弱视训练结合调节综合训练治疗轻中度屈光不正性弱视

Efficacy of Amblyopia Training Combined with Comprehensive Training of Accommodation in Mild to Moderate Refractive Amblyopia

采用回顾性研究探讨弱视训练结合调节综合训练对轻中度屈光不正性弱视的治疗效果,选取83例(117只眼)屈光不正性弱视患者,开展我院个性化弱视训练结合调节综合训练,训练内容包括精细、刺激、后像和红光等光学刺激性训练,当弱视眼矫正视力提升至0.4及以上后,在弱视训练的基础上加入调节训练,训练内容包括镜片阅读、反转拍和字母表等。观察训练前、后矫正视力的变化情况。采用SPSS19软件分析,该数据为正态分布,采用配对T检验进行统计分析发现:年龄在4~18岁,屈光度为+8.00~+2.25 DS的患者,经过1~2月弱视训练结合调节综合训练后,矫正远视力均提高(双眼屈光不正性弱视t=-19.756,p<0.001;屈光参差性弱视t=-18.442,p<0.001),差异均有统计学意义。因此,弱视训练结合调节综合训练可有效治疗轻中度屈光不正性弱视患者。

To investigate the effect of amblyopia training combined with comprehensive training of accommodation on the treatment of mild to moderate refractive amblyopia,a retrospective study was used to select 83 patients(117 eyes)with refractive amblyopia who underwent amblyopia training combined with comprehensive training of accommodation in our hospital,all of whom could exclude ocular organic pathology and underwent personalized amblyopia training in our hospital.The training included fine,stimulation,posterior image,red light and other optical stimulation training.When the corrected visual acuity of the amblyopic eyes was raised to 0.4 DS and above,adjustment training was added to the amblyopia training,and the training included lens reading,reversal beat,alphabet,etc.The changes of corrected visual acuity before and after the training were observed.SPSS19 software was used to analyze the data,which was normally distributed,so paired t-test was used for statistical analysis.Results showed that patients were aged 4~18 years,with refractive error of+8.00 to+2.25 DS.After 1~2 months of amblyopia training combined with comprehensive training of accommodation,all patients(binocular refractive error amblyopia t=-19.756,p<0.001 and refractive reference amblyopia t=-18.442,p<0.001)had improved corrected distance visual acuity,and the differences were statistically significant.The conclusion can be drawn that amblyopia training combined with comprehensive training of accommodation is still effective in patients with mild to moderate refractive amblyopia.