基于家庭的双眼分视视觉训练6周后弱视儿童的视觉表现

Visual Performance of Children with Amblyopia after 6 Weeks of Home-Based Dichoptic Visual Training.

作者信息

Piñero David P, Gil-Casas Amparo, Hurtado-Ceña Francisco J, Molina-Martin Ainhoa

机构信息

Department of Optics, Pharmacology and Anatomy, University of Alicante, 03690 Alicante, Spain.

Department of Ophthalmology, Vithas Medimar International Hospital, 03016 Alicante, Spain.

出版信息

Children (Basel). 2024 Aug 17;11(8):1007. doi: 10.3390/children11081007.

DOI:10.3390/children11081007

PMID:39201941

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11352600/

Abstract

OBJECTIVES

This study was aimed at analyzing the efficacy on the improvement of the visual function of a dichoptic online cloud-based platform for the treatment of amblyopia in anisometropic children.

METHODS

A quasi-experimental (pretest-post-test) study was conducted in 23 subjects with ages from 5 to 15 years old with anisometropic amblyopia combined with additional presence (2 subjects) or not (21 subjects) of microtropia. A total of 30 home-based training sessions of 30 min per session with Bynocs platform were prescribed for 6 weeks.

RESULTS

Amblyopic eye logMAR visual acuity (VA) significantly improved from 0.28 ± 0.24 to 0.13 ± 0.20 after the 6-week treatment ( < 0.001). At baseline, 60.9% of participants had VA in amblyopic eye of 0.20 logMAR or worse, whereas this percentage decreased to 21.7% after treatment. Binocular function (BF) significantly improved from 2.82 ± 1.11 to 2.32 ± 0.94 ( < 0.001). Mean compliance was 92%, 87% and 93% at 2, 4 and 6 weeks of treatment, respectively.

CONCLUSIONS

In conclusion, home-based dichoptic training with the digital platform evaluated is an effective method to improve amblyopic VA and stereoacuity in children with anisometropic amblyopia combined or not with microtropia.

摘要

目的

本研究旨在分析基于云的双眼分视在线平台对屈光参差性儿童弱视视觉功能改善的疗效。

方法

对23名年龄在5至15岁的屈光参差性弱视患者进行了一项准实验性（前后测）研究，其中2名患者合并微小斜视，21名患者未合并微小斜视。使用Bynocs平台进行为期6周的家庭训练，共30次，每次30分钟。

结果

经过6周的治疗，弱视眼的logMAR视力（VA）从0.28±0.24显著提高到0.13±0.20（<0.001）。基线时，60.9%的参与者弱视眼的VA为0.20 logMAR或更差，而治疗后这一比例降至21.7%。双眼功能（BF）从2.82±1.11显著提高到2.32±0.94（<0.001）。治疗第2、4和6周时的平均依从率分别为92%、87%和93%。