国际眼科纵览 ›› 2025, Vol. 49 ›› Issue (5): 348-355.doi: 10.3760/cma.i.cn115500-20250620-25505

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基于智能化设备的知觉学习训练在周边视野缺损的视觉康复中的应用

李秋莹 徐梓萱 李劲嵘   

  1. 中山大学中山眼科中心 国家眼科学重点实验室 广东省眼科学与视觉科学重点实验室,广州 510060
  • 收稿日期:2025-07-25 出版日期:2025-10-22 发布日期:2025-10-16
  • 通讯作者: 李劲嵘,Email:lijingr3@mail.sysu.edu.cn
  • 基金资助:
    国家自然科学基金(82371088)

Application of perceptual learning training based on intelligent devices in visual rehabilitation of peripheral visual field defects

Li Qiuying, Xu Zixuan, Li Jinrong   

  1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, China
  • Received:2025-07-25 Online:2025-10-22 Published:2025-10-16
  • Contact: Li Jinrong, Email: lijingr3@mail.sysu.edu.cn
  • Supported by:
    National Natural Science Foundation of China (82371088)

摘要: 周边视野缺损作为多种眼科和神经系统疾病的常见表现,严重影响患者的视功能及生活质量。近年来,基于视觉皮层可塑性的知觉学习能够激活残余视功能,改善视觉敏感度、空间整合及视觉搜索能力,促进视野恢复及视功能提升,且智能化设备实现多元化训练形式。其中,计算机辅助训练涵盖视标刺激、眼球运动及视觉注意力与空间线索等任务,能够提升精细辨别能力、眼球运动能力和平面感知能力,虚拟现实技术结合训练能够改善双眼视野感知能力,基于声音和神经反馈结合多模式训练能够增强整体敏感度和多感觉整合能力,这些训练形式为周边视野缺损的视觉康复提供了新的理论依据和应用路径。

关键词: 周边视野缺损, 知觉学习, 视觉康复, 神经可塑性

Abstract: Peripheral visual field defects, as a common manifestation of various ophthalmic and neurological disorders, significantly impair patients' visual function and quality of life. In recent years, perceptual learning based on visual cortical plasticity has demonstrated the potential to activate residual visual function, improve visual sensitivity, spatial integration, and visual search ability, thereby promoting visual field recovery and functional enhancement. Moreover, intelligent devices have enabled diversified training modalities. Specifically, computer-based training enhances fine visual discrimination, oculomotor control, and spatial perception through tasks involving stimulus recognition, eye movement, and visual attention with spatial cueing; virtual reality-based training improves binocular visual field perception; and multimodal training with auditory and neurofeedback further strengthens overall sensitivity and multisensory integration. These training modalities collectively provide novel theoretical foundations and application pathways for visual rehabilitation in peripheral visual field defects.

Key words: Peripheral visual field defects, Perceptual learning, Visual rehabilitation, Neuroplasticity