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Do training diligently, why can't this "amblyopia" girl's eyesight improve?

Text/Yangcheng Evening News All-media reporter Zhang Hua Correspondent He Shuzhen Chen Zhongqin

"Wear glasses every day according to the doctor's requirements, and insist on visual training for the child, but the child's vision has not been able to go up." Children's myopia and astigmatism are so high, and there is amblyopia, will the vision in the future be worse? Recently, in the Department of Great Optometry and Myopia Prevention and Control of Guangzhou Aier Eye Hospital, a mother asked the doctor anxiously, "Children with amblyopia, why does the training not work?" ”

After a detailed examination, it was found that the parents' original correction method was not the best choice. Experts pointed out that "due to inaccurate diagnosis, children repeatedly do visual training, the result is not only can not improve the child's vision, but also may accelerate the progression of myopia." ”

Do training diligently, why can't this "amblyopia" girl's eyesight improve?

Experts believe that myopia is not common

Repeated treatment of "amblyopia", but the vision has not been able to go up

7-year-old Le Le (pseudonym) suffered from amblyopia, and the doctor said that the possibility of recovery was relatively slim when he visited the doctor, so his mother was very anxious and worried. On January 12, Le Le and his mother came to the Department of Optometry and Myopia Prevention and Control of Guangzhou Aier Eye Hospital for treatment.

"The child started 3 months ago, wearing glasses every day according to the doctor's requirements, and insisting on visual training for the child, but the child's vision has not been able to go up." The child's myopia and astigmatism are so high, and there is amblyopia, will the child's vision be worse in the future..." Lele's mother expressed her concern to Director Zhang Xiaoxiao.

After a detailed examination, it was found that Lele's binocular myopia was 1000 degrees and 750 degrees, the astigmatism of both eyes was 200 degrees, and only 0.6 could be seen in the left and right eyes after wearing glasses. Director Zhang Xiaoxiao pointed out, "Children have high myopia and astigmatism, and high refractive errors may also lead to the occurrence of amblyopia, but clinically, myopia amblyopia is not common, because myopic babies usually see close-up is relatively clear, so the impact of vision development is not as serious as amblyopia caused by high farsightedness." If the child repeatedly does visual training due to inaccurate diagnosis, the result is not only that the child's vision cannot be improved, but also that the progression of myopia may be accelerated. ”

Do training diligently, why can't this "amblyopia" girl's eyesight improve?

Director Zhang Xiaoxiao is wearing RGP mirrors for Lele

Help your child regain sight in the right way

After a preliminary analysis, Director Zhang Xiaoxiao communicated with Lele's mother and tried to give the child the choice to use a hard corneal contact lens, which is commonly known as an RGP mirror, instead of an ordinary frame mirror to correct the child's vision. "RGP glasses provide patients with better vision and visual quality than framed glasses." Zhang Xiaoxiao said.

However, like many parents, Lele's mother also has a doubt: "Can such a young child use contact lenses?" Is it safe? ”

Director Zhang said: "Hard corneal contact lenses are divided into two types: OK mirrors and RGP mirrors, OK mirrors from the perspective of safety and necessity, generally require patients to be over eight years old; and RGP mirrors are mainly used for high refractive error, high refractive error and refractive correction of some special corneas, in the case of necessity, not necessarily limited by age, of course, for younger children, need to have the assistance of parents, and need to be fitted in formal medical institutions, and used under the supervision of doctors." ”

Actively cooperate with correction, and vision reaches normal

After examination and try-on, Lele's vision has been greatly improved, and finally the mother can rest assured, because the corrected vision of the child's eyes has reached 0.8!

It is understood that when wearing glasses for 1 week and 1 month, the vision of wearing glasses during Lele's review is basically maintained at 0.8 to 0.9. Director Zhang Xiaoxiao believes that although Lele's corrected vision does not reach 1.0, this may be due to the fact that the problem was not found in time and the glasses were worn correctly, so it had a certain impact on the development of vision.

However, this corrected vision has basically reached the standard, so there is no need for special visual training, so as not to aggravate the degree of myopia due to too much close-up training. Usually, Lele can stimulate the development of vision by training the ability of hand-eye coordination through some sports such as badminton and table tennis.

In addition, Director Zhang Xiaoxiao once again reminded that although high refractive error may cause children with amblyopia, it is necessary to be cautious whether this diagnosis is established! Because the impact of different refractive error components on visual development is actually different, especially in the absence of choosing a suitable correction program, blind diagnosis and blind visual training for children may not necessarily solve the child's vision problems. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)

Source | Yangcheng Evening News Yangcheng Pie

Editor-in-charge | Chen Liang

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