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弱视患儿3D训练远近距离立体视恢复的疗效评价
引用本文:邓宏伟,黄平,钟华红,Nyankerh Cyril Nii Amankwah,赵军.弱视患儿3D训练远近距离立体视恢复的疗效评价[J].国际眼科杂志,2018,18(5):785-790.
作者姓名:邓宏伟  黄平  钟华红  Nyankerh Cyril Nii Amankwah  赵军
作者单位:518040 中国广东省深圳市眼科医院 深圳市眼科学重点实验室 深圳大学眼视光学院 暨南大学附属眼科医院,100089 中国北京市嘉铖视欣数字医疗技术有限公司,518040 中国广东省深圳市眼科医院 深圳市眼科学重点实验室 深圳大学眼视光学院 暨南大学附属眼科医院,02114 美国马萨诸塞州,波士顿,Schepens眼科研究所 美国哈佛大学眼耳鼻喉科医院,518040 中国广东省深圳市眼科医院 深圳市眼科学重点实验室 深圳大学眼视光学院 暨南大学附属眼科医院
基金项目:广东省省级科技计划项目(No.2016A020220002); 深圳市科技研发资金项目(No. JCYJ20160428144325551, JCYJ20150402152130697)
摘    要:

目的: 评价使用立体3D技术作为一种视觉功能训练方法对弱视患儿的治疗效果。

方法: 纳入30名儿童,年龄4~16y, 其中18例是屈光不正性弱视(ametropic amblyopia,AMA),12例是屈光参差性弱视(anisometropic amblyopia,ANA)。双眼使用立体3D技术进行视觉功能训练,每次训练时间1h,每例患者训练约33次(平均: 32±8)。在每次训练前后检查患者每眼的最佳矫正视力,使用同视机检查融合范围和远距离立体视,并使用颜氏随机点立体视图谱检查近距离立体视。

结果:在训练治疗后,所有弱视患儿最佳矫正视力较训练前均有显著提高,训练后融合范围较训练前显著扩大,尤其在屈光参差弱视患儿中融合范围扩大和立体视觉的恢复较屈光不正弱视患者组更明显。训练后近距离立体视觉的恢复程度要优于远距离立体视觉。

结论:立体3D视觉训练系统可以有效地恢复弱视儿童双眼立体视功能。

关 键 词:立体视觉    弱视    融合    屈光不正性弱视    屈光参差性弱视
收稿时间:2017/6/29 0:00:00
修稿时间:2018/3/1 0:00:00

Near and distance stereopsis restoration in amblyopia with S3D computer treatment
Hong-Wei Deng,Ping Huang,Hua-Hong Zhong,Nyankerh Cyril Nii Amankwah and Jun Zhao.Near and distance stereopsis restoration in amblyopia with S3D computer treatment[J].International Journal of Ophthalmology,2018,18(5):785-790.
Authors:Hong-Wei Deng  Ping Huang  Hua-Hong Zhong  Nyankerh Cyril Nii Amankwah and Jun Zhao
Institution:Shenzhen Eye Hospital; Shenzhen Key Laboratory of Ophthalmology; Joint College of Optometry of Shenzhen University; Affiliated Shenzhen Eye Hospital of Jinan University, Shenzhen 518040, Guangdong Province, China,Beijing Jiachengshixin Digital Medical Technology Co. Ltd, Beijing 100089, China,Shenzhen Eye Hospital; Shenzhen Key Laboratory of Ophthalmology; Joint College of Optometry of Shenzhen University; Affiliated Shenzhen Eye Hospital of Jinan University, Shenzhen 518040, Guangdong Province, China,Schepens Eye Research Institute, Mass. Eye and Ear Hospital, Harvard Medical School, Boston 02114,Massachusetts, USA and Shenzhen Eye Hospital; Shenzhen Key Laboratory of Ophthalmology; Joint College of Optometry of Shenzhen University; Affiliated Shenzhen Eye Hospital of Jinan University, Shenzhen 518040, Guangdong Province, China
Abstract:AIM: To evaluate the effect of stereoscopic 3D(S3D)technology as a visual training system in children with amblyopia.

METHODS: Totally 30 children, aged 4-16 years old, 18 with ametropic amblyopia(AMA), and 12 with anisometropic amblyopia(ANA)were recruited in this study. A binocular 3D shutter glasses technology visual training system was used for training trials. Each training time lasted 1h, and the number of training trials totaled 33(mean±SD: 32±8)times on average, per-person. Before and after each training trial, the best corrected visual acuity(BCVA)of each eye, range of fusion by synoptophore, as well as near and distance stereopsis acuity by Yan Shaoming random-dot test and synoptophore respectively was measured.

RESULTS: A significant difference was found pre- and post treatment in BCVA in both kinds of amblyopia studied. Significant improvement was also found in fusion range and stereopsis acuity. The improvement of fusion range and stereopsis recovery could be seen in ANA than in AMA patients. The near stereopsis acuity recovery in ANA group might more easily to regain stereoacuity at near than in AMA group.

CONCLUSION: S3D display vision training systems are indicated for the recovery of stereoacuity in children with amblyopia.

Keywords:stereopsis  amblyopia  fusion  ametropic amblyopia  anisometropic amblyopia
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