[1]布娟,刘峰,庞宏蕾,等.视知觉学习联合调节灵敏度训练治疗屈光参差性弱视患者的临床疗效[J].眼科新进展,2016,36(7):640-643.[doi:10.13389/j.cnki.rao.2016.0170]
　BU Juan,LIU Feng,PANG Hong-Lei,et al.Visual perceptual learning combined with accommodative facility training for anisometropic amblyopia[J].Recent Advances in Ophthalmology,2016,36(7):640-643.[doi:10.13389/j.cnki.rao.2016.0170]
点击复制

视知觉学习联合调节灵敏度训练治疗屈光参差性弱视患者的临床疗效
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
36卷
期数:
2016年7期
页码:
640-643
栏目:
应用研究
出版日期:
2016-07-05

文章信息/Info

Title:
Visual perceptual learning combined with accommodative facility training for anisometropic amblyopia
作者:
布娟; 刘峰; 庞宏蕾; 刘敬
100191　北京市，北京大学第三医院眼科，视觉损伤与修复教育部重点实验室
Author(s):
BU Juan ;  LIU Feng ;  PANG Hong-Lei;  LIU Jing
Key Laboratory of Vision Loss and Renoration,Ministry of Education;Department of Ophthalmology,the Third Hospital of Peking University, Beijing 100191??China
关键词:
屈光参差性弱视; 视知觉学习; 调节灵敏度
Keywords:
anisometropic amblyopia;  visual perceptual learrung ;  accommodative facility
分类号:
Ｒ７７８
DOI:
10.13389/j.cnki.rao.2016.0170
文献标志码:
A
摘要:
目的　探讨视知觉学习联合调节灵敏度训练治疗屈光参差性弱视患者的临床疗效。方法　收集２０１３年至２０１５年在我院就诊的屈光参差性弱视患者８６例（８６眼），随机分为对照组（４２眼）与观察组（４４眼）。对照组进行视知觉学习训练，观察组进行视知觉学习联合调节灵敏度训练，比较两组患者治疗３个月后的最佳矫正视力，对比敏感度，正、负相对调节以及调节灵敏度、Ｔｉｔｍｕｓ立体视的变化。结果　对照组弱视眼经过３个月的训练后，最佳矫正视力提高２行及２行以上的患者为２４眼。观察组则为３６眼，两组比较差异有统计学意义（χ２＝５．６０２，Ｐ＜０．０１）。训练后两组患者对比敏感度均有所提高。观察组对比敏感度的升高以低、中空间频率升高表现突出，两组比较差异有统计学意义（均为Ｐ＜０．０５），高频区对比敏感度升高不明显（Ｐ＞０．０５）。与对照组相比训练后观察组患者正、负相对调节以及调节灵敏度均有所改善，差异均有统计学意义（均为Ｐ＜０．０５）。观察组训练３个月后，拥有＞８０″～２００″黄斑立体视１２眼，＞４００″～８００″周边立体视１８眼，与对照组相比差异均有统计学意义（均为Ｐ＜０．０１）。恢复≤６０″正常立体视６眼，对照组为４眼，两组比较差异无统计学意义（Ｐ＞０．０５）。结论　视知觉学习联合调节灵敏度训练在提高屈光参差性弱视患者的视力、对比敏感度、调节力以及立体视方面具有显著的疗效。
Abstract:
Objective To evaluate the clinical effects of visual perceptual learning combined with accommodative facility training on anisometropia amblyopia. Methods Eighty-six patients (86 eyes) were recruited in our hospital from 2013 t0 2015. They were randomly divided into control group ( 42 eyes) who performed visual perceptual learning and trial group ( 44 eyes) who performed visual perceptual learning combined with accommodative facility training. The best corrected visual acuity, contrast sensitivity , Titmus stereopsis , positive and negative relative accommodation and accommodative facility after training 3 months between two groups were compared. Results In control group and trial group , the best corrected visual acuity increased 2 lines or above in 24 eyes and 36 eyes , respectively, there was statistical difference (X2 = 5. 602 , P <0. 05). The contrast sensitivity in two groups after training 3 months were all increased. In trail group ,the contrast sensitivity were increased mainly in low and moderate spatial frequency, there were statistical differences between two groups ( all P < 0. 05 ) , but there was no statistical difference in high spatial frequency (P > 0. 05 ) . Compared with the control group , there were statistical differences in positive and negative relative accommodation , accommodative facility between two groups ( all P < 0. 05 ) . After training 3 months in the trail group ,Titmus stereopsis more than 80" - 200" were in 12 eyes ,more than 400" - 800" were in 18 eyes,there were sigruficant differences compared with the control group ( all P < 0. 01 ) . Titmus stereopsis returned to normal were 6 eyes and 4 eyes in the trail group and control group , respectively there was no statistical difference (P > 0. 05 ) . Conclusion Visual perceptual learning combined with accommodative facility trairung on arusometropia amblyopia has obvious treatment effects on vision.contrast sensitivity , stereopsis and accommodative facility improvement.

相似文献/References:

[1]李志超 赵武校 蓝方方 王贻东 甘露 刘伟民.视知觉学习治疗儿童屈光不正性弱视4年随访研究[J].眼科新进展,2012,32(7):000.
[2]宋五德,梁章海. 影响屈光参差性弱视患儿综合疗法疗效的因素分析[J].眼科新进展,2014,34(7):676.[doi:10.13389/j.cnki.rao.2014.0185]
[3]赵武校,蓝方方,李志超,等.波前像差在屈光参差性弱视光学质量评估中的应用[J].眼科新进展,2015,35(10):939.[doi:10.13389/j.cnki.rao.2015.0256]
　ZHAO Wu-Xiao,LAN Fang-Fang,LI Zhi-Chao,et al.Application of wavefront aberration in optical quality assessment for anisometropic amblyopia[J].Recent Advances in Ophthalmology,2015,35(7):939.[doi:10.13389/j.cnki.rao.2015.0256]
[4]赵武校,蓝方方,罗妍,等.屈光参差性弱视与屈光参差性近视双眼间高阶像差特征的对比研究[J].眼科新进展,2016,36(2):146.[doi:10.13389/j.cnki.rao.2016.0040]
　ZHAO Wu-Xiao,LAN Fang-Fang,LUO Yan,et al.Comparative evaluation of interocular higher order aberrations between anisometropic amblyopia and anisomyopia[J].Recent Advances in Ophthalmology,2016,36(7):146.[doi:10.13389/j.cnki.rao.2016.0040]
[5]赵武校,蓝方方,甘露,等.屈光参差性弱视的黄斑形态特征研究[J].眼科新进展,2019,39(1):058.[doi:10.13389/j.cnki.rao.2019.0013]
　ZHAO Wu-Xiao,LAN Fang-Fang,GAN Lu,et al.A morphological study of macular features in anisometropic amblyopia using spectral-domain optical coherence tomography：Bilateral control study[J].Recent Advances in Ophthalmology,2019,39(7):058.[doi:10.13389/j.cnki.rao.2019.0013]
[6]赵武校,甘露,蓝方方,等.已治愈与未治愈屈光参差性弱视患者双眼间的波前像差特点[J].眼科新进展,2019,39(2):153.[doi:10.13389/j.cnki.rao.2019.0035]
　ZHAO Wu-Xiao,GAN Lu,LAN Fang-Fang,et al.Interocular evaluation of wavefront aberration in anisometropic amblyopia：A case-control study[J].Recent Advances in Ophthalmology,2019,39(7):153.[doi:10.13389/j.cnki.rao.2019.0035]
[7]吴叶红,王曦琅.屈光参差性弱视与斜视性弱视患儿视放射发育情况对比研究：基于扩散张量成像检查[J].眼科新进展,2021,41(4):346.[doi:10.13389/j.cnki.rao.2021.0072]
　WU Yehong,WANG Xilang.Comparison of optic radiation between anisometropic and strabismic amblyopia based on diffusion tensor imaging[J].Recent Advances in Ophthalmology,2021,41(7):346.[doi:10.13389/j.cnki.rao.2021.0072]
[8]封炎,张凌月,郑卓涛,等.屈光参差性弱视患者黄斑区视网膜厚度及微血管系统的变化：基于OCTA的研究[J].眼科新进展,2021,41(6):570.[doi:10.13389/j.cnki.rao.2021.0119]
　FENG Yan,ZHANG Lingyue,ZHENG Zhuotao,et al.Analysis of the retinal thickness and microvascular system in the macular area of anisometropic amblyopia：Based on OCTA[J].Recent Advances in Ophthalmology,2021,41(7):570.[doi:10.13389/j.cnki.rao.2021.0119]
[9]陈杰,刘永华,李晓燕,等.屈光参差性弱视儿童治疗前后视网膜微血流状态变化及其与疗效的相关性[J].眼科新进展,2022,42(4):314.[doi:10.13389/j.cnki.rao.2022.0063]
　CHEN Jie,LIU Yonghua,LI Xiaoyan,et al.Changes in retinal microbleed status before and after treatment in children with anisometropic amblyopia and their correlation with treatment effect[J].Recent Advances in Ophthalmology,2022,42(7):314.[doi:10.13389/j.cnki.rao.2022.0063]
[10]林泉 刘伟民 肖信 林恩韦.基于互联网的视知觉学习对大龄屈光参差性弱视儿童视力的影响[J].眼科新进展,2013,33(7):000.
[11]赵武校,蓝方方,刘洪婷,等.视知觉学习联合遮盖治疗屈光参差性弱视的初期临床观察[J].眼科新进展,2014,34(10):963.[doi:10.13389/j.cnki.rao.2014.0267]

备注/Memo

备注/Memo:
国家自然科学基金资助（编号：８１３００７８９）
更新日期/Last Update: 2016-07-12