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          得意生活-武漢生活消費社區 社區 健康麗人 你別看孩子眼睛“斜”著,其實他可并不是斜視!
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          [眼科口腔] 你別看孩子眼睛“斜”著,其實他可并不是斜視! [復制鏈接]

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          發表于 2019-7-1 14:42 |只看該作者 |倒序瀏覽 |打印 | 分享:
          眼科 眼科口腔 斜弱視
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          145238bc0b50220eaaaa19.gif

          1452388697603aaa90d031.png

          “醫生醫生,我看孩子的眼睛老是斜著,他是不是斜視了?
          孩子在家總是側著身子看東西,他是不是斜視了?
          孩子老是歪著頭呀,眼睛一看就是斜的,他一定是斜視了!
          怎么治呀?
          ……
           
          停~!爸爸媽媽們,如果你們也有類似上面的疑問,先別著急。
          今天,我們來糾正一個生活中很常見的誤區
          有時候孩子眼睛看著斜,但他可并不是斜視!

          145238da25ac40f81b843a.png
           
          一直以來,中山大學中山眼科中心康瑛教授都會遇到一些爸爸媽媽在苦惱:

          家里孩子的眼睛有一些小異常,看上去是“斜”的,平時出門、拍照特別明顯,旁人也經常議論,讓大人趕緊帶著去看醫生。可到醫院一看,醫生診斷卻不是斜視。到第二家、第三家醫院……都是相同的答案。

          怎么回事?

          原來,是大家真的誤會了。
          孩子眼睛看著斜,但不一定是斜視。

          康瑛教授解釋,這其中,有兩個原因:

          1.
          大家誤解了斜視的意思

          到底什么是斜視呢?
          它的醫學定義,指的是雙眼無法同時注視目標,即兩只眼睛的視軸不平行了。

          根據眼位偏斜方向的不同,它被分成四個類型:內斜視、外斜視、上斜視、下斜視。
            14523929f94f8c8b1614b5.jpg
           
          所以,孩子如果側著身子、歪著腦袋看東西,可注視的時候視軸是平行的,就意味著并非是斜視。
           
          視軸到底平不平行,才是判斷孩子是否斜視的確切依據。

          那么,怎么來判斷呢?其實有一個正確的方法如下,也十分方便簡單:

          家長和孩子面對面,在33cm左右的距離,手持一個手電筒水平照在孩子兩眼正中央的鼻梁處,讓孩子盯著手電筒看。這時,電筒在孩子的兩只眼睛上各自出現一個反光點。
           
          判斷有無斜視,關鍵就看反光點是否在兩只黑眼珠的正當中。
           
          如果在正當中,那孩子的眼睛沒有斜視;
          如果有任何一個反光點是在黑眼珠內側、外側或者偏上下(總之沒有在當中),孩子可能就是真的斜視了。

          (一個提示:盡量選用黃色光的手電筒,而非白熾燈光的手電筒。不能用激光筆代替照射孩子眼睛。)

          1452397a43cec1307875a3.png
           
          1452394fa0efac798b88ce.jpg

          斜視是需要方法來診斷的,以后家長們就可以把這個辦法應用起來,判斷孩子到底是不是真的斜視啦。

          2.
          孩子是假性斜視


          有時候孩子眼睛看著斜,但其實是有很多原因的:

          比如,孩子的鼻骨還沒發育、內眥過寬會導致眼睛看上去有斜視;

          145239b333953684706e71.jpg
          (有時候孩子鼻骨還沒發育,會表現得有斜視

          康教授更提醒,孩子眼睛“斜”、歪著頭,可能是有潛在的近視、散光的危險,可能是孩子雙眼視功能不平衡的表現,而未必是斜視。

          這一些情況都是假性斜視,需要家長們高度重視,定期去看醫生,正確處理及隨著孩子發育之后,斜著望的情況就會自動改正過來。

          14523914b3b163999105da.gif

          總之,孩子眼睛看著斜,和醫學上斜視的診斷是兩回事。
          當然,爸爸媽媽們發現了孩子眼睛的異常,會擔心,這時正確的做法也正是帶孩子去醫院仔細檢查一下眼睛
            145240b0a77de698284c29.jpg

          有一些孩子斜著望的情況確確實實是斜視,那么眼科醫生會針對性地處理;對于不是斜視的情況,則需找到真正的原因,及時處理,以免對孩子眼睛發育造成額外傷害。

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          我兒子就是喜歡側著看電視 七歲的時候去醫院檢查 儀器也看了 視力表也看了 沒有斜視 然后視力還挺好 也沒有散光什么的 兒童醫院醫生最后結論。。。他喜歡這樣。。。
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