视听生物反馈训练对小儿特发性婴儿性眼球震颤视觉功能和生活质量的影响：一项初步研究。
Post audio-visual biofeedback training visual functions and quality of life in paediatric idiopathic infantile nystagmus: A pilot study.
机构信息
Low Vision Service, (University Health Network Hospitals), Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada.
Private practice, Toronto, ON, Canada.
出版信息
Eur J Ophthalmol. 2021 Nov;31(6):3324-3331. doi: 10.1177/1120672121991048. Epub 2021 Jan 26.
PURPOSE
Biofeedback training (BT) was adapted to idiopathic infantile nystagmus syndrome (IINS) cases to enhance visual functions and quality of life (QoL).
METHODS
10 patients (age 9 ± 3.2 years) treated with the audio-visual BT module of the MAIA microperimeter (Centervue, Padova, Italy) were assessed in two baseline visits and 1week post-BT (BT 80 min in total). The outcomes were distance and near binocular best corrected visual acuity (BBCVA), fixation stability, reading speed, contrast sensitivity, stereopsis and Children's Visual Function Questionnaire. One-way repeated measured ANOVA and paired -tests were used.
RESULTS
Distance BBCVA improved from 0.46 ± 0.21 and 0.43 ± 0.18 pre-BT to 0.33 ± 0.2 logMAR post-BT ( (2,27) = 13.75, = 0.0002). Post-BT was better than baseline ( = 0.0001) and pre-BT ( = 0.001). Near BBCVA improved from 0.23 ± 0.09 and 0.21 ± 0.14 pre-BT to 0.04 ± 0.08 post-BT (F (2,27) = 22.12, = 0.000014), post-BT was better than baseline ( = 0.0001) and pre-BT ( = 0.0006). Stereopsis improved from 283 ± 338″ to 39 ± 32.2″ ( = 0.04), contrast sensitivity from 0.26 ± 0.17 to 0.08 ± 0.12 log units ( = 0.01), and reading speed improved from 74.7 ± 51.2 wpm to 104.7 ± 53.6 wpm ( = 0.0006). Fixation stability improved from 33.6 ± 28.1 to 14.3 ± 10.1 sq. QoL increased from 23.8 ± 2.2 to 26.3 ± 2.3 units ( = 0.001).
CONCLUSION
BT benefited all visual functions and QoL in this pilot study, heralding a new possibility for Low Vision Rehabilitation in IINS.
目的
生物反馈训练（BT）被应用于特发性婴儿性眼球震颤综合征（IINS）病例，以增强视觉功能和生活质量（QoL）。
方法
10 名（9±3.2 岁）接受 MAIA 微视野仪（Centervue，帕多瓦，意大利）视听 BT 模块治疗的患者在两次基线访视和 BT 后 1 周（BT 共 80 分钟）进行评估。结果包括远距和近距双眼最佳矫正视力（BCVA）、固视稳定性、阅读速度、对比敏感度、立体视和儿童视觉功能问卷。采用单因素重复测量方差分析和配对检验。
结果
远距 BCVA 从 BT 前的 0.46±0.21 和 0.43±0.18 提高到 BT 后的 0.33±0.2 logMAR（(2,27)=13.75， =0.0002）。BT 后优于基线（ =0.0001）和 BT 前（ =0.001）。近距 BCVA 从 BT 前的 0.23±0.09 和 0.21±0.14 提高到 BT 后的 0.04±0.08（F (2,27)=22.12， =0.000014），BT 后优于基线（ =0.0001）和 BT 前（ =0.0006）。立体视从 283±338″提高到 39±32.2″（ =0.04），对比敏感度从 0.26±0.17 提高到 0.08±0.12 log 单位（ =0.01），阅读速度从 74.7±51.2 wpm 提高到 104.7±53.6 wpm（ =0.0006）。固视稳定性从 33.6±28.1 提高到 14.3±10.1 sq，QoL 从 23.8±2.2 提高到 26.3±2.3 单位（ =0.001）。
结论
BT 使该试点研究中的所有视觉功能和 QoL 受益，为 IINS 的低视力康复带来了新的可能性。
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