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形觉剥夺性弱视的新临床特点

New clinical aspects of stimulus deprivation amblyopia.

作者信息

von Noorden G K

出版信息

Am J Ophthalmol. 1981 Sep;92(3):416-21. doi: 10.1016/0002-9394(81)90534-1.

DOI:10.1016/0002-9394(81)90534-1
PMID:7294102
Abstract

An analysis of clinical data from 11 patients with stimulus deprivation amblyopia showed that amblyopia occurs after monocular visual deprivation that begins between birth and the age of 5 3/4 years and lasts for one to 36 months. Contrary to previous impressions, stimulus deprivation amblyopia does respond to occlusion therapy of the nondeprived eye. As a rule, improvement in visual acuity can be expected in patients whose visual deprivation began after the age of 30 months. In those patients whose visual deprivation began at birth or during infancy, treatment was unsuccessful when started after the age of 2 1/2 years. However, clinical data from one patient treated successfully during infancy indicated that the deleterious effects of visual deprivation from birth may be preventable.

摘要

对11例形觉剥夺性弱视患者的临床数据分析表明,弱视发生于出生至5岁9个月之间开始的单眼视觉剥夺之后,持续1至36个月。与之前的认识相反,形觉剥夺性弱视对健眼遮盖疗法有反应。通常,视觉剥夺始于30个月龄之后的患者有望提高视力。对于那些视觉剥夺始于出生时或婴儿期的患者,在2岁半之后开始治疗是不成功的。然而,一名婴儿期成功治疗的患者的临床数据表明,出生时视觉剥夺的有害影响可能是可以预防的。

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