视觉生理刺激联合立体视觉训练治疗儿童弱视临床观察
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Clinical observation of visual physiological stimulation with three-dimensional visual training for amblyopia in children
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    摘要:

    目的:评价对儿童屈光不正性弱视(包括屈光参差性弱视)进行视觉生理刺激联合立体视觉训练综合治疗的疗效。

    方法:采取综合治疗和传统治疗分组对照,设立治疗组(综合疗法组)和对照组(传统治疗组)。对照组使用传统戴镜,遮盖加精细用目疗法,治疗组在对照组治疗方法基础上加用CAM光珊治疗仪,多色光谱刺激仪,后像弱视红光治疗仪,海丁格氏刷等生理刺激综合疗法,待视力达到0.4以上时,加用立体视觉训练,初期使用同视机训练,待视觉三级功能建立后使用家用立体视觉训练仪(实体镜cherioscope,红绿立体图片 Tranaglyphs)进行立体视加强巩固训练。

    结果:两组病例随诊2~7a,治疗组中基本治愈率达86.3%,治疗前后基本治愈率有显著性差异。治疗后,治疗组的立体视锐度的正常率明显提高,由治疗前的11.0%提高到84.0%。治疗后两组间旁中心注视率比较,有统计学差异(χ2=31.95,P<0.01)。

    结论:视觉生理刺激联合立体视觉训练法是治疗弱视较理想的方法。

    Abstract:

    AIM:To assess the efficacy of comprehensive treatment of visual physiological stimulation with three-dimensional visual training for ametropic amblyopia(anisometropic amblyopia)in children.

    METHODS:All patients were divided into treatment group(comprehensive therapy group)and the control group(conventional therapy group). Control group was given conventional spectacles, covering and fine mesh therapy. Besides those, treatment group received CAM light Alexandra treatment instrument, multi-color spectral stimulation, like the amblyopia red treatment instrument, Haidinger Brush and other physiological stimulating therapy. When the visual acuity reached 0.4 or above, three-dimensional visual training was conducted into the therapy. Synoptophore was used at first. After the three-dimensional vision had been developed, the home used synoptophore(stereoscope cherioscope, red, green and three-dimensional picture Tranaglyphs)was used to reinforce the training.

    RESULTS:The two groups were followed up for 2-7a, the rate of almost cured patients was 86.3% in the treatment group, there were significant differences in the basic cure rate after treatment.

    CONCLUSION:Visual physiological stimulating therapy with three-dimensional visual training method is desirable for amblyopia.

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尹峥,夏旭光,黄慕贞,等.视觉生理刺激联合立体视觉训练治疗儿童弱视临床观察.国际眼科杂志, 2016,16(5):927-929.

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  • 收稿日期:2015-01-11
  • 最后修改日期:2016-04-13
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  • 在线发布日期: 2016-05-03
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