多媒体视觉生理刺激及立体系统训练联合常规综合治疗对屈光不正性弱视儿童双眼立体视觉功能的影响  

Effect of Multimedia Visual Physiological Stimulation and Stereoscopic Training Combined with Conventional Comprehensive Treatment on the Binocular Stereoscopic Vision Function of Children with Ametropic Amblyopia

作　　者：王君君[1] WANG Jun-jun(Department of Ophthalmology,Zhengzhou First People's Hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州市第一人民医院眼科,河南郑州450000

出　　处：《罕少疾病杂志》2022年第5期48-49,64,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的观察多媒体视觉生理刺激及立体系统训练联合常规综合治疗对屈光不正性弱视儿童双眼立体视觉功能的影响。方法选取86例(153眼)屈光不正性弱视儿童为研究对象,依照区组随机化分组法将其分为对照组43例(74眼)和观察组43例(79眼)。对照组实施常规综合治疗,观察组则在其基础上联合多媒体视觉生理刺激及立体系统训练。对比治疗3个月后两组疗效(中国斜视与小儿眼科弱视疗效评价标准),观察治疗3个月后两组患儿双眼融象功能及双眼立体视觉功能正常率(Titmus立体视检测图),比较治疗3个月后患儿交叉视差、非交叉视差(立体视觉检查图)。结果治疗3个月后,观察组治疗有效率明显高于对照组(P<0.05);观察组双眼融象功能正常率、双眼立体视正常率、交叉视差、非交叉视差正常数均明显高于对照组(P<0.05)。结论多媒体视觉生理刺激及立体系统训练联合常规综合治疗能促进屈光不正性弱视儿童视力恢复,重建双眼立体视觉功能,具有较高临床应用价值。Objective To observe the effect of multimedia visual physiological stimulation and stereoscopic training combined with conventional comprehensive treatment on the binocular stereoscopic vision function of children with ametropic amblyopia.Methods 86 children(153 eyes)with ametropic amblyopia were selected as the research subjects,and they were divided into control group(74 eyes)and observation group(79 eyes)according to the block randomized grouping method.The control group received conventional comprehensive treatment,and the observation group was combined with multimedia visual physiological stimulation and stereoscopic training on this basis.The efficacy(efficacy evaluation criteria for Chinese strabismus and pediatric amblyopia)of the two groups was compared after 3 months of treatment,and the normal rates of binocular fusion function and binocular stereoscopic vision function(Titmus stereoscopic examination chart)of the two groups of children were observed after 3 months of treatment.The crossed disparity and non-crossed disparity(stereoscopic examination chart)of children were compared after 3 months of treatment.Results After 3 months of treatment,the effective rate of treatment in observation group was significantly higher than that in control group(P<0.05).The normal rate of binocular fusion function,normal rate of binocular stereopsis,the number of normal crossed disparity and the number of normal non-crossed disparity were significantly higher in observation group than those in control group(P<0.05).Conclusion Multimedia visual physiological stimulation and stereoscopic training combined with conventional comprehensive treatment can promote the visual recovery and reconstruct the binocular stereoscopic vision function of children with ametropic amblyopia,with high clinical application value.

关 键 词：多媒体视觉生理刺激 立体系统训练 屈光不正性弱视 双眼立体视觉功能 

分 类 号：R777.44[医药卫生—眼科]