垂体大腺瘤术后半侧视野滑动患者的视觉康复治疗1例  

Visual rehabilitation treatment for a patient with hemifield slide after pituitary adenoma resection:a case report

作　　者：王旭倩[1] 宋茹 马瑾[1] 刘熙朴 Wang Xuqian;Song Ru;Ma Jin;Liu Xipu(Department of Ophthalmology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Institute of Visual Sciences,Beijing 100032,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院眼科,北京100730 [2]北京视觉科学研究所,北京100032

出　　处：《中华眼科杂志》2024年第9期773-775,共3页Chinese Journal of Ophthalmology

摘　　要：患者男性,28岁。垂体大腺瘤术后双颞侧偏盲伴复视(半侧视野滑动现象)10个月,行全面眼科检查、视觉功能检查(最佳矫正视力、视野、立体视觉、调节反转拍、Worth四孔灯检查、三棱镜斜视度定量)及抑郁量表及视觉功能问卷评分后,给予压贴三棱镜纠正垂直斜视、双眼视觉训练、扫视训练等康复训练。康复训练后患者中近距离可保持双眼单视,视物舒适度提高,抑郁量表及视觉功能问卷评分明显提高。The patient is a 28-year-old male who presented with hemifield slide for 10 months following surgery for a large pituitary adenoma.A comprehensive ophthalmological examination and visual function tests were conducted,including best corrected visual acuity,visual field,stereopsis,accommodative convergence,Worth four-dot test,and prism cover test for quantifying strabismus,along with assessments using a depression scale and a visual function questionnaire.Rehabilitation plans included applying press-on prisms to correct vertical strabismus,binocular vision training,and saccadic training.After rehabilitation,the patient was able to maintain binocular single vision at near and intermediate distances,experienced improved visual comfort,and showed significant improvements in scores on the depression scale and visual function questionnaire.

关 键 词：偏盲 复视 眼扫视 会聚 眼 视敏度 垂体肿瘤 手术后并发症 

分 类 号：R736.4[医药卫生—肿瘤]