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斜视性和屈光参差性弱视中对比敏感度与视力的关系

Contrast sensitivity and acuity relationship in strabismic and anisometropic amblyopia.

作者信息

Abrahamsson M, Sjöstrand J

机构信息

Department of Ophthalmology, University of Göteborg, Sahlgren's Hospital, Sweden.

出版信息

Br J Ophthalmol. 1988 Jan;72(1):44-9. doi: 10.1136/bjo.72.1.44.

Abstract

The contrast sensitivity function (CSF) and visual acuity were determined in children and adults with unilateral amblyopia due to strabismus or anisometropia with central fixation. The preschool children were examined repeatedly during occlusion treatment. All amblyopes had CSF deficits. The CSF was characterised by its peak value (the maximal sensitivity, Smax, and the spatial frequency at which Smax occurs, Frmax) calculated by a single peak least-square regression method. The two amblyopic groups showed discrepancies in relationship of both Smax and Frmax versus visual acuity both initially and during treatment. The strabismic cases had a more marked visual acuity deficit in relation to the contrast sensitivity losses, whereas these parameters are affected similarly in anisometropic amblyopes. The relationship between recovery of visual acuity and CSF during the initial month of occlusion treatment was of prognostic significance for the outcome of visual acuity improvement.

摘要

对因斜视或屈光参差且中心注视而导致单侧弱视的儿童和成人进行了对比敏感度函数(CSF)和视力测定。在遮盖治疗期间对学龄前儿童进行了多次检查。所有弱视患者均存在CSF缺陷。CSF的特征在于其峰值(最大敏感度Smax以及出现Smax时的空间频率Frmax),通过单峰最小二乘回归方法计算得出。两个弱视组在初始阶段和治疗期间,Smax和Frmax与视力的关系均存在差异。斜视病例相对于对比敏感度损失有更明显的视力缺陷,而在屈光参差性弱视患者中,这些参数受到的影响相似。在遮盖治疗的首个月期间,视力恢复与CSF之间的关系对视力改善的结果具有预后意义。

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