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[氦氖激光在儿童弱视治疗中的应用]

[The use of the helium-neon laser in the treatment of amblyopia in children].

作者信息

Gatsu M V, Puzanova E V, Platonova T L, Gorban' A I

出版信息

Vestn Oftalmol. 1990 Mar-Apr;106(2):19-21.

PMID:2368243
Abstract

The authors analyze the efficacy of He-Ne laser therapy of amblyopia of various origins in 48 children (81 eyes). Group 1 children were not treated at all in order to assess the visual function background fluctuations (absolute controls). Along with He-Ne laser, used in Group 2, a 'placebo', slit lamp with blinking light, was used in Group 3. Vision acuity was assessed with the use of Sivtsev-Golovin's and Orlova's tables and by visocontrastometry in a blind test. Common visometry has shown a reliable and approximately similar improvement of the vision acuity in Groups 2 and 3 patients, whereas visocontrastometry has not detected any changes of visual function in all the 3 groups. These results cast doubt on the true efficacy of He-Ne laser stimulation of visual function, at least in children, and once again demonstrate that such investigations may be carried out only with a reliable ('blind') control and placebo.

摘要

作者分析了氦氖激光疗法对48名儿童(81只眼)不同病因弱视的疗效。为评估视觉功能背景波动情况,第1组儿童未接受任何治疗(绝对对照)。第2组使用氦氖激光,第3组除氦氖激光外还使用了“安慰剂”——带闪烁光的裂隙灯。通过Sivtsev-Golovin表和Orlova表以及在盲法测试中使用视觉对比测定法评估视力。常规视力测定显示,第2组和第3组患者的视力有可靠且大致相似的改善,而视觉对比测定法未检测到所有3组视觉功能有任何变化。这些结果使人对氦氖激光刺激视觉功能的真正疗效产生怀疑,至少对儿童是如此,并且再次表明此类研究只能在有可靠(“盲法”)对照和安慰剂的情况下进行。

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