国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (4): 370-377.doi: 10.3760/cma.j.issn.1673-5803.2022.04.016

• 综述 • 上一篇    下一篇

脑卒中后的视觉障碍及康复

王雪1  吴珺1  周金琼2   

  1. 1中国康复研究中心北京博爱医院眼科 100068;2首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室 100730

  • 收稿日期:2021-12-15 出版日期:2022-08-22 发布日期:2022-08-22
  • 通讯作者: 王雪,Email:wangxue19830303@126.com
  • 基金资助:
    中国康复研究中心科研项目(2019ZX-25)

Visual impairment and visual rehabilitation after stroke

Wang Xue1, Wu Jun1, Zhou Jinqiong2   

  1. 1 Department of Ophthalmology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2 Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing 100730, China

  • Received:2021-12-15 Online:2022-08-22 Published:2022-08-22
  • Contact: Wang Xue, Email: wangxue19830303@126.com
  • Supported by:
     China Rehabilitation Research Center Project (2019ZX-25)

摘要: 视觉障碍是脑卒中的常见并发症,可表现为视感觉障碍、视运动障碍和视知觉障碍,影响患者的视觉感受和生活质量,并可阻碍全身整体康复进程。视感觉障碍包括视力下降和视野缺损,配镜和助视器有助于改善视力,视野缺损的康复手段包括替代性治疗、补偿性训练及恢复性治疗;视运动障碍包括斜视和眼球运动障碍,治疗方法包括眼球运动训练、棱镜、遮盖、药物及斜视矫正手术等;视知觉障碍最常见的是视觉忽略,治疗方法包括针刺及其他康复手段。对视觉障碍的有效治疗和康复,为脑卒中患者的全身康复提供了良好的视觉条件。(国际眼科纵览,2022, 46:370-377)

关键词: 脑卒中, 视觉障碍, 视觉康复

Abstract: Visual impairment is the common complication of stroke, which can be manifested in three aspects: visual sensory impairment, visual dyskinesia and visual perception impairment. Visual impairment can significantly affect the visual perception and quality of life of patients, and hinder the overall rehabilitation process of the whole body. Visual sensory impairment includes visual acuity decline and visual field defects. The needs of visual function can be met through glasses and visual aids instruments. The rehabilitation means of visual field defects include alternative treatment, compensatory training and restorative treatment. Visual dyskinesia include strabismus and eye movement disorders, and their treatment include eye movement training, prism, covering, medicine and strabismus correction surgery. Visual neglect is the most common form of visual perception disorder, and its treatment include acupuncture and various modern rehabilitation methods. The effective treatment and rehabilitation of visual impairment provide good visual conditions for the whole-body rehabilitation of stroke patients. (Int Rev Ophthalmol, 2022, 46:  370-377)

Key words: stroke, visual impairment, visual rehabilitation