弱视治疗新进展
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New progress of amblyopia treatment
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    摘要:

    弱视是在视觉发育敏感期因双眼异常交互作用或形觉剥夺导致的最佳矫正视力低于正常值的疾病,可导致多种视功能损害。随着科学技术的发展,弱视治疗从传统屈光矫正加遮盖疗法演变出新的理念,即屈光矫正基础上进行遮盖疗法,辅助以视功能训练和药物疗法。且屈光矫正不再限于使用框架眼镜,还出现了角膜接触眼镜、角膜屈光手术和眼内屈光手术。遮盖疗法除了使用传统眼罩,还出现了Bangerter压抑膜、角膜接触镜、LED液晶眼镜等方法。视功能训练重在提高患者三级视功能、重新激发视觉皮质可塑性,在成人弱视治疗中尤为重要。而左旋多巴和胞磷胆碱等药物可以辅助于遮盖疗法以取得更佳疗效。我们应在众多方法中,根据患者具体情况采取多样化组合、个性化疗法,为患者设计最佳治疗方案。

    Abstract:

    Amblyopia is defined as a decrease in visual acuity that results from abnormal binocular interaction or visual deprivation during critical period of the visual cortex, which cause a variety of visual functions damage. With the development of science and technology, amblyopia treatment has new concept. The new method of amblyopia treatment is occlusion therapy based on corrected refraction, followed by visual function training and pharamacological therapy, instead of traditional treatment which contians only refraction correction and patching therapy. Correction of refractive error is no longer limited to use spectacles, also provided with contact lenses, corneal refractive surgery and intraocular refractive surgery. In addition to using patching, occlusion therapy can use Bangerter filters, contact lenses and LED liquid crystal glasses. The training of visual function aimed to improve three-level visual function and restore visual cortical plasticity, which is especially important in the adult amblyopia. Levodopa and citicoline drugs can be added to occlusion therapy in order to reach a better outcome. We should design the fittest treatment plan according to the individual situation of the patients within varied of methods, adopting diversified combination, personalized therapy.

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引用本文

王竞,王春芳.弱视治疗新进展.国际眼科杂志, 2019,19(4):604-608.

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  • 收稿日期:2018-11-20
  • 最后修改日期:2019-02-28
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  • 在线发布日期: 2019-03-22
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