双眼视觉训练对间歇性外斜视儿童术后双眼视功能重建的疗效观察

目的:观察双眼视觉训练对间歇性外斜视儿童术后双眼视功能重建的疗效。方法:将2010-01/2011-10收治的112例间歇性外斜视患儿,术后分为3组,第1组采用同视机进行双眼视觉训练,第2组采用视知觉学习训练软件进行双眼视觉训练,第3组为对照组,未进行双眼视觉训练。对三组患儿术后视远、视近立体视锐度及术后1a眼位正位率进行观察比较。结果:两组视觉训练患儿视远、视近立体视锐度显著高于对照组,差异有显著性。在术后1a随访时,对照组眼位正位率显著低于其他两组。结论:间歇性外斜视患儿术后进行双眼视觉训练,可显著促进患儿双眼视功能的重建,降低眼位回退率,提高手术成功率。

Observation on postoperative binocular visual function reconstruction in intermittent exotropia children with binocular visual training

AIM:To observe the efficacy of the binocular vision training on intermittent exotropia children postoperative binocular visual function reconstruction.

METHODS:From January 2010 to October 2011, 112 intermittent exotropia children were treated, divided into three groups, the first group used synoptophore for binocular visual training, the second group used the binocular visual training software for binocular visual training, the third group was control group, no binocular visual training. The postoperative far and near stereoacuity and postoperative 1 year eye position orthophoria rate of the three groups were observed and compared.

RESULTS: The two groups of children with visual training, the far and near stereoacuity was significantly higher than that of the control group, the difference was significant. In the 1-year follow-up after surgery, the eye position orthophoria rate of the control group was significantly lower than the other two groups.

CONCLUSION: Intermittent exotropia postoperative binocular visual training can significantly promote the reconstruction of children with binocular vision, reduce eye rollback rate, improve the success rate of surgery.