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非手术治疗复视。

Nonsurgical treatment of diplopia.

机构信息

Family Eye Care of the Carolinas, Aberdeen, North Carolina, USA.

出版信息

Curr Opin Ophthalmol. 2018 Sep;29(5):381-384. doi: 10.1097/ICU.0000000000000513.

Abstract

PURPOSE OF REVIEW

As the population ages, the number of patients presenting to ophthalmologists with complaints of double vision is increasing.

RECENT FINDINGS

Diplopia is known to occur for optical, neuroophthalmological, strabismological and even iatrogenic reasons following various ophthalmic surgical procedures. The mainstays of the nonsurgical treatment of diplopia including no treatment, partial or total occlusion, press-on or ground in prisms and vergence exercises (to increase fusional vergence amplitudes) have been utilized for some time. Although a review of the literature demonstrates that very little has been published on this topic in recent years, subtle treatment variations have evolved.

SUMMARY

The ability to successfully manage patients' diplopia symptoms remains important to decrease the risk of patient injuries, as well as maximize their independence and quality of life. These concerns are especially important as patients age.

摘要

目的综述

随着人口老龄化,出现复视症状并到眼科就诊的患者数量正在增加。

最新发现

已知复视可由多种眼科手术引起光学、神经眼科、斜视甚至医源性原因。复视的非手术治疗主要包括不治疗、部分或完全遮盖、压贴或磨边棱镜以及聚散训练(增加融合聚散幅度),这些方法已经应用了一段时间。尽管文献综述表明,近年来关于这一主题的出版物很少,但治疗方法已经有了一些细微的变化。

总结

成功管理患者的复视症状仍然很重要,以降低患者受伤的风险,最大限度地提高他们的独立性和生活质量。这些问题在患者年龄增长时尤为重要。

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