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基于双眼分视刺激的弱视治疗中的双眼治疗方法。

Binocular Approaches in Amblyopia Treatment Based on Dichoptic Stimulation.

作者信息

Yabanoğlu Demet, Taylan Şekeroğlu Hande

机构信息

Hacettepe University Faculty of Medicine, Department of Ophthalmology, Ankara, Türkiye

出版信息

Turk J Ophthalmol. 2025 Jun 25;55(3):148-158. doi: 10.4274/tjo.galenos.2025.06626. Epub 2025 May 21.


DOI:10.4274/tjo.galenos.2025.06626
PMID:40395099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12192222/
Abstract

The discovery that binocular dysfunction may play a critical role in the development of amblyopia has led to the development of a novel approach based on contrast-rebalanced binocular stimulation of both eyes. This approach, known as dichoptic stimulation, enables the treatment of amblyopia by facilitating the cooperation of both eyes. Dichoptic treatment approaches are founded on the theoretical premise that binocular imbalance plays a significant role in both monocular and binocular impairments in amblyopia, and that preserving binocular function capacity is essential. Therefore, these approaches are designed to promote the collaborative functioning of the eyes, enhance stereopsis, and improve binocular fusion. This review systematically examines and synthesizes the existing literature on dichoptic stimulation techniques aimed at improving binocular function in the treatment of amblyopia. Based on various studies in the literature, the fundamental principles of these treatment methods are outlined, and the results obtained in comparison to traditional monocular treatments are highlighted. The clinical efficacy of dichoptic treatment methods is evaluated in terms of their contribution to enhancing binocular function in amblyopia. Additionally, information is provided regarding the outcomes, treatment durations, efficacy levels, and potential side effects of these treatment approaches in different patient groups. This review offers a comprehensive assessment of the integration of dichoptic treatment approaches into clinical practice, highlighting both their advantages and disadvantages, and aims to provide a guiding perspective on their future use.

摘要

双眼功能障碍可能在弱视的发展中起关键作用这一发现,促使了一种基于双眼对比重新平衡刺激的新方法的开发。这种方法,即双眼分视刺激,通过促进双眼协作来治疗弱视。双眼分视治疗方法基于这样的理论前提:双眼不平衡在弱视的单眼和双眼损害中都起着重要作用,并且保持双眼功能能力至关重要。因此,这些方法旨在促进双眼协同运作,增强立体视,并改善双眼融合。本综述系统地审视并综合了现有关于旨在改善弱视治疗中双眼功能的双眼分视刺激技术的文献。基于文献中的各种研究,概述了这些治疗方法的基本原理,并突出了与传统单眼治疗相比所取得的结果。从对弱视中增强双眼功能的贡献方面评估了双眼分视治疗方法的临床疗效。此外,还提供了关于这些治疗方法在不同患者群体中的结果、治疗持续时间、疗效水平和潜在副作用的信息。本综述对双眼分视治疗方法融入临床实践进行了全面评估,突出了其优缺点,并旨在为其未来应用提供指导观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/b39d12caac3d/TurkJOphthalmol-55-3-148-figure-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/76d11d85772e/TurkJOphthalmol-55-3-148-figure-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/62a332c6b16d/TurkJOphthalmol-55-3-148-figure-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/1b6b846feaec/TurkJOphthalmol-55-3-148-figure-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/b39d12caac3d/TurkJOphthalmol-55-3-148-figure-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/76d11d85772e/TurkJOphthalmol-55-3-148-figure-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/62a332c6b16d/TurkJOphthalmol-55-3-148-figure-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/1b6b846feaec/TurkJOphthalmol-55-3-148-figure-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/12192222/b39d12caac3d/TurkJOphthalmol-55-3-148-figure-4.jpg

相似文献

[1]
Binocular Approaches in Amblyopia Treatment Based on Dichoptic Stimulation.

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[2]
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[3]
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[4]
Safety Evaluation in Healthy Adults of Motion-Based Virtual Reality Dichoptic Training for Pediatric Patients With Amblyopia: Prospective Intervention Study.

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本文引用的文献

[1]
Randomized clinical trial of streaming dichoptic movies versus patching for treatment of amblyopia in children aged 3 to 7 years.

Sci Rep. 2022-3-9

[2]
A Randomized Trial of Binocular Dig Rush Game Treatment for Amblyopia in Children Aged 4 to 6 Years.

Optom Vis Sci. 2022-3-1

[3]
Randomized Controlled Trial of a Dichoptic Digital Therapeutic for Amblyopia.

Ophthalmology. 2022-1

[4]
Current Management of Amblyopia with New Technologies for Binocular Treatment.

Vision (Basel). 2021-6-10

[5]
Digital therapeutic improves visual acuity and encourages high adherence in amblyopic children in open-label pilot study.

J AAPOS. 2021-4

[6]
Stimuli Characteristics and Psychophysical Requirements for Visual Training in Amblyopia: A Narrative Review.

J Clin Med. 2020-12-9

[7]
Improved adherence and treatment outcomes with an engaging, personalized digital therapeutic in amblyopia.

Sci Rep. 2020-5-20

[8]
Evaluating the Acute Effect of Stereoscopic Recovery by Dichoptic Stimulation Using Electroencephalogram.

Comput Math Methods Med. 2020

[9]
Sensory Eye Dominance: Relationship Between Eye and Brain.

Eye Brain. 2020-1-20

[10]
Comparison between patching and interactive binocular treatment in amblyopia: A randomized clinical trial.

J Curr Ophthalmol. 2019-8-14

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