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使用隐形眼镜治疗复视

Management of Diplopia Using Contact Lens.

作者信息

Lee Samuel K, Zabrowski Cheryl, Lee Michael S

机构信息

Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota.

出版信息

Neuroophthalmology. 2024 Jul 17;49(1):11-16. doi: 10.1080/01658107.2024.2377173. eCollection 2025.

Abstract

Binocular diplopia limits quality of life by hampering visual function. There are several treatment options with individual advantages and drawbacks. Contact lenses have recently emerged as an attractive treatment delivery mechanism due to advances in lens manufacturing and imaging modalities. Contact lenses can offer better comfort, efficacy, and cosmetic appeal compared to alternative treatments such as spectacles. They also present unique challenges due to risks of inflammation, infection, and intolerability. This review will explore the management of binocular diplopia using several types of contact lenses including base down prism in contact lenses, scleral lenses, occlusive lenses, and monovision lenses. Increased awareness of differing contact lens will help providers and patients make better informed decisions about diplopia management.

摘要

双眼复视会妨碍视觉功能,从而限制生活质量。有几种治疗方案,各有优缺点。由于镜片制造和成像方式的进步,隐形眼镜最近已成为一种有吸引力的治疗方式。与眼镜等替代治疗方法相比,隐形眼镜能提供更好的舒适度、疗效和外观吸引力。但由于存在炎症、感染和不耐受的风险,它们也带来了独特的挑战。本综述将探讨使用几种类型的隐形眼镜来管理双眼复视,包括隐形眼镜中的基底向下棱镜、巩膜镜、遮盖镜和单眼视力镜片。提高对不同隐形眼镜的认识将有助于医疗服务提供者和患者在复视管理方面做出更明智的决策。

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本文引用的文献

1
Application of Soft Directional Prismatic Contact Lenses to Correct Diplopia.软性定向棱柱形接触镜在矫正复视中的应用。
J Pediatr Ophthalmol Strabismus. 2023 Jul-Aug;60(4):248-252. doi: 10.3928/01913913-20220727-01. Epub 2022 Sep 14.
2
Causes and Outcomes of Patients Presenting with Diplopia: A Hospital-based Study.复视患者的病因及转归:一项基于医院的研究。
Neuroophthalmology. 2021 Mar 2;45(4):238-245. doi: 10.1080/01658107.2020.1860091. eCollection 2021.
3
Correction of vertical diplopia with soft contact lenses.软性隐形眼镜矫正垂直性复视。
Eye (Lond). 2022 Mar;36(3):639-640. doi: 10.1038/s41433-021-01708-6. Epub 2021 Jul 29.
8
Treatment of Horizontal Binocular Diplopia With Prismatic Contact Lenses.
J Neuroophthalmol. 2021 Mar 1;41(1):e81-e82. doi: 10.1097/WNO.0000000000000936.
10
Optical considerations for scleral contact lenses: A review.巩膜接触镜的光学考虑因素:综述。
Cont Lens Anterior Eye. 2019 Dec;42(6):598-613. doi: 10.1016/j.clae.2019.04.012. Epub 2019 May 1.

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