Stein J F, Riddell P M, Fowler M S
University Laboratory of Physiology, Oxford.
Eye (Lond). 1987;1 ( Pt 3):433-8. doi: 10.1038/eye.1987.66.
Dyslexic children often complain that letters seem to move around. The hypothesis advanced here is that this is a symptom of immature vergence control which leads to an unstable sense of visual direction. Evidence is presented that (1) sixty-seven per cent of dyslexic children exhibit poor dynamic control of vergence movements in response to a small fusion stimulus, (2) most good readers have good vergence control, (3) children with poor vergence control have reduced stereoacuity, (4) six months monocular occlusion for reading and close work assisted 51 per cent of dyslexics with unstable vergence control to improve; thereafter their reading improved rapidly also. It is concluded that defective vergence control is an important, though not the only, cause of dyslexics' problems.
患有诵读困难症的儿童常常抱怨字母似乎会移动。这里提出的假设是,这是双眼融合控制不成熟的一种症状,会导致视觉方向感不稳定。有证据表明:(1)67%的诵读困难症儿童在面对小的融合刺激时,双眼融合运动的动态控制较差;(2)大多数优秀的阅读者有良好的双眼融合控制能力;(3)双眼融合控制能力差的儿童立体视锐度降低;(4)对患有不稳定双眼融合控制的诵读困难症儿童进行为期六个月的单眼遮盖以进行阅读和近距离工作,51%的儿童得到了改善;此后他们的阅读能力也迅速提高。得出的结论是,双眼融合控制缺陷是诵读困难症问题的一个重要原因,尽管不是唯一原因。