Goldrich S G
Am J Optom Physiol Opt. 1982 Apr;59(4):306-17. doi: 10.1097/00006324-198204000-00004.
Twelve exotropes of various types received oculomotor biofeedback therapy at State College of New York (SUNY) University Optometric Center. Feedback of a variable pitch tone which reflected changes in ocular vergence reinforced motor control of eye posture. Patients were trained to achieve and sustain alignment in a variety of viewing situations. The six intermittent exotropes in the study who did not have amblyopia or prior history of unsuccessful surgical or orthoptic therapy achieved the highest recovery rating after training. The amblyope and those who had orthoptic training learned to voluntarily correct their eye position, although they did not achieve as acute a sensitivity to loss of alignment as did the others. Therapy restored eye control at near in a young constant exotrope whose condition resulted from severe neurological dysfunction. A constant postsurgical exotrope who had no ability for sensory fusion made little progress. Advantages of oculomotor biofeedback therapy are shorter treatment time, elimination of lengthy home training exercises, and enhanced patient motivation.
12名不同类型的外斜视患者在纽约州立大学视光中心接受了眼动生物反馈治疗。一种可变音调的反馈反映了眼位变化，增强了对眼位姿势的运动控制。患者接受训练，以在各种观看情况下实现并维持双眼对齐。研究中的6名间歇性外斜视患者，既没有弱视，也没有手术或视光学治疗失败的既往史，训练后获得了最高的恢复评级。弱视患者和接受过视光学训练的患者学会了自主纠正眼位，尽管他们对眼位失调的敏感度不如其他患者。对于一名因严重神经功能障碍导致恒定外斜视的年轻患者，治疗恢复了其近距离用眼时的眼位控制。一名术后恒定外斜视患者，因无法进行感觉融合，进展甚微。眼动生物反馈治疗的优点是治疗时间更短、无需进行冗长的家庭训练练习以及增强了患者的治疗积极性。
