequate. If a very careful assessment ofbinocularity, or eye teaming is not performed, many cases of amblyopia andsmall amounts of strabismus are often missed.

因此,如果只做简单的检查,仅检查视力和镜片的屈光度(不幸的是,通常只检查这两项),这些检查是完全不够的。如果没有仔细的双眼视功能检查,或双眼协调检查,那么很多弱视患者,还小部分斜视患者,将被漏诊。

 

Thisis also true in the area of learning problems. As one of my main areas ofinterest is learning problems, I ask the following question, “How many cases ofchildren diagnosed with dyslexia, attention deficit, or simply learningproblems have, as the root of their troubles, problems in binocularity whichare undiscovered because of an inadequate vision examination?” We will delve intothis more in Chapter 19.

学习方面的问题,也是如此。学习障碍问题,是我非常感兴趣的领域之一,我提出下面这个问题:“有多少被诊断为阅读障碍、注意力缺乏,或一些简单学习障碍的儿童,是由于视功能检查不全面,未检出双眼视问题所导致的?”我们将在第19章深入讲解这个问题。

 

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图15 立体视检查

文章摘自: CROSSED & LAZY EYES MYTHS,MISCONCEPTIONS AND TRUTHS)