Pestalozzi D
Augenarzt FMH, Vorm. Chefarzt Augenklinik, Kantonsspital Olten.
Klin Monbl Augenheilkd. 1991 May;198(5):464-9. doi: 10.1055/s-2008-1046013.
163 patients suffering from different serious troubles were treated with binocular full correction (BFC) i.e. examination by Polatest and prismatic correction. Before, they all had seen other ophthalmologists. The former diagnose and therapy are listed and compared with those of the author.
After a 2 2/3 years average follow-up period 68% of the patients were complaintless, 23% felt better. All patients reached at least binocular single vision, although initially 13% had no binocular vision and 1% complained about diplopia. 70% got ideal binocular vision (initially 0%). In the beginning 50 patients suffered from reduced visual acuity. It improved in all cases with differences of v.a. from 2-4/10 to 10/10. From the shown results the author concludes that conventional binocular diagnostic and therapeutic methods do no longer meet the state of the art. It is postulated that BFC should be accepted by school-medicine and that ophthalmologists and orthoptists should be trained in BFC. Only in this way ophthalmologists may fulfil their task to free patients from the many complaints caused by binocular troubles. The used terminology about BFC is explained in the appendix.
163名患有不同严重问题的患者接受了双眼全矫正(BFC)治疗,即通过Polatest检查和棱镜矫正。在此之前,他们都看过其他眼科医生。列出了之前的诊断和治疗方法,并与作者的方法进行了比较。
经过平均2又2/3年的随访期,68%的患者没有不适,23%感觉有所好转。所有患者至少达到了双眼单视,尽管最初有13%的患者没有双眼视力,1%的患者抱怨有复视。70%的患者获得了理想的双眼视力(最初为0%)。一开始有50名患者视力下降。所有病例的视力均有改善,视力差异从2 - 4/10提高到10/10。根据所示结果,作者得出结论,传统的双眼诊断和治疗方法已不再符合当前的技术水平。推测学校医学应接受BFC,眼科医生和斜视矫正师应接受BFC培训。只有这样,眼科医生才能完成他们的任务,使患者摆脱双眼问题引起的诸多不适。附录中解释了关于BFC使用的术语。