Fernández Guardiola A, Sierra Jane I
Centro Médico Delfos. Barcelona, Spain.
Arch Soc Esp Oftalmol. 2001 Sep;76(9):527-32.
To study the success of visual rehabilitation in a group of 1,000 patients with low vision.
Clinical data on visual rehabilitation was studied in 1,000 subsequent patients suffering from visual impairment. Study focused on ocular disease, improvement in visual acuity and successful use of visual aids. A statistical analysis of results is presented.
25 cases dropped out due to issues in primary diagnosis. Remaining 975 patients were assigned to 9 groups: age-related macular degeneration (339) diabetic retinopathy (264 cases), myopic maculopathy (195 cases), glaucoma (96 cases), congenital maculopathy (39 cases), retinal detachment (12 patients), retinitis pigmentosa (13 cases), macular pucker (6 patients) and a miscellaneous group of 11 cases. The overall success in the improvement in visual acuity was 98% except for a group of patients with retinitis pigmentosa where a rate of only 46% success (p<0.01) was observed. 76% of cases finally accepted visual rehabilitation aids.
The usefulness of visual rehabilitation in low vision patients is confirmed, with the exception of retinitis pigmentosa cases, probably due to features of the disease itself. The design of visual aids should be improved in order to benefit a greater number of patients.
研究1000例低视力患者的视觉康复成功率。
对1000例后续视力障碍患者的视觉康复临床数据进行研究。研究重点为眼部疾病、视力改善情况及视觉辅助器具的成功使用。对结果进行了统计分析。
25例因初步诊断问题退出研究。其余975例患者分为9组：年龄相关性黄斑变性（339例）、糖尿病性视网膜病变（264例）、近视性黄斑病变（195例）、青光眼（96例）、先天性黄斑病变（39例）、视网膜脱离（12例）、色素性视网膜炎（13例）、黄斑皱襞（6例）以及其他杂项组11例。除色素性视网膜炎患者组成功率仅为46%（p<0.01）外，视力改善的总体成功率为98%。76%的病例最终接受了视觉康复辅助器具。
除色素性视网膜炎病例外，视觉康复对低视力患者有用，这可能归因于该疾病本身的特点。应改进视觉辅助器具的设计，以使更多患者受益。
