微视野生物反馈训练及其在黄斑疾病中的应用研究现状及进展  

Current situation and progress of microperimeter biofeedback training and its application in macular diseases

作　　者：梁冬青 刘玉燕[1] 韩泉洪[1] Liang Dongqing;Liu Yuyan;Han Quanhong(Tianjin Eye Hospital,Tianjin Key Laboratory of Ophthalmology and Visual Science,Tianjin Eye Institute,Tianjin 300000,China;East Ophthalmology Department of Suzhou Municipal Hospital,Suzhou 215000,China)

机构地区：[1]天津市眼科医院,天津市眼科学与视觉科学重点实验室,天津市眼科研究所,300000 [2]苏州市立医院东区眼科,215000

出　　处：《中华眼底病杂志》2020年第10期817-820,共4页Chinese Journal of Ocular Fundus Diseases

摘　　要：黄斑疾病累及中心凹区域时,患者中心视力明显下降,视野出现中心暗点,阅读速度及固视稳定性等视功能指标明显受损,严重影响患者的生活质量。人体对于中心凹区域受损时的反应为大脑自发采取的适应策略,即大脑会选取旁中心凹区域作为伪中心凹充当眼睛的固视位点,但这一适应行为并不能最大限度地开发患者自身的剩余视力。近年来人们通过不断地研究发现,微视野计中的自动眼位识别及自动眼球追踪系统可以精确检测特定的视网膜位点,联合其携带的生物反馈训练模式,可以将眼底检查与生物反馈训练结合,帮助老年性黄斑变性、病理性近视黄斑病变、Stargardt病、黄斑裂孔等黄斑疾病患者选择最佳的视网膜位点作为眼动基准,最大化地开发患者的剩余视力,提高患者的视功能。When macular diseases involves the fovea,patients'central vision is significantly reduced.A central dark spot appears in the visual field,and their visual function indicators,such as reading speed and fixation stability,are significantly impaired,which seriously affects the patients'quality of life.The human body's response to the damage of the fovea region is a spontaneous adaptation strategy adopted by the brain.The brain will select the paracentral region as the pseudo fovea to serve as the fixation site of the eye,however,the development of patient's own residual vision is not maximized by this adaptation behavior.In recent years,through continuous research,it has been discovered that the automatic eye position recognition and automatic eye tracking system in the microperimeter can accurately detect specific retinal sites,combined with the biofeedback training mode,and can combine fundus examination with biofeedback training.It can help patients with age-related macular degeneration,pathological myopia macular degeneration,Stargardt's disease,macular hole and other macular diseases to choose the best retinal site as an eye movement benchmark,maximize the patient's residual vision and improve the patient's visual function.

关 键 词：视野 反馈 生理 综述 

分 类 号：R774.5[医药卫生—眼科]