Baranowska-George T
Katedry Okulistyki z Klinika i Zakladem Patofizjologii Narzadu Wzroku Pomorskiej AM w Szczecinie.
Klin Oczna. 1996 Mar;98(3):249-52.
Part I contains a description of treating amblyopia and strabismus since the XVIth century. The author deals with the gradual development of ophthalmology with regard to the modes of investigations, which automatically influenced the evolution of strabology. The description covers the development of German, English and French strabology concerning the treatment of binocular vision by means of synoptophore, and also the treatment of amblyopia by Bangerter and Cüppers's method, as well as penalization. The author discusses the significance of evaluating the binolcular vision state by tests in free space, besides the synoptophore ones. At the end the author reaches the conclusion that, over such a long period of time, there have been trends of resorting to certain methods, e.g. Bangerter and Cüppers's, penalization. These methods were gradually discarded by many strabologists, and at present time something like a comeback to surgical treatment is observed. That recurrence was due to the fact that the conservative methods, being improperly used, failed to give any effects at all, or provided only temporary improvement. The author emphasizes that the most serious cause responsible for the lack of any progress in the world strabology is that the cortical processes in the squint are not fully understood and that the causes of squint are constantly associated with the extraocular muscles.
第一部分包含了自16世纪以来弱视和斜视治疗的描述。作者论述了眼科学在检查方式方面的逐步发展,这自然而然地影响了斜视学的演变。该描述涵盖了德国、英国和法国斜视学在通过同视机治疗双眼视觉方面的发展,以及班格特和屈佩斯方法治疗弱视,还有遮盖法。作者讨论了除同视机检查外,通过自由空间测试评估双眼视觉状态的意义。最后作者得出结论,在如此长的一段时间里,存在采用某些方法的趋势,例如班格特和屈佩斯方法、遮盖法。这些方法逐渐被许多斜视学家摒弃,目前观察到某种回归手术治疗的情况。这种反复出现是因为保守方法使用不当,根本没有效果,或者只是提供了暂时的改善。作者强调,世界斜视学缺乏任何进展的最严重原因是斜视中的皮质过程尚未被充分理解,并且斜视的原因一直与眼外肌相关。