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弱视的最新治疗进展。

Recent Treatment Advances in Amblyopia.

机构信息

Department of Psychology, University of Washington, Seattle, Washington, USA; email:

Department of Ophthalmology, University of Washington, Seattle, Washington, USA; email:

出版信息

Annu Rev Vis Sci. 2022 Sep 15;8:323-343. doi: 10.1146/annurev-vision-100720-022550. Epub 2022 Apr 4.

Abstract

Occlusion therapy has a long history as the gold standard treatment for amblyopia. Over the past two decades, large multicenter randomized controlled trials and objective dose-monitoring studies have characterized the effects of refractive correction, patching, and atropine penalization, providing insights into the impact of factors such as age and treatment dose. More recent approaches, whose development has been accelerated by advances in technology, are designed to provide different stimulation to the amblyopic eye and the fellow eye. This review explores a variety of such dichoptic approaches, categorized according to whether they primarily feature requisite use of the amblyopic eye in the face of fellow-eye masking, integration of visual information from both eyes, or reduction of stimulus salience in the fellow eye. It is still unclear whether dichoptic treatments are superior to traditional, low-cost treatment methods or whether their therapeutic mechanisms are fundamentally different from those of established treatments.

摘要

遮盖疗法作为弱视的金标准治疗方法已有很长的历史。在过去的二十年中,大型多中心随机对照试验和客观剂量监测研究已经描述了屈光矫正、遮盖和阿托品压抑的效果,深入了解了年龄和治疗剂量等因素的影响。最近的一些方法是通过技术进步加速发展起来的,旨在为弱视眼和对侧眼提供不同的刺激。本综述探讨了多种这种双眼视的方法,根据它们主要是在对侧眼掩蔽的情况下要求使用弱视眼、整合双眼的视觉信息还是降低对侧眼的刺激显著性来进行分类。目前还不清楚双眼视治疗是否优于传统的低成本治疗方法,或者它们的治疗机制是否与已建立的治疗方法根本不同。

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