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光生物调节疗法治疗先天性色觉缺陷:一项初步随机临床试验的结果

Photobiomodulation therapy for congenital color vision deficiency: results of a preliminary randomized clinical trial.

作者信息

Liu Yidi, Yang Qinghua, Yu Jun, Jia Liang

机构信息

Department of Laser Medicine, the First Medical Center, Chinese PLA General Hospital, Beijing, China.

Senior Department of Ophthalmology, the Third Medical Center, Chinese PLA General Hospital, Beijing, China.

出版信息

Front Med (Lausanne). 2024 Dec 19;11:1497501. doi: 10.3389/fmed.2024.1497501. eCollection 2024.

Abstract

PURPOSE

This study presents a novel randomized controlled trial investigating photobiomodulation (PBM) therapy as an intervention method for color vision deficiency (CVD).

METHODS

A total of 74 participants with CVD were assigned to either the PBM group or the control group. In the PBM group, participants wore virtual reality (VR) goggles twice daily, with a 12-h interval, over a four-week period. The VR video consisted of alternating red and green images, each presented for 5 s, totaling 6 min and 20 s. No treatment was administered to the control group. Color vision improvement was assessed using Yu's, Ishihara's pseudoachromatic plates, Color Blindness Check (CBC), and FM-100 Hue total error score (TES).

RESULTS

After 4 weeks, in terms of Yu's and Ishihara's Plates, the patients in PBM group could identify increasing pieces (before: 1.6 ± 1.6, 2.3 ± 2.2; 4 weeks: 6.5 ± 4.4, 5.4 ± 2.9), while in control group, the number was before: 2.6 ± 3.4, 2.6 ± 2.5; 4 weeks: 3.3 ± 3.6, 2.9 ± 2.2. As for CBC scores, the patients in PBM also showed improved high scores (before: 2353.3 ± 700.0; 4 weeks: 2693.6 ± 642.5). Moreover, PBM treatment resulted in a significant reduction of FM-100 scores (before: 298.0 ± 211.3; 4 weeks: 202.1 ± 114.4).

CONCLUSION

These findings suggest that PBM therapy holds promise as a potential treatment option for individuals with CVD.

CLINICAL TRIAL REGISTRATION

The study received approval from the Ethics Committee of PLA General Hospital, China (KY2021-017). Additionally, it was registered as a Chinese domestic clinical trial (ChiCTR2200056761) at "http://Chictr.org.cn/index.aspx".

摘要

目的

本研究开展了一项新型随机对照试验,调查光生物调节(PBM)疗法作为一种针对色觉缺陷(CVD)的干预方法。

方法

共有74名患有CVD的参与者被分配到PBM组或对照组。在PBM组中,参与者在四周时间内每天佩戴虚拟现实(VR)护目镜两次,间隔12小时。VR视频由交替出现的红色和绿色图像组成,每个图像呈现5秒,总计6分20秒。对照组未接受任何治疗。使用俞氏、石原氏伪色盲板、色盲检查(CBC)和FM-100色调总误差评分(TES)评估色觉改善情况。

结果

4周后,就俞氏和石原氏色盲板而言,PBM组患者能够识别的图片数量增加(之前:1.6±1.6,2.3±2.2;4周后:6.5±4.4,5.4±2.9),而对照组的数量为之前:2.6±3.4,2.6±2.5;4周后:3.3±3.6,2.9±2.2。至于CBC评分,PBM组患者的高分也有所改善(之前:2353.3±700.0;4周后:2693.6±642.5)。此外,PBM治疗使FM-100评分显著降低(之前:298.0±211.3;4周后:202.1±114.4)。

结论

这些发现表明,PBM疗法有望成为CVD患者的一种潜在治疗选择。

临床试验注册

本研究获得了中国人民解放军总医院伦理委员会的批准(KY2021-017)。此外,它在“http://Chictr.org.cn/index.aspx”上注册为中国国内临床试验(ChiCTR2200056761)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ea/11693665/be5053546039/fmed-11-1497501-g001.jpg

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