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三种临床立体视方法在单侧弱视治疗中测量双眼视觉功能的比较。

Comparison of Three Clinical Stereoscopic Methods for Measuring Binocular Visual Function During Amblyopic Treatment in Unilateral Amblyopia.

机构信息

Department of Ophthalmology, Second Affiliated Hospital, Anhui Medical University;

Department of Ophthalmology, First Affiliated Hospital, Anhui Medical University.

出版信息

J Vis Exp. 2024 Sep 27(211). doi: 10.3791/66753.

Abstract

This study aimed to compare the measuring stereopsis results of unilateral amblyopia during amblyopic treatment by employing some of the most widely used clinical tests. Thirty-four individuals with previously untreated unilateral amblyopia, aged 8.4 ± 2.7 years, were included in the study. Monocular (best corrected visual acuity [BCVA] at distance) and binocular (including Titmus, Random-dot, and Frisby stereopsis) visual functions were measured at baseline and 2-month and 6-month visits after synthetical treatment. We found that Titmus stereopsis was always significantly better than Random-dot stereopsis (p < 0.001). Frisby stereopsis was also always significantly better than Random-dot stereopsis (p < 0.001). However, there was no significant difference between Titmus stereopsis and Frisby stereopsis (p = 0.562). However, interestingly, there was no significant difference in the mean improvement of the three stereopsis methods from baseline to the 2-month visit, F = 1.158, p = 0.318. Similarly, a significant difference was also lacking in the mean improvement of the three stereopsis methods from baseline to the 6-month visit, F = 0.302, p = 0.740. We conclude that there will be different results obtained from different stereopsis measuring methods used to measure amblyopia in patients. We recommend performing at least two types of stereoscopic measurements to evaluate each case of amblyopia. However, for observing therapeutic effects, each measurement method has the same performance for clinical results during amblyopic treatment.

摘要

本研究旨在比较几种广泛应用的临床测试在弱视治疗期间对单侧弱视的测量立体视结果。共纳入 34 名未经治疗的单侧弱视患者,年龄 8.4±2.7 岁。在基线、综合治疗后 2 个月和 6 个月时分别测量单眼(最佳矫正远视力[BCVA])和双眼(包括Titmus、Random-dot 和 Frisby 立体视)视力。我们发现 Titmus 立体视始终显著优于 Random-dot 立体视(p<0.001)。Frisby 立体视也始终显著优于 Random-dot 立体视(p<0.001)。然而,Titmus 立体视和 Frisby 立体视之间无显著差异(p=0.562)。有趣的是,从基线到 2 个月随访,三种立体视方法的平均改善程度之间无显著差异,F=1.158,p=0.318。同样,从基线到 6 个月随访,三种立体视方法的平均改善程度之间也没有显著差异,F=0.302,p=0.740。我们得出结论,使用不同的立体视测量方法测量患者的弱视会得到不同的结果。我们建议进行至少两种类型的立体测量来评估每例弱视。然而,对于观察治疗效果,在弱视治疗期间,每种测量方法的临床结果表现相同。

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