Hiatt R L
Ann Ophthalmol. 1984 Feb;16(2):116-22.
The ophthalmologist is often faced with patients who come to see him, either primarily or secondarily, with a reading problem. A review of the mechanisms of dyslexia and its many ramifications is presented. Also, a classification is given which helps to categorize the various types of reading disorders, as they are seen. The routine eye exam and special testing can lead to a diagnosis in many cases in the ophthalmologist's office. The treatment is highly individualized and personal and should be given by either highly skilled individuals or in a group or institutional therapy. The lack of evidence that visual treatment or motor treatment in any way improves vision is reviewed extensively. The ophthalmologist should be informed, sympathetic and empathetic, but not necessarily the "captain" of this team that deals with reading problems.
眼科医生经常会遇到主要或次要因阅读问题前来就诊的患者。本文对诵读困难的机制及其诸多影响进行了综述。此外，还给出了一种分类方法，有助于对所见到的各种阅读障碍类型进行归类。常规眼科检查和特殊测试在很多情况下能在眼科医生的诊室得出诊断结果。治疗是高度个体化且因人而异的，应由技术高超的个人进行，或采用团体或机构治疗的方式。文中广泛回顾了缺乏证据表明视觉治疗或运动治疗能以任何方式改善视力的情况。眼科医生应该了解情况、富有同情心且善解人意，但不一定是处理阅读问题的这个团队的“负责人”。
