目的 了解脑瘫患儿屈光状态和斜弱视情况及特点,制定多学科的综合康复计划,促进患儿的视力能康复。方法 对4~14岁的122例(244眼)脑瘫患儿进行眼部常规检查,眼位检查,散瞳验光等检查,并记录详细的既往病史。结果 本组脑瘫患儿中屈光不正220眼,发生率90.2%,其中80%经屈光矫正视力提高2行及以上,并以复性远视散光、远视和混合散光为主。屈光不正状态在痉挛型和其他类型脑瘫患儿间差异无统计学意义(P>0.05)。脑瘫患儿中斜弱视发生率13.1%,其中痉挛型脑瘫占50%,主要病因是早产及低出生体重。结论 重视脑瘫患儿的屈光矫正,特别是复性远视散光和混合散光。痉挛型是斜弱视脑瘫患儿最主要的脑瘫类型。

Objective To investigate the refractive status,amblyopia and strabismus in children with cerebral palsy. Methods A total of 122 children (244 eyes) with cerebral palsy aged 4~14 years old were recruited with ocular routine inspection,ocular position inspection and retinoscopy optometry under ciliary muscles paralysis.The detailed medical history was recorded at the same time. Results 220 eyes in children with cerebral palsy had refractive errors,the incidence was 90.2%.Visual acuity increased over 2 rows in 80% (88 eyes) with the refractive correction.Mixed astigmatism,hyperopia and compound hyperopic astigmatism were the main refractive error states in children with cerebral palsy.No difference of refractive error state was found between spastic and other cerebral palsy (P>0.05).The incidence of strabismus and amblyopia was 13.1%,spastic cerebral palsy was accounted for 50% of the children with strabismus and amblyopia,and premature birth and low birth weight were the main causes. Conclusions Pay more attention to the correction of refractive error in cerebral palsy children,especially the compound hyperopic astigmatism and mixed astigmatism.Spastic cerebral palsy is the main type of cerebral palsy in children with amblyopia and strabismus.