间歇性外斜术后应用数字化多媒体训练的效果研究

目的　探讨数字化多媒体系统训练对间歇性外斜视术后双眼视功能重建与恢复的影响。方法　83例间歇性外斜手术治疗患者，随机分为2组，治疗组41例术后接受数字化多媒体系统进行双眼视觉训练，包括脱抑制及融合功能训练，对照组42例不接受双眼视训练。对比两组训练前后的双眼视功能、融合范围及最终眼位情况。结果　双眼视觉训练后治疗组立体视功能评价比对照组改善显著p＜0.05，治疗组融合范围优于对照组p＜0.05，最终眼位正位率更高P＜0.05。结论　数字化多媒体系统训练可以改善间歇性外斜视术后患者的双眼视功能、融合及远期眼位正位率，为斜视的临床治疗提供了新的途径。

The effect of digital multimedia visual training applied after intermittent exotropia

AIM:To evaluate the effect of digital multimedia visual training in stereoacuity rebuilding of the postoperative intermittent exotropia.METHODS:Eighty-three patients with intermittent exotropia were randomly divided into 2 groups including treatment group and control group.In the treatment group,41 patients were trained with digital multimedia system including antisuppression and fusion function training.In the control group,42 patients received no any training.The differences of binocular visual and fusion range and final deviation were compared between the two groups before and after treatment.RESULTS:When compared with control group,the stereoscopic vision had significantly rebuilded(P<0.05),the fusion function was greatly enhanced(P<0.05),treatment group got better efficacy in final deviation(P<0.05).CONCLUSION:The digital multimedia visual training can promote binocular function and increase the final orthotropia ratio.The new treatment provides a new feasible way for intermittent exotropia clinical therapy.