青少年及成年屈光参差性弱视治疗的新进展

Recent advancement in treatment of adult and adolescent anisometropic amblyopia

摘要:

屈光参差性弱视是指由于双眼明显的屈光不等引起相互作用异常而导致的单眼最佳矫正视力异常。在视觉发育关键期内早发现、早干预治疗是弱视治疗的关键。其传统的治疗方法为遮盖优势眼治疗，但这一疗法受到患者年龄、依从性状态等影响。以往多数学者认为在视觉发育关键期后弱视很难得以治愈。近年来随着临床研究的不断深入，有关青少年及成年屈光参差性弱视患者的治疗有了新的希望。传统的遮盖治疗、屈光手术治疗及新近的知觉学习治疗方法均在年龄较大的屈光参差性弱视患者的治疗中发挥着作用。本文就青少年及成年人屈光参差性弱视的治疗研究进展作一综述。

Abstract:

Anisometropic amblyopia is a decrease in the best-corrected visual acuity in one eye, resulting from significantly different refractive errors in the patients two eyes. Early intervention in the critical period of vision development is important for the treatment. The orthodox treatment was occlusion of the dominant eye, however, it was influenced by age and the compliance. It is reported that amblyopia was difficult to be cured after the critical period. With the development of clinic research, there has been hope in the treatment of adult and adolescent anisometropic amblyopia. Orthodox occlusion, reflection surgery, and perceptual learning have played roles in the treatment. This article made a review for treatment in adult and adolescent anisometropic amblyopia.