青光眼视觉功能损害导致运动行为异常的研究与康复治疗手段展望进展

Research on abnormal movement behavior caused by damage to visual function of glaucoma and prospect of rehabilitation treatment

青光眼是全世界范围内不容忽视的致盲性眼病,其起病隐匿,视功能损害进展迅速,晚期预后不理想。长期发展且未行治疗的青光眼患者视神经呈进行性损害,引起视力急剧下降、视野不可逆性缺损,严重降低患者的生活质量。为了适应逐渐恶化的视功能,患者注视行为发生明显变化,由此在日常活动中引起步态行为随之改变,意外事故频繁发生。故目前对于青光眼的研究引起国内外广泛重视,虚拟现实技术(virtual reality,VR)作为青光眼早期诊断及康复治疗的新手段已被现代医学所尝试。本文具体阐述了青光眼的视觉损害与注视行为及运动行为间的联系,并总结了目前国内外关于VR诊断青光眼及作为康复治疗的相关研究。

Glaucoma is a blinding eye disease that cannot be ignored worldwide.Its onset is insidious,visual impairment is progressing rapidly,and the late prognosis is not ideal.Long-term untreated glaucoma patients show progressive damage to the optic nerve,causing a sharp decline in vision,irreversible visual field defects,and severely reducing the quality of life of the patients.In order to adapt to the gradual deterioration of visual function,the patient’s gaze behavior changes significantly,which causes the gait behavior to change in daily activities,and accidents occur frequently.Therefore,the current research on glaucoma has attracted wide attention in the nation and abroad,and virtual reality (VR) technology has been tried in modern medicine as a new method for early diagnosis and rehabilitation of glaucoma. This article specifically elaborates the relationship between the visual impairment of glaucoma and the gaze behavior and movement behavior, and summarizes the current domestic and foreign research on the diagnosis of glaucoma and the rehabilitation of VR technology.