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斜视性弱视治疗后抑制的持续存在:关于两个特殊病例的一些评论(作者译)

[Persistence of suppression after treatment for strabismic amblyopia: some remarks on two particular cases (authors' transl)].

作者信息

Nardi M

出版信息

J Fr Ophtalmol. 1981;4(12):833-6.

PMID:7328275
Abstract

The dominant eye of these patients, successfully treated for strabismic amblyopia, has become myopic, while the previous amblyopic eye is now emmetropic: monocular visual acuity of the latter is good, but binocular vision, without correction, is equal to that of the non-corrected dominant myopic eye. During binocular vision the dominant eye maintains fixation even though its visual acuity is reduced with respect to the other eye: indeed the latter cannot be utilized to the best of its functional possibility, due to the presence of a suppressive central scotoma. A similar situation may be present during treatment with penalization of a strabismic amblyopia: it may not, therefore, be sufficient to lower the visual acuity of the dominant eye to a value less than that of the amblyopic eye (monocularly determined) to ensure utilization and exercise of this latter.

摘要

这些成功治疗过斜视性弱视的患者,优势眼出现了近视,而先前的弱视眼现在正视:后者的单眼视力良好,但未经矫正的双眼视力与未矫正的优势近视眼中的情况相当。在双眼视觉过程中,优势眼尽管视力相对于另一只眼有所下降,但仍保持注视:实际上,由于存在抑制性中心暗点,后者无法充分发挥其功能可能性。在斜视性弱视的遮盖治疗过程中可能也会出现类似情况:因此,将优势眼的视力降低到低于弱视眼(单眼测定)的值,可能不足以确保弱视眼得到利用和训练。

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