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手眼协调的知觉学习作为管理弱视的有效工具:一项前瞻性研究。

Perceptual learning with hand - eye coordination as an effective tool for managing amblyopia: A prospective study.

机构信息

Drashti Netralaya, Dahod, Gujarat, India.

出版信息

Indian J Ophthalmol. 2022 Oct;70(10):3630-3633. doi: 10.4103/ijo.IJO_852_22.

DOI:10.4103/ijo.IJO_852_22
PMID:36190061
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9789846/
Abstract

PURPOSE

Amblyopia is a serious condition resulting in monocular impairment of vision. Although traditional treatment improves vision, we attempted to explore the results of perceptual learning in this study.

METHODS

This prospective cohort study included all patients with amblyopia who were subjected to perceptual learning. The presenting data on vision, stereopsis and contrast sensitivity were documented in a pretested online format, and the pre- and post-treatment information was compared using descriptive, cross-tabulation and comparative methods on SPSS 2.2. The mean values were obtained, and P < 0.05 was considered statistically significant.

RESULTS

The cohort consisted of 47 patients (23 females and 24 males) with a mean age of 14.11 ± 7.13 years. A statistically significant improvement was detected in visual acuity after the perceptual learning session, and the median follow-up period was 17 days. Also, significant improvements were observed in stereopsis but not in the visual outcomes among the age groups.

CONCLUSION

Perceptual learning with hand-eye coordination is an effective method for managing amblyopia. This approach can improve vision in all age groups. However, visual improvement is significantly influenced by ocular alignment.

摘要

目的

弱视是一种导致单眼视力受损的严重疾病。虽然传统治疗可以提高视力,但我们试图在本研究中探索知觉学习的结果。

方法

这是一项前瞻性队列研究,包括所有接受知觉学习的弱视患者。使用预先测试的在线格式记录视力、立体视和对比敏感度的表现数据,并使用 SPSS 2.2 上的描述性、交叉表和比较方法比较治疗前后的信息。获取平均值,P<0.05 为统计学显著。

结果

该队列包括 47 名患者(23 名女性和 24 名男性),平均年龄为 14.11±7.13 岁。在知觉学习疗程后,视力显著提高,中位随访期为 17 天。此外,在年龄组中,除了视力结果外,立体视也有显著改善。

结论

手眼协调的知觉学习是治疗弱视的有效方法。这种方法可以改善所有年龄段的视力。然而,视力的提高显著受到眼位的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0175/9789846/42898ec6ba4a/IJO-70-3630-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0175/9789846/42898ec6ba4a/IJO-70-3630-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0175/9789846/42898ec6ba4a/IJO-70-3630-g001.jpg

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An updated review about perceptual learning as a treatment for amblyopia.关于作为弱视治疗方法的知觉学习的最新综述。
J Optom. 2022 Jan-Mar;15(1):3-34. doi: 10.1016/j.optom.2020.08.002. Epub 2020 Nov 24.
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Simplified updates on the pathophysiology and recent developments in the treatment of amblyopia: A review.
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The Effect of Combined Patching and Citalopram on Visual Acuity in Adults with Amblyopia: A Randomized, Crossover, Placebo-Controlled Trial.联合遮盖和西酞普兰对成人弱视患者视力的影响:一项随机、交叉、安慰剂对照试验。
Neural Plast. 2019 Jun 9;2019:5857243. doi: 10.1155/2019/5857243. eCollection 2019.
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'It's too late'. Is it really? Considerations for amblyopia treatment in older children.“太晚了”。真的是这样吗?大龄儿童弱视治疗的相关考量。
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