Korol S, Fiore C
Arch Ophtalmol (Paris). 1976 Apr;36(4):297-312.
In a group of patients suffering from amblyopia, the authors confront the results after orthoptic treatment with data provided by functional and electrophysiological examination. In 37 patients the clinical diagnosis of functional amblyopia had been made, but in 8 of these cases complimentary functional and electrophysiological examinations showed organic perturbations. This explains the failure, in these cases, of the orthoptic treatment. In the remaining 29 patients, clinical forms of functional amblyopia were found. In this group, the authors studied 20 cases showing no improvement with treatment: in 15 out of the 20 the VERs were pathological. In the 9 remaining cases which have showed improvement the VER'S were never abnormal. VER study can be undertaken, without general anaesthesia, as from 3 to 4 years of age. The authors conclude that all clinical forms of amblyopia should undergo VER investigation: patients showing pathological changes should be excluded from orthoptic treatment, from which they have no possibility of deriving benefit.
在一组弱视患者中，作者将视光学治疗后的结果与功能和电生理检查所提供的数据进行了对比。37例患者被临床诊断为功能性弱视，但其中8例经补充的功能和电生理检查显示存在器质性病变。这就解释了在这些病例中视光学治疗失败的原因。在其余29例患者中，发现了功能性弱视的临床症状。在这组患者中，作者研究了20例治疗后无改善的病例：20例中有15例视觉诱发电位（VER）异常。在其余9例有改善的病例中，VER从未出现异常。3至4岁起即可在无需全身麻醉的情况下进行VER检查。作者得出结论，所有弱视的临床症状都应接受VER检查：显示有病变的患者应排除在视光学治疗之外，因为他们无法从中获益。
