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[同侧偏盲及其康复]

[Homonymous hemianopsia and its rehabilitation].

作者信息

Zihl J

机构信息

Max-Planck-Institut für Psychiatrie, Neuropsychologische Abteilung Müchen.

出版信息

Klin Monbl Augenheilkd. 1988 May;192(5):555-8. doi: 10.1055/s-2008-1050177.

Abstract

The majority of patients with homonymous visual field disorders after postchiasmatic brain damage suffer from reading disabilities (known as hemianopic dyslexia) because the residual visual field is too small for complete comprehension of words and sentences. Furthermore, they typically show a reduction of searching movements in the affected hemifield. As a rule, an adequate adaptation of their reading and searching strategies to the field disorder does not take place spontaneously. Therefore, these patients need early and efficient systematic treatment. Using a new electronic device, both the impairments in reading and in visual exploration can be treated successfully within a relatively short period of time. Most of the patients successfully employ the strategies learned during training in their everyday lives. Thus, the proposed treatment may be considered an effective means of reducing the degree of their visual disability.

摘要

视交叉后脑部损伤后出现同向性视野障碍的大多数患者存在阅读障碍(称为偏盲性阅读障碍),因为残余视野过小,无法完整理解单词和句子。此外,他们通常在受影响的半视野中表现出搜索动作减少。通常,他们的阅读和搜索策略不会自发地充分适应视野障碍。因此,这些患者需要早期且有效的系统治疗。使用一种新的电子设备,阅读和视觉探索方面的损伤都可以在相对较短的时间内得到成功治疗。大多数患者在日常生活中成功运用了训练中学到的策略。因此,所提议的治疗方法可被视为减轻其视觉残疾程度的有效手段。

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