脑视觉功能训练联合遮盖方案治疗儿童屈光不正性弱视的临床效果

doi:10.3969/j.issn.1671-7171.2023.08.002

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Abstract 【Objective】To observe the application effect of brain visual function training and occlusion therapy in the clinical treatment of children refractive amblyopia.【Methods】A total of 96 cases of children with refractive amblyopia admitted to our hospital were divided into two groups according to the random envelope method. In the control group,47 patients were treated with occlusion therapy combined with refine training,while 49 patients in the observation group were treated with occlusion therapy combined with brain visual function training. The total treatment effective rate,stereoscopic visual acuity (SA≤60"),corrected visual acuity,refraction,diopter,adjustment amplitude,adjustment flexibility,adjustment lag and the occurrence of adverse reactions were compared between the two groups. 【Results】The total effective rate in the observation group was 90.74% (49/54),which was higher than that in the control group (69.64%,39/56) (P<0.05). Comparison of the incidence of SA≤60" in the two groups before treatment,the difference was not statistically significant (P>0.05). The incidence of stereoacuity SA≤60" in the posttreatment observation group 75.51% (37/49)was higher than that in the control group 38.30% (18/49) (P<0.05). The comparison of corrected visual acuity and refraction diopter in the two groups before treatment did not show statistical difference (P>0.05); However,the corrected visual acuities in two groups were higher after 6 months and 12 months treatment; And it was even higher in the observation group than in the control group (P<0.05). After 6 months and 12 months treatment,the refraction diopters in both groups decreased,and the reduction in the observation group was greater than that in the control group (P<0.05). In terms of the adjustment amplitude,adjustment flexibility and adjustment lag,there were no statistically significant differences between two groups before treatment (P>0.05).The amplitude and flexibility of children in the two groups increased after treatment. And children in the observation group showed better results compared to the control group (P<0.05). Meanwhile,the adjustment lag of the two groups decreased compared to before treatment; And the adjustment lag of the observation group was even lower than that of the control group (P<0.05). The overall incidence of adverse reactions in two group was no difference (P>0.05). 【Conclusion】The occlusion therapy combined with brain visual function training refractive amblyopia treatment can significantly improve the vision of children,effectively improve the regulation function of the affected eye. It is very safe and is worth popularizing in clinical use.

Key words： Refractive Errors/TH Amblyopia/TH Child Treatment Outcome

Received: 25 April 2023

PACS:

R777.44

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	SANG Ke-xin
	ZHI Ying
	DU Rui
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Cite this article:

SANG Ke-xin,ZHI Ying,DU Rui, et al. Observation of Brain Visual Function Training and Occlusion Therapy in Clinical Treatment of Children Refractive Amblyopia[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(8): 1124-1127.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.08.002 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I8/1124

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