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[针对视野缺损患者的视觉康复训练新方法]

[New approaches to visual rehabilitation training for patients with visual field defects].

作者信息

Li Mengwei, Zhu Wenqing, Sun Xinghuai

机构信息

Department of Ophthalmology, EYE and ENT Hospital of Fudan University, Key Laboratory of Myopia of State Health Ministry and Key Laboratory of Visual Impairment and Restoration of Shanghai, Shanghai 200031, China.

Department of Ophthalmology, EYE and ENT Hospital of Fudan University, Key Laboratory of Myopia of State Health Ministry and Key Laboratory of Visual Impairment and Restoration of Shanghai, Shanghai 200031, China; Email:

出版信息

Zhonghua Yan Ke Za Zhi. 2015 Jul;51(7):552-6.

Abstract

In clinical practice, maculopathy and neurological eye disorders often cause visual field defects. Once the defects are formed, treatment and rehabilitation are confronted with the bottleneck due to irreversibility. With the transformation of medical patterns and people's higher needs for rehabilitation, new approaches to visual training for these diseases with visual field defects are emerging. Currently, visual rehabilitation training for patients with visual field defects focuses on two directions: central visual field defects and hemianopia / peripheral visual field defects. Patients' fine vision is mainly affected by central visual field defects, the rehabilitation training for which can be divided into eccentric viewing training, eye movement training and perceptual learning training. Patients' visual exploration, orientation, walking and reading are largely influenced by hemianopia and peripheral visual field defects, the rehabilitation training for which can be separated into visual restoration strategy and eye movement compensatory strategy.

摘要

在临床实践中,黄斑病变和神经性眼病常导致视野缺损。一旦缺损形成,由于其不可逆性,治疗和康复面临瓶颈。随着医学模式的转变以及人们对康复的更高需求,针对这些有视野缺损疾病的视觉训练新方法不断涌现。目前,针对视野缺损患者的视觉康复训练主要集中在两个方向:中心视野缺损和偏盲/周边视野缺损。中心视野缺损主要影响患者的精细视力,其康复训练可分为偏心注视训练、眼球运动训练和感知学习训练。偏盲和周边视野缺损在很大程度上影响患者的视觉探索、定向、行走和阅读,其康复训练可分为视觉恢复策略和眼球运动补偿策略。

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