斜视手术和遮盖疗法后斜视性弱视的患儿对视物变形的适应——遮盖疗法与视物变形

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:wll201
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Background: Reduced visual acuity and deficient binocularity are well-known symptoms of amblyopia. Distortions of visual space perception were reportedmore recently in strabismic amblyopia. This study investigated whether strabismus surgery and occlusion therapy have an influence on these deficits in amblyopic children. Materials and Methods: Two aspects of vertical alignment of amblyopic eyes,namely spatial distortion and spatial uncertainty,were investigated prospectively in 13 children (mean age 6 years 9 months) before and after strabismus surgery and in 12 children (mean age 6 years 11 months) during 6 months of occlusion therapy. Results: A different impact of the two types of therapeutic intervention was observed: a slight (statistically not significant) increase of uncertainty was the only change noticed postoperatively after 1 week,spatial distortions were not affected. During occlusion treatment,both clear shifts of alignment and a decrease of uncertainty occurred. Conclusions: The geometry of visual space of amblyopic children showed modifications due to altered visual experience during treatment,most obviously during occlusion therapy. These changes are evidence for unknown features of plasticity of the amblyopic visual system initiated by treatment. Background: Reduced visual acuity and deficient binocularity are well-known symptoms of amblyopia. This study investigated whether strabismicus surgery and occlusion therapy have an influence on these deficits in amblyopic children. Materials and Methods : Two aspects of vertical alignment ofmblymbly eyes, namely spatial distortion and spatial uncertainty, were investigated prospectively in 13 children (mean age 6 years 9 months) before and after strabismus surgery and in 12 children (mean age 6 years 11 months) during 6 months of occlusion therapy. Results: A different impact of the two types of therapeutic intervention was observed: a slight (statistically significant) increase of uncertainty was the only change noticed postoperatively after 1 week, spatial distortions were not affected. During occlusion treatment, both clear shifts of alignment and a decrease of uncertainty occurred. Conclusion s: The geometry of visual space of amblyopic children showed modifications due to altered visual experience during treatment, most obviously during occlusion therapy. These changes are evidence for unknown features of plasticity of themblymbly visual system initiated by treatment.
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