Hess Robert F, Thompson Benjamin
McGill Vision Research, Department of Ophthalmology, McGill University, Canada.
J AAPOS. 2013 Feb;17(1):89-93. doi: 10.1016/j.jaapos.2012.10.018. Epub 2013 Jan 24.
The current approach to the treatment of amblyopia is problematic for a number of reasons. First, it promotes recovery of monocular vision but because it is not designed to promote binocularity, its binocular outcomes often are disappointing. Second, compliance is poor and variable. Third, the effectiveness of the treatment is thought to decrease with increasing age. We discuss 2 new approaches aimed at recovering visual function in adults with amblyopia. The first is a binocular approach to amblyopia treatment that is showing promise in initial clinical studies. The second is still in development and involves the use of well-established noninvasive brain stimulation techniques to temporarily alter the balance of excitation and inhibition in the visual cortex.
目前治疗弱视的方法存在诸多问题。首先，它促进单眼视力恢复，但由于其并非旨在促进双眼视功能，其双眼视功能的治疗效果往往令人失望。其次，依从性差且不稳定。第三，人们认为治疗效果会随着年龄增长而降低。我们讨论了两种旨在恢复成人弱视视觉功能的新方法。第一种是弱视治疗的双眼视方法，在初步临床研究中显示出前景。第二种仍在研发中，涉及使用成熟的非侵入性脑刺激技术来暂时改变视觉皮层中兴奋与抑制的平衡。
