多媒体视觉生理刺激联合立体系统训练治疗屈光不正性弱视

Multimedia visual physiological stimulation combined with stereoscopic system training for the treatment of ametropic amblyopia

摘要:

目的：分析多媒体视觉生理刺激联合立体系统训练治疗屈光不正性弱视儿童的疗效。

方法：选取2021-06/2022-06本院收治的屈光不正性弱视患儿102例102眼，随机分组，对照组患儿51例51眼在常规治疗基础上采用多媒体视觉生理刺激治疗，观察组患儿51例51眼在对照组基础上联合采用立体系统训练治疗。治疗后3mo，评估两组患儿双眼融象功能、双眼立体视、双眼立体视差，并根据视力改善情况评估临床疗效。

结果：治疗后3mo，观察组患儿双眼融象功能、双眼立体视、双眼立体视差正常率均明显高于对照组(均P<0.05)，观察组患儿治疗总有效率明显高于对照组(94.1% vs 60.8%，P<0.05)，且观察组中不同年龄患儿治疗总有效率均高于对照组(P<0.05)，其中6～8岁患儿治疗总有效率最高； 观察组中轻中度弱视患儿治疗总有效率高于对照组(94.0% vs 61.2%，P<0.05)。

结论：多媒体视觉生理刺激联合立体系统训练治疗屈光不正性弱视疗效较好，可促进患儿视力恢复，帮助重建双眼立体视觉功能，且对6～8岁及轻中度弱视患儿效果更好。

Abstract:

AIM: To analyze the efficacy of multimedia visual physiological stimulation combined with stereoscopic system training in the treatment of ametropic amblyopia in children.

METHODS: A total of 102 patients(102 eyes)with ametropic amblyopia admitted to our hospital from June 2021 to June 2022 were randomly divided into two groups. The control group consisted of 51 patients(51 eyes)who received multimedia visual physiological stimulation on the basis of conventional treatment, while the observation group consisted of 51 patients(51 eyes)who received stereoscopic training on the basis of the control group. The binocular fusion function, binocular stereopsis and binocular disparity of the two groups of children were evaluated at 3mo after treatment, and the clinical efficacy was assessed based on the improvement of vision.

RESULTS: After 3mo of treatment, the normal rates of binocular fusion function, binocular stereopsis, and binocular disparity in the observation group were significantly higher than those in the control group(all P<0.05). The total effective rate of the observation group was significantly higher than that of the control group(94.1% vs. 60.8%, P<0.05), and the total effective rate of treatment in children of different ages in the observation group was higher than that in the control group(P<0.05), with children aged 6-8 having the highest effective rate of treatment; The total effective rate of treatment for children with mild to moderate amblyopia in the observation group was higher than that in the control group(94.0% vs. 61.2%, P<0.05).

CONCLUSION: The combination of multimedia visual physiological stimulation and stereoscopic system training has a good therapeutic effect on ametropic amblyopia, which can promote visual recovery, help reconstruct binocular stereopsis, and has a better effect on children aged 6-8 years or children with mild to moderate amblyopia.