内容发布更新时间 : 2024/9/20 5:38:12星期一 下面是文章的全部内容请认真阅读。

According to Office Party of mass line education practice activities led group of unified arrangements, units main led to for cadres workers Shang a times party lecture, due to himself level limited, only put this stage concentrated learning of experience today and everyone common with learning exchange, purpose is let we further deep understanding mass line of connotation, insisted party of mass line, do masses work, following main from four a aspects told: a, and full awareness party of mass line education practice activities of major meaning Party's 18 major distinct proposed to focus on the party's advanced nature and purity, in the party, with \nd clean for the people\nt of the party's mass line and educational practice. This is comrade XI Jinping as party General Secretary and adhere to strictly administering the party, strengthen the party's major decision is in line with the public expectations and strengthening the construction of learning-oriented service innovation of Marxist party's major deployment, is the important measure to advance the great cause of socialism with Chinese characteristics. First, carry out the party's mass line in education practice, was carrying 18 of the party spirit, summon a powerful force for realizing the great rejuvenation of the Chinese nation the Chinese dream of urgent needs. Party's 18 to promote strategic deployment to building socialism with Chinese characteristics, presents two 100-year goal, namely, by 2020 China's gross domestic product and per capita income of urban and rural residents in 2010 on the basis of double complete the building of a well-off society; the middle of this century into a prosperous, democratic, civilized and harmonious Socialist modern country, and on this basis, the Chinese dream of realizing the great rejuvenation of the Chinese nation. 18 Congress of the party, Comrade XI Jinping repeatedly expounded the Chinese dream. The basic connotation of the Chinese dream, is the national prosperity, national revitalization, the happiness of the people, China important to follow is to keep China Road, carry forward the spirit and cohesion strength of China, dream dreams of the people of China, but determined confidence, enhance self-awareness, achieve self-reliance, to build a stronger China, civilization, harmony, beauty, China, China, China. Strategic conception of China was 18 the spirit of the enrichment and development of the party, conscientiously study the Chinese dream, leading people to hard to realize the Chinese dream, mass education activities in depth the fundamental starting point and ending point. Strengthen the education of the party's mass line, helps to train the collective consciousness of the unity of the party and the people, playing the Chinese dream ideological bases. Comrade Mao Zedong stressed that parties should have \mon language\have \of will\History has 1. 远视:根据患儿年龄,扣除生理远视度数配镜.

例如:年龄6岁:+5.00DS 配镜:+4.00Ds--3.50DS

2. 高度远视:最好配2副,足矫用以训练时和近用戴,平时则扣除年龄相关的远视度数来配.

例如:5岁 验光 +8.00DS平时戴+6.5DS训练和近用取+8.00DS

特殊情况:若矫正视力<0.1首次应于足矫.复查1次/1-2个月,,6个月根据视力的进步,另配一副+6.00DS眼镜,平时用.(注:两镜片中心最好取看远和看近的平均值)

3. 高度远视:最好配2副眼镜,足矫用以训练和近用戴,平时,则眼镜度数则扣除相关年龄的生理

性远视度数.

4. 屈光参差:配镜原则两眼相差小于3.00DS,否则双眼像差明显而不适. 5.散光:顺规散光可稍减度数,对于高度散光,第一次配镜给予适度减低. 逆规散光和斜散.应于足矫.

(生理远视度数配镜如何扣？4-5岁:+2.00DS 6岁: 1.00DS 7岁以上 小于 +1.00DS 酌情减量 ) 6.近视:儿童性近视性弱视一般都是病理性近视眼,应及早治疗.起初,常以混合散光形式出现,以后转为复性近视散光,且散光度数较大,常于先天眼病并存,,可有明显内斜,因此配镜是治疗的第一步,还要考屡其他治疗措施.

配镜:第一副眼镜可以配得浅一些,以便患者适应,若短期适应好,该为足矫,以后每半年或一年,阿托品散瞳,复验,给予足较.有关是否需要弱视训练问题,北大刘教授有详细阐述.若近视度数增长大于1.00DS/年,可考虑给予后巩膜加固术.一般效果较好. 我对远视配镜的一些经验：

1.远视不伴有内斜视的：以散瞳验光的度数减去1/3后大瞳直接配镜，每个月复查视力，同时进行物理弱视训练，半年后重新验光，复验后根据视力调整度数，矫正视力和眼三级功能（同时视、融合、立体视）。原因是首次配镜时患儿可能因为度数过高，不能接受，因此减去度数，并大瞳配镜，如果复验配镜肯定欠矫。复验时因为已长期戴镜，能接受度数，再去复验配镜，达到最佳视力。

2.远视伴有内斜视时：以散瞳验光的度数大瞳直接配镜，每个月复查视力和斜视度数，同时进行物理弱视训练，半年后重新验光，复验后根据视力调整度数。如果远视全部矫正仍然残留内斜，则在视力稳定后及时手术纠正眼位，再继续矫正视力，恢复眼的三级功能（同时视、融合、立体视）。原因是首次配镜时过矫一点（把生理性远视也给上）有助于远视引起的内斜视的纠正。

3.远视伴有外斜视时：配镜原则按无斜视配的基础适当减去0.50～1.00DS，同样每月复查视力斜视度，半年重新验光。视力稳定后如果还残留外斜视，则尽快手术纠正，术后矫正视力，恢复眼的三级功能（同时视、融合、立体视）。

5岁的孩子矫正视力<=0.5时才认为有弱视可能，而并非以1.0为标准，所以此门诊孩子诊断即为“生理性远视”，无需处理，半年或1年复诊再了解情况。

1. 远视不伴有内斜视的：以散瞳验光的度数减去1/3后大瞳直接配镜，每个月复查视力，同时

进行物理弱视训练，半年后重新验光，复验后根据视力调整度数，矫正视力和眼三级功能（同时视、融合、立体视）。原因是首次配镜时患儿可能因为度数过高，不能接受，因此减去度数，并大瞳配镜，如果复验配镜肯定欠矫。复验时因为已长期戴镜，能接受度数，再去复验配镜，达到最佳视力。

2.远视伴有内斜视时：以散瞳验光的度数大瞳直接配镜，每个月复查视力和斜视度数，同时

roved that a people and a nation, if it does not have its own spiritual pillar, there is no unity of spiritual support, it means that no soul, will lose cohesion and vitality. Figuratively speaking, a sack of potatoes, quantity cannot be too a team, form a joint force; only like granite, so closely United to form invincible, no difficult means of strength. National rejuvenation of Chinese dream, not only embodies the common interests and pursuits, and covers a variety of groups and classes, has a wide applicability and inclusive, with a strong integrating force and lead the force. She embodies the aspirations of several generations of Chinese, reflecting today ... Into sex and purity, and the inevitable requirement of constantly improving the party's governing capacity. Strengthening the construction of the advanced nature and purity, the core problem is always maintaining the party's flesh-and-blood ties with the masses, so that our party will always be the most wholehearted support of the masses. Must take the fundamental interests of the overwhelming majority of the people as the party all the starting point and ending point, the party has always been a common fate with the masses, this is the magic weapon for our party to always maintain the advanced nature and purity. Strengthening the construction of party's advanced nature and purity and enhancing the party's ruling ability will eventually be implemented to realize, safeguard and develop the fundamental interests of the overwhelming majority of the people. All the work merits this is a measure of the party's fundamental standards, is a measure of the party's advanced nature and purity standards. Believe who, depending on who, who, standing on the position of the overwhelming majority of the people are always, always realize, safeguard and develop the fundamental interests of the overwhelming majority of the people, it is a touchstone of the Marxist party of judgement, is also sign of Marxist party is different fromother political parties. Marxist political party has a clear political position and historical mission: for the interests of the vast majority of people, committed to the fundamental interests of the overwhelming majority of the people. From the day of the establishment of the Chinese Communist Party, always adhere to basic principles of historical materialism, for the interests of the most people as their goal, always serving as its fundamental purpose and values. Fully trust the masses, closely rely on the masses maintain flesh-and-blood ties with the masses is always the source of our party full of vigor and vitality, is always the most determined in the development of our party and our country. Conscientiously accept supervision by the masses, pay attention to listen to the masses ' assessment, which itself was the party's advanced nature and purity into practical action to realize the fundamental interests of the overwhelming majority of the people. At present, the party committees and leading cadres and the Government generally value the close relations with the masses, do a lot of productive work, but there are still someAccording to Office Party of mass line education practice activities led group of unified arrangements, units main led to for cadres workers Shang a times party lecture, due to himself level limited, only put this stage concentrated learning of experience today and everyone common with learning exchange, purpose is let we further deep understanding mass line of connotation, insisted party of mass line, do masses work, following main from four a aspects told: a, and full awareness party of mass line education practice activities of major meaning Party's 18 major distinct proposed to focus on the party's advanced nature and purity, in the party, with \atic and clean for the people\nt of the party's mass line and educational practice. This is comrade XI Jinping as party General Secretary and adhere to strictly administering the party, strengthen the party's major decision is in line with the public expectations and strengthening the construction of learning-oriented service innovation of Marxist party's major deployment, is the important measure to advance the great cause of socialism with Chinese characteristics. First, carry out the party's mass line in education practice, was carrying 18 of the party spirit, summon a powerful force for realizing the great rejuvenation of the Chinese nation the Chinese dream of urgent needs. Party's 18 to promote strategic deployment to building socialism with Chinese characteristics, presents two 100-year goal, namely, by 2020 China's gross domestic product and per capita income of urban and rural residents in 2010 on the basis of double complete the building of a well-off society; the middle of this century into a prosperous, democratic, civilized and harmonious Socialist modern country, and on this basis, the Chinese dream of realizing the great rejuvenation of the Chinese nation. 18 Congress of the party, Comrade XI Jinping repeatedly expounded the Chinese dream. The basic connotation of the Chinese dream, is the national prosperity, national revitalization, the happiness of the people, China important to follow is to keep China Road, carry forward the spirit and cohesion strength of China, dream dreams of the people of China, but determined confidence, enhance self-awareness, achieve self-reliance, to build a stronger China, civilization, harmony, beauty, China, China, China. Strategic conception of China was 18 the spirit of the enrichment and development of the party, conscientiously study the Chinese dream, leading people to hard to realize the Chinese dream, mass education activities in depth the fundamental starting point and ending point. Strengthen the education of the party's mass line, helps to train the collective consciousness of the unity of the party and the people, playing the Chinese dream ideological bases. Comrade Mao Zedong stressed that parties should have \mon language\have \History has 进行物理弱视训练，半年后重新验光，复验后根据视力调整度数。如果远视全部矫正仍然残留内斜，则在视力稳定后及时手术纠正眼位，再继续矫正视力，恢复眼的三级功能（同时视、融合、立体视）。原因是首次配镜时过矫一点（把生理性远视也给上）有助于远视引起的内斜视的纠正。

3.远视伴有外斜视时：配镜原则按无斜视配的基础适当减去0.50～1.00DS，同样每月复查视力斜视度，半年重新验光。视力稳定后如果还残留外斜视，则尽快手术纠正，术后矫正视力，恢复眼的三级功能（同时视、融合、立体视）。 儿童配镜“八步”曲

儿童因屈光不正造成的视力低下需要配戴眼镜来矫正，因此眼镜是否合格尤为重要。眼镜适配不当不仅不能矫正视力，还会造成不良的视觉环境，影响儿童的视觉发育。家长在给孩子配镜时，一定要按正规的方法进行，千万不能草率行事。 下面为你提供配镜“八步”曲： 第一步：

散瞳12岁以下的儿童常用的散瞳药是1%阿托品眼膏，在验光前3天使用，每天3次，有内斜的儿童需连续使用7天。无内斜的12岁的儿童用0.5%托吡卡胺，验光前1小时使用，连续滴

次，每次间隔5分钟，闭眼避光***。 第二步：

验光采用客观验光法。此种方法不需由孩子自己来判断戴哪个度数镜片看得清楚，而是由视光医生通过检影得到客观、准确的屈光度数。 第三步：

插片试镜医生依据验光的结果给孩子插片，观察视力矫正情况，结合孩子的主观感觉，初步确定最适宜的镜片度数。但还不能给出配镜处方，因为这个过程中孩子的瞳孔是散大的，眼睛本身的调节力被消除，通常我们戴镜是在有调节的情况下使用的，所以还需进行下一步。 第四步：

复验复验的选择时机是散大的瞳孔完全恢复到正常，调节力恢复后进行。使用1%阿托品眼膏的儿童需要20天左右恢复，0.5%托吡卡胺散瞳的儿童2—3天即可复验。复验时，医生根据初次验光的结果，结合儿童的年龄、屈光性质、眼位情况以及孩子的主观感觉等因素综合分析，最后确定镜片度数。这是非常关键的一步，不仅要求医生能确定适合孩子配戴的准确度数，而且要使孩子戴上眼镜后无任何不适感。 第五步：

测量瞳距瞳距是指两眼瞳孔间的距离。瞳距的准确是影响眼镜质量的一个重要因素，每个人在配镜前都必须仔细地测量。 第六步：

开具眼镜处方眼镜处方是配镜的依据，视光医生在完成以上步骤之后得出的结果。它除了用于配镜之外，还可以为下次复查看病提供原始的病历依据，家长一定要保管好。 第七步：

配镜市场上眼镜店面琳琅满目，良莠不齐，如果不到很正规的眼镜店去配，有可能就没有质量的保证，那么前面的步骤也前功尽弃。所以家长务必慎重选择。 第八步：

选择眼镜架选择眼镜架时不能光考虑价格和美观因素，更重要的是要考虑眼镜架的大小、材料是否适合孩子，选好后必须根据儿童的脸型进行调整，使眼镜和孩子的鼻型和耳型吻合，孩子戴上眼镜后不至于在活动中出现眼镜下滑的现象。

roved that a people and a nation, if it does not have its own spiritual pillar, there is no unity of spiritual support, it means that no soul, will lose cohesion and vitality. Figuratively speaking, a sack of potatoes, quantity cannot be too a team, form a joint force; only like granite, so closely United to form invincible, no difficult means of strength. National rejuvenation of Chinese dreamnot only embodies the common interests and pursuits, and covers a variety of groups and classes, has a wide applicability and inclusive, with a strong integrating force and lead the force. She embodies the aspirations of several generations of Chinese, reflecting today ... Into sex and purity, and the inevitable requirement of constantly improving the party's governing capacity. Strengthening the construction of the advanced nature and purity, the core problem is always maintaining the party's flesh-and-blood ties with the masses, so that our party will always be the most wholehearted support of the masses. Must take the fundamental interests of the overwhelming majority of the people as the party all the starting point and ending point, the party has always been a common fate with the masses, this is the magic weapon for our party to always maintain the advanced nature and purity. Strengthening the construction of party's advanced nature and purity and enhancing the party's ruling ability will eventually be implemented to realize, safeguard and develop the fundamental interests of the overwhelming majority of the people. All the work merits this is a measure of the party's fundamental standards, is a measure of the party's advanced nature and purity standards. Believe who, depending on who, who, standing on the position of the overwhelming majority of the people are always, always realize, safeguard and develop the fundamental interests of the overwhelming majority of the people, it is a touchstone of the Marxist party of judgement, is also sign of Marxist party is different fromother political parties. Marxist political party has a clear political position and historical mission: for the interests of the vast majority of people, committed to the fundamental interests of the overwhelming majority of the people. From the day of the establishment of the Chinese Communist Party, always adhere to basic principles of historical materialism, for the interests of the most people as their goal, always serving as its fundamental purpose and values. Fully trust the masses, closely rely on the masses maintain flesh-and-blood ties with the masses is always the source of our party full of vigor and vitality, is always the most determined in the development of our party and our country. Conscientiously accept supervision by the masses, pay attention to listen to the masses ' assessment, which itself was the party's advanced nature and purity into practical action to realize the fundamental interests of the overwhelming majority of the people. At present, the party committees and leading cadres and the Government generally value the close relations with the masses, do a lot of productive work, but there are still someAccording to Office Party of mass line education practice activities led group of unified arrangements, units main led to for cadres workers Shang a times party lecture, due to himself level limited, only put this stage concentrated learning of experience today and everyone common with learning exchange, purpose is let we further deep understanding mass line of connotation, insisted party of mass line, do masses work, following main from four a aspects told: a, and full awareness party of mass line education practice activities of major meaning Party's 18 major distinct proposed to focus on the party's advanced nature and purity, in the party, with \nd clean for the people\nt of the party's mass line and educational practice. This is comrade XI Jinping as party General Secretary and adhere to strictly administering the party, strengthen the party's major decision is in line with the public expectations and strengthening the construction of learning-oriented service innovation of Marxist party's major deployment, is the important measure to advance the great cause of socialism with Chinese characteristics. First, carry out the party's mass line in education practice, was carrying 18 of the party spirit, summon a powerful force for realizing the great rejuvenation of the Chinese nation the Chinese dream of urgent needs. Party's 18 to promote strategic deployment to building socialism with Chinese characteristics, presents two 100-year goal, namely, by 2020 China's gross domestic product and per capita income of urban and rural residents in 2010 on the basis of double complete the building of a well-off society; the middle of this century into a prosperous, democratic, civilized and harmonious Socialist modern country, and on this basis, the Chinese dream of realizing the great rejuvenation of the Chinese nation. 18 Congress of the party, Comrade XI Jinping repeatedly expounded the Chinese dream. The basic connotation of the Chinese dream, is the national prosperity, national revitalization, the happiness of the people, China important to follow is to keep China Road, carry forward the spirit and cohesion strength of China, dream dreams of the people of China, but determined confidence, enhance self-awareness, achieve self-reliance, to build a stronger China, civilization, harmony, beauty, China, China, China. Strategic conception of China was 18 the spirit of the enrichment and development of the party, conscientiously study the Chinese dream, leading people to hard to realize the Chinese dream, mass education activities in depth the fundamental starting point and ending point. Strengthen the education of the party's mass line, helps to train the collective consciousness of the unity of the party and the people, playing the Chinese dream ideological bases. Comrade Mao Zedong stressed that parties should have \mon language\have \History has 通过以上八步，一副合格的眼镜就配成了，看似一件简单的事情，里面蕴含着许多学问。如果家有屈光不正的孩子，善待孩子的眼睛，成就孩子一生的幸福。 参照表:儿童生理性屈光

(1) 睫壮肌麻痹验光的结果是+8.DS,试镜结果是+5.5DS,你跟病人说他是多少度的远视,答

复:+8.00DS绝对远视 +5.50D显性远视,+2.50DS=调节引起+生理性远视(跟年龄有关) 和病人交代+8.00-生理性远视=病人屈光度.

(2).散瞳验光后立即直接配镜的应用前提,病人有很强的调节力,如散瞳为远视,而缩瞳后为调节性近视.首次不宜用,散瞳前和复验后发现,无法决定度数,再次散瞳或用弱散瞳剂,让瞳孔维持较大(4-5mm),目的让延长患儿能够逐渐接受时间!同时解决行觉剥夺问题及接受问题! (3)散瞳验光会改变散光的度数和轴向,这主要相差问题,做角膜地形图和波前相差发现;散瞳前后球差发现增加,彗差也发生改变,彗差改变反应在散光大小和轴为上!另一个原因,散瞳前查的3mm光区屈光度,而散瞳后为6-7mm光区屈光度,试想,发生改变正常现象!但以哪个为标准?个人认为充分散瞳后为标准,结合瞳孔恢复屈光度和实际患者要求为参考,综合选择最佳个体治疗!

弱视：双眼散光大于等于1.00Dc为屈光参差,矫正视力小于等于0.8

关于混散屈光性弱视儿童配镜原则特点:

1.配近散镜片易使矫正视力提高,但因配镜的主要度数为近视范畴,其后演变近视度数上升可能较快!

2.尽量可能配戴远视散光,但其弱视的矫正视力提高也相对慢,同时要加强弱视训练! 3原则:先戴近散,待视力上升稳定后戴远散.但有些儿童近散不一定可以转换远散来接受. 举例:年龄4-6岁

1.+1.75DS/-1.25DC*180 配镜:+1.25DS*90或-1.25DC*180

roved that a people and a nation, if it does not have its own spiritual pillar, there is no unity of spiritual support, it means that no soul, will lose cohesion and vitality. Figuratively speaking, a sack of potatoes, quantity cannot be too a team, form a joint force; only like granite, so closely United to form invincible, no difficult means of strength. National rejuvenation of Chinese dream, not only embodies the common interests and pursuits, and covers a variety of groups and classes, has a wide applicability and inclusive, with a strong integrating force and lead the force. She embodies the aspirations of several generations of Chinese, reflecting today ... Into sex and purity, and the inevitable requirement of constantly improving the party's governing capacity. Strengthening the construction of the advanced nature and purity, the core problem is always maintaining the party's flesh-and-blood ties with the masses, so that our party will always be the most wholehearted support of the masses. Must take the fundamental interests of the overwhelming majority of the people as the party all the starting point and ending point, the party has always been a common fate with the masses, this is the magic weapon for our party to always maintain the advanced nature and purity. Strengthening the construction of party's advanced nature and purity and enhancing the party's ruling ability will eventually be implemented to realize, safeguard and develop the fundamental interests of the overwhelming majority of the people. All the work merits this is a measure of the party's fundamental standards, is a measure of the party's advanced nature and purity standards. Believe who, depending on who, who, standing on the position of the overwhelming majority of the people are always, always realize, safeguard and develop the fundamental interests of the overwhelming majority of the people, it is a touchstone of the Marxist party of judgement, is also sign of Marxist party is different fromother political parties. Marxist political party has a clear political position and historical mission: for the interests of the vast majority of people, committed to the fundamental interests of the overwhelming majority of the people. From the day of the establishment of the Chinese Communist Party, always adhere to basic principles of historical materialism, for the interests of the most people as their goal, always serving as its fundamental purpose and values. Fully trust the masses, closely rely on the masses maintain flesh-and-blood ties with the masses is always the source of our party full of vigor and vitality, is always the most determined in the development of our party and our country. Conscientiously accept supervision by the masses, pay attention to listen to the masses ' assessment, which itself was the party's advanced nature and purity into practical action to realize the fundamental interests of the overwhelming majority of the people. At present, the party committees and leading cadres and the Government generally value the close relations with the masses, do a lot of productive work, but there are still some