国际眼科纵览

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斜视对双眼视觉功能的影响及术后康复

张容菡,付晶   

  1. 100730 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
  • 收稿日期:2018-04-03 出版日期:2018-06-22 发布日期:2018-06-28
  • 通讯作者: 付晶,Email: fu_jing@126.com
  • 基金资助:

    北京市科委首都临床特色应用研究项目(Z171100001017066);北京市卫生系统高层次卫生技术人才-学科骨干(2015-3-023);北京市卫生局科技成果和适宜技术推广项目(2017-TG-18)

The effects of strabismus on binocular vision and postoperative rehabilitation

ZHANG Rong-han, FU Jing   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University,Beijing Key Laboratory of Ophthalmology & Visual Science,Beijing 100730,China
  • Received:2018-04-03 Online:2018-06-22 Published:2018-06-28
  • Contact: FU Jing, Email: fu_jing@126.com
  • Supported by:

    Capital Clinical Characteristics Applications Research Program of Beijing Municipal Science & Technology Commission (Z171100001017066); Advanced Health Care Professionals Development of Beijing Municipal Health Bureau (2015-3-023); Scientific and Technological Achievements and Suitable Technology Promotion Project of Beijing Municipal Health Bureau (2017-TG-18)

摘要:

人类立体视功能的产生有诸多必要条件,双眼平行的视觉方向是其中之一。斜视后双眼的视觉方向不再平行,从而导致双眼视觉功能破坏;同时双眼视觉功能的丧失也意味着中枢对眼位的控制能力变差,进而促进斜视的发展。斜视的主要治疗方法是手术,术后患者可以达到双眼正位,但很多患者的双眼视觉功能并未恢复,一些患者还会由于双眼视觉功能的异常导致短期内斜视复发。因此,斜视的治疗不仅是手术达到双眼正位,术后双眼视觉的康复也同样重要。术后康复训练方法主要包括同视机双眼视觉康复训练、融合能力训练、电脑软件训练、视感知觉训练法等。人类大脑终身具有可塑性,如在术后双眼正位的情况下及时加以适当训练,帮助患者更好地恢复双眼视觉功能,加强大脑对双眼眼位的控制力,更好地保持术后双眼正位。(国际眼科纵览, 2018,  42:   179-183)

Abstract:


There are many necessary factors affecting human stereoscopic vision, and the alignment of both eyes is the most critical one. Strabismus destroying the normal alignment between both eyes, leading to the loss of the stereopsis. At the same time, loss of stereopsis and fusion means worse control of the eyes, accelerting the deviation, leading to a vicious cycle. The main treatment of strabismus is surgery. Through surgery, most patients get orthotropia, but quite a portion of them could not get normal binocular function. A few of them even encounter the recurrence of strabismus in a short term after the operation because of the deficiency of binocular visual function. Thus, the goal of strabismus treatment is not only to achieve normal orthotropia after surgery, but also the recovery of binocular vision, which is fundamental.We can use binocular function training programs to help patients get better binocular vision. Postoperative rehabilitation training methods mainly include synoptophore training, fusion ability training, computer software training, and visual perception testing and training system. Human brain possesses plasticity through our whole life. By utilizing this, we could help those patients after surgery to regain their stereopsis,and better control of the eyes to maintain orthotropia.(Int Rev Ophthalmol, 2018, 42:  179-183)