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| Clinical effect of He-Ne laser combined with visual enhancement training in the treatment of high astigmatism amblyopia |
| LI Dan SHEN Ling▲ DENG En-li |
| Department of Ophthalmology,Dalian Maternal and Child Health Care Hospital of Liaoning Province,Dalian 116033,China |
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Abstract Objective To explore the clinical effect of He-Ne laser combined with visual enhancement training in the treatment of high astigmatism amblyopia.Methods A total of 260 children (459 eyes)with high astigmatism amblyopia admitted to the ophthalmological clinic of our hospital from July 2010 to July 2017 were selected as the study subjects,all the children were divided into treatment group(n=130,225 eyes)and control group(n=130,234 eyes),the treatment group was given He-Ne laser combined with visual enhancement training,while the control group was given traditional therapy(occlusion therapy),the treatment efficiency of the two groups after 3,6 months and 1 year of treatment was recorded and compared,the treatment effect of different types of astigmatism in the treatment group and the treatment efficiency of different refraction at different time points in the treatment group were also recorded and compared.Results The effective rate of the treatment group was higher than that of the control group after 6 months and 1 year of treatment(P＜0.05).The total effective rate of hyperopic astigmatism was the highest in children with simple hyperopic astigmatism(P＜0.05),the total effective rate was the lowest in children with compound myopic astigmatism(P＜0.05).After 3 months of treatment,the effective rates of children with 2.00-＜2.75 D and 2.75-＜3.50 D were higher than those of children with ≥3.50 D (P＜0.05).After 6 months of treatment,the effective rate of children with 2.00-＜2.75 D was higher than that of the other two groups,the effective rate of children with 2.75-＜3.50 D was higher than that of children with ≥3.50 D,the differences were statistically significant(P＜0.05).After one year of treatment,the effective rate of children with 2.00-＜2.75 D was higher than that of the other two groups,the effective rate of treatment in children with 2.75-＜3.50 D was higher than that in children with ≥3.50 D,the differences were statistically significant(P＜0.05).Conclusion He-Ne laser combined with visual enhancement training is safe and effective in the treatment of high astigmatism amblyopia,which can significantly improve the visual acuity of children,especially in children with 2.00～＜2.75 D simple high hyperopic astigmatism amblyopia.
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