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[垂体腺瘤切除术后偏盲患者的视觉康复治疗:一例报告]

[Visual rehabilitation treatment for a patient with hemifield slide after pituitary adenoma resection: a case report].

作者信息

Wang X Q, Song R, Ma J, Liu X P

机构信息

Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

Institute of Visual Sciences, Beijing 100032, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2024 Sep 11;60(9):773-775. doi: 10.3760/cma.j.issn.cn112142-20240410-00162.

Abstract

The patient is a 28-year-old male who presented with hemifield slide for 10 months following surgery for a large pituitary adenoma. A comprehensive ophthalmological examination and visual function tests were conducted, including best corrected visual acuity, visual field, stereopsis, accommodative convergence, Worth four-dot test, and prism cover test for quantifying strabismus, along with assessments using a depression scale and a visual function questionnaire. Rehabilitation plans included applying press-on prisms to correct vertical strabismus, binocular vision training, and saccadic training. After rehabilitation, the patient was able to maintain binocular single vision at near and intermediate distances, experienced improved visual comfort, and showed significant improvements in scores on the depression scale and visual function questionnaire.

摘要

该患者为一名28岁男性,在接受大型垂体腺瘤手术后出现半视野滑动10个月。进行了全面的眼科检查和视觉功能测试,包括最佳矫正视力、视野、立体视、调节性集合、Worth四点测试以及用于量化斜视的棱镜遮盖试验,同时还使用抑郁量表和视觉功能问卷进行了评估。康复计划包括应用压贴棱镜矫正垂直斜视、双眼视觉训练和扫视训练。康复后,患者能够在近距和中距保持双眼单视,视觉舒适度有所改善,抑郁量表和视觉功能问卷的得分也有显著提高。

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