单眼部分遮盖与视感知觉训练对儿童间歇性外斜视术后视功能恢复的影响  

Effect of Partial Occlusion and Visual Perception Training on Visual Function Recovery in Children with Intermittent Exotropia after Surgery

作　　者：王吉翔 苏渲迪 王玉瑾 王福利 WANG Jixiang;SU Xuandi;WANG Yujin;WANG Fuli(Department of Ophthalmology,the First People's Hospital of Lanzhou City,Lanzhou 730050,Gansu,China)

机构地区：[1]兰州市第一人民医院眼科,甘肃兰州730050

出　　处：《中国美容医学》2024年第2期10-13,共4页Chinese Journal of Aesthetic Medicine

基　　金：兰州市科技局创新创业项目(编号:2020-RC-70)。

摘　　要：目的:探究单眼部分遮盖与视感知觉训练对儿童间歇性外斜视术后视功能恢复的影响。方法:选取2020年9月-2022年8月就诊的间歇性外斜视且接受手术治疗的232例患儿,通过随机数字表将患者分为对照组(n=116)与观察组(n=116)。对照组患儿在术后7 d行视感知觉训练,观察组患儿术后在对照组基础上进行单眼部分遮盖治疗,比较两组患儿斜视度数、双眼视功能检查及生存质量。结果:术后3个月,观察组斜视度数≤30°占比显著高于对照组(P<0.05);双眼同时视功能与融合功能恢复率及黄斑中心凹立体视例数显著高于对照组(P<0.05),立体视盲例数低于对照(P<0.05);观察组视觉功能与社会心理评分显著高于对照组(P<0.05)。结论:与视感知觉训练相比,联合单眼部分遮盖治疗可明显改善术后视功能恢复,提高患儿术后生存质量。Objective To investigate the effects of partial occlusion and visual perception training on visual function recovery in children with intermittent exotropia after surgery.Methods A total of 232 children with intermittent exotropia who received surgical treatment from September 2020 to August 2022 were randomly divided into control group(n=116)and observation group(n=116).The patients in the control group received visual perception training 7 days after operation,while the patients in the observation group received partial occlusion of one eye on the basis of the control group.The degree of strabismus,binocular visual function and quality of life were compared between the two groups.Results Three months after operation,the proportion of strabismus degree≤30°in the observation group was significantly higher than that in the control group(P<0.05),the recovery rate of binocular vision and fusion function and the number of macular fovea stereopsis in the observation group were significantly higher than those in the control group(P<0.05),the number of stereoscopic blindness cases was lower than that of the control group(P<0.05),and the scores of visual function and social psychology in the observation group were significantly higher than that of the control group(P<0.05).Conclusion Compared with the visual perception training,the combined treatment of partial occlusion of single eye can obviously improve the recovery of visual function and the quality of life of children after operation.

关 键 词：间歇性外斜视 单眼部分遮盖 视感知觉训练 视功能 

分 类 号：R779.6[医药卫生—眼科]