Sharbatoghli Leila, Hashemi Hassan, Mohamadi Alireza, Jafarzadehpur Ebrahim, Yekta Abbasali, Mirzajani Ali, Khabazkhoob Mehdi
Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran.
Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
Clin Optom (Auckl). 2020 Oct 15;12:183-187. doi: 10.2147/OPTO.S250813. eCollection 2020.
The aim of this study is to evaluate the effect of active vision therapy in adults with anisometropic amblyopia.
In this study, 20 adults with anisometropic amblyopia aged from 17-35 years old were treated for five sessions (one session per week) with vision therapy techniques which include accommodative rock, vergence rock, and saccadic training. Moreover, computerized vision therapy was performed by Optosys software. Also, patients had been given a daily program for home training, including accommodative and vergence rock, and Optosys software. Best corrected visual acuity (BCVA) was measured before and after treatment.
Comparison of data using -test showed that BCVA significantly improved after the vision therapy period. Initial BCVA (Log MAR) was 0.37±0.04 (mean±standard deviation) which improved to 0.14±0.03 after treatment. The correlation between initial BCVA and the amount of improvement showed that the worse the pre-treatment visual acuity was, the greater improvement that occurred.
The improvement of visual acuity in adult anisometropic amblyopes showed that there are some degrees of plasticity in the visual system of amblyopic patients even in adulthood. Thus, therapists should give the chance of treatment to adult amblyopes.
本研究旨在评估主动视觉疗法对成人屈光参差性弱视的疗效。
本研究中,20名年龄在17至35岁之间的成人屈光参差性弱视患者接受了为期五节(每周一节)的视觉疗法治疗,治疗技术包括调节性视标训练、聚散性视标训练和扫视训练。此外,通过Optosys软件进行计算机化视觉治疗。同时,患者还被给予了一份家庭训练的日常计划,包括调节性和聚散性视标训练以及Optosys软件。在治疗前后测量最佳矫正视力(BCVA)。
使用t检验对数据进行比较显示,在视觉治疗期后BCVA显著提高。初始BCVA(对数最小分辨角)为0.37±0.04(平均值±标准差),治疗后提高到0.14±0.03。初始BCVA与改善量之间的相关性表明,治疗前视力越差,改善程度越大。
成人屈光参差性弱视患者视力的提高表明,即使在成年期,弱视患者的视觉系统仍存在一定程度的可塑性。因此,治疗师应给予成年弱视患者治疗的机会。