Department of Ophthalmology, Capital Institute of Pediatrics Affiliated Children's Hospital, Beijing, China.
Indian J Ophthalmol. 2023 Feb;71(2):625-630. doi: 10.4103/ijo.IJO_1505_22.
This study aimed to investigate the effect of virtual reality (VR) technology in children after surgery for concomitant strabismus.
A total of 200 children with concomitant exotropia or concomitant esotropia were randomly divided into a training group and a control group according to the single even number random method (100 cases in each group). Patients in the training group received VR intervention training within 1 week after surgery. Patients in the control group did not receive any training.
Six months after the surgery, the orthophoria (the far or near strabismus degree was ≤8Δ) rate was significantly higher in the training group than in the control group (P = 0.001), while the eye position regression rate (compared to the strabismus degree within 1 week after the surgery, the amount of regression >10Δ) was significantly lower in the training group than in the control group (P = 0.001). Six months after the surgery, the number of children with simultaneous vision and remote stereovision was significantly higher in the training group than in the control group (P = 0.017 and 0.002, respectively). The differences in the number of patients with peripheral stereopsis, macular stereopsis, and stereopsis in macular fovea centralis at 1, 3, and 6 months after the surgery between the training and the control groups were not statistically significant (P = 0.916, 0.274, and 0.302, respectively).
The intervention of VR technology after strabismus correction effectively improved children's visual function and maintained their eye position.
本研究旨在探讨虚拟现实(VR)技术对斜视手术后儿童的影响。
将 200 例共同性外斜视或共同性内斜视患儿按单偶数随机法分为训练组和对照组,每组 100 例。术后 1 周内,训练组患儿接受 VR 干预训练,对照组患儿不接受任何训练。
术后 6 个月,训练组患儿正位率(远或近斜视度≤8Δ)明显高于对照组(P=0.001),眼位回退率(与术后 1 周时斜视度相比,回退量>10Δ)明显低于对照组(P=0.001)。术后 6 个月,训练组患儿同时视和远立体视的例数明显多于对照组(P=0.017 和 0.002)。术后 1、3、6 个月,训练组和对照组患儿周边立体视、黄斑立体视和黄斑中心凹立体视的例数差异均无统计学意义(P=0.916、0.274 和 0.302)。
斜视矫正术后 VR 技术的干预能有效提高儿童的视觉功能,维持眼位。