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双眼视觉训练和菲涅尔压贴三棱镜对斜视性弱视儿童的疗效

Efficacy of binocular vision training and Fresnel press-on prism on children with esotropia and amblyopia.

作者信息

Liang Jincai, Pang Shasha, Yan Li, Zhu Jianhua

机构信息

Department of Ophthalmology, Guiyang Maternal and Child Health Hospital, Guiyang, 550003, Guizhou, China.

, Guiyang City, China.

出版信息

Int Ophthalmol. 2023 Feb;43(2):583-588. doi: 10.1007/s10792-022-02461-9. Epub 2022 Aug 9.

Abstract

PURPOSE

In the process of clinical diagnosis and treatment of amblyopia, we have found that the treatment time of this disease was significantly different among different patients. The purpose of this study was to compare the efficacy of binocular vision training (BVT) and Fresnel press-on prism (FPP) on children with esotropia combined with amblyopia.

METHODS

From May 2015 to December 2018, a total of 101 children aged 3-9 years with esotropia and amblyopia who were in our hospital were enrolled in this randomized clinical trial. They were randomly divided into combined group (48 cases) and prism group (53 cases): the children in the prism group received FPP treatment, and those in the combined group received the combined treatment of BVT and FPP. The visual acuity, the binocular function and the strabismic therapeutic effects were compared between two groups.

RESULTS

After treatment, the visual acuity in both groups was both significantly improved compared with that before treatment (P = 0.0079). The binocular-monocular function, including synoptophore visual function and the Titmus stereopsis, in both groups was significantly improved compared with those before treatment (P < 0.05), and it was more significant in the combined group compared with the prism group (P < 0.05). The cure rate of strabismus was 87.50% (42/48) and 30.19% (16/53) in the combined group and the prism group, respectively, and there was significant difference between groups (P = 0.0036). The cure time was shortened with the lower of the degree of esotropia.

CONCLUSION

BVT combined with FPP can effectively promote the recovery of binocular vision in children with esotropia combined with amblyopia, and some children can achieve complete cure of strabismus.

摘要

目的

在弱视临床诊治过程中,我们发现该疾病不同患者间治疗时间存在显著差异。本研究旨在比较双眼视觉训练(BVT)与菲涅尔压贴三棱镜(FPP)对斜视合并弱视儿童的疗效。

方法

2015年5月至2018年12月,选取我院3至9岁的101例斜视合并弱视儿童纳入本随机临床试验。他们被随机分为联合组(48例)和三棱镜组(53例):三棱镜组儿童接受FPP治疗,联合组儿童接受BVT与FPP联合治疗。比较两组的视力、双眼功能及斜视治疗效果。

结果

治疗后,两组视力均较治疗前显著提高(P = 0.0079)。两组的双眼-单眼功能,包括同视机视觉功能和Titmus立体视,均较治疗前显著改善(P < 0.05),联合组改善程度大于三棱镜组(P < 0.05)。联合组和三棱镜组的斜视治愈率分别为87.50%(42/48)和30.19%(16/53),组间差异有统计学意义(P = 0.0036)。治愈时间随内斜视度数降低而缩短。

结论

BVT联合FPP可有效促进斜视合并弱视儿童双眼视觉的恢复,部分患儿可实现斜视完全治愈。

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