[1]于秋菊,张佳琦,刘艳华.三棱镜联合双眼视感知觉训练治疗小儿间歇性外斜视的疗效及对视觉不适症状的影响[J].中国美容医学,2023,(12):47-50.[doi:10.15909/j.cnki.cn61-1347/r.006023]
　YU Qiuju,ZHANG Jiaqi,LIU Yanhua.Efficacy of Triangular Prism Combined with Binocular Visual Perception Training in the Treatment of Intermittent Exotropia in Children and Its Infl uence on Visual Discomfort Symptoms[J].Medical Aesthetics and Beauty,2023,(12):47-50.[doi:10.15909/j.cnki.cn61-1347/r.006023]
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三棱镜联合双眼视感知觉训练治疗小儿间歇性外斜视的疗效及对视觉不适症状的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年12期
页码:
47-50
栏目:
出版日期:
2023-12-10

文章信息/Info

Title:
Efficacy of Triangular Prism Combined with Binocular Visual Perception Training in the Treatment of Intermittent Exotropia in Children and Its Infl uence on Visual Discomfort Symptoms
文章编号:
1008-6455（2023）12-0047-03
作者:
于秋菊; 张佳琦; 刘艳华
(佳木斯爱尔眼科医院综合眼病科 黑龙江 佳木斯 154000 )
Author(s):
YU Qiuju; ZHANG Jiaqi; LIU Yanhua
(Department of General Ophthalmology,Jiamusi AIER Eye Hospital,Jiamusi 154000,Heilongjiang,China)
关键词:
三棱镜; 视感知觉训练; 间歇性外斜视; 儿童; 斜视度
Keywords:
triangular prism;  visual perception training;  intermittent exotropia;  children;  exotropia deviation
分类号:
R779.6
DOI:
10.15909/j.cnki.cn61-1347/r.006023
文献标志码:
A
摘要:
目的：分析三棱镜联合双眼视感知觉训练治疗小儿间歇性外斜视疗效及对视觉不适症状的影响。方法：选取2021年1 月-2022年8月笔者医院收治的间歇性外斜视患儿97例194眼，按术后方式不同分为常规组（n=48）和联合组（n=49），常规 组患儿给予三棱镜治疗，联合组患儿给予三棱镜联合双眼视感知觉训练治疗。比较两组患儿治疗后斜视度、眼部血流动力学 [ 收缩期血流速度峰值（Systolic peak velocity,Vs）、舒张末期血流速度（End-diastolic flow velocity,Vd）、阻力指 数（Resistance index,RI）]和治疗后远立体视、近立体视以及眼位的差异，并记录视觉不适症状。结果：治疗后，联合组 患儿斜视度低于常规组（P＜0.05）；治疗后，联合组患儿Vs高于常规组（P＜0.05），两组Vd、RI比较差异无统计学意义 （P＞0.05）；联合组患儿治疗后远立体视、近立体视以及眼位正检出率均高于常规组（P＜0.05）；联合组患儿眼眶疼痛、眼胀以及久视模糊视觉不适症状总发生率低于常规组（P＜0.05）。结论：三棱镜联合双眼视感知觉训练治疗小儿间歇性外 斜视疗效显著，可有效降低患儿斜视度，减轻视觉不适症状，改善双眼视功能。
Abstract:
Objective To observe and analyze the eff ects of triangular prism combined with binocular visual perception training in the treatment of intermittent exotropia in children and its infl uence on visual discomfort symptoms. Methods A total of 97 children patients (194 eyes) with intermittent exotropia admitted to the author’s hospital from November 2021 to November 2022 were selected and divided into conventional group (n=48) and combined group (n=49) according to diff erent treatment methods. Children patients in conventional group were treated with triangular prism, and children patients in combined group were treated with triangular prism combined with binocular visual perception training. The exotropia deviation and ocular hemodynamics [Systolic peak velocity (Vs), End-diastolic fl ow velocity ( Vd), Resistance index (RI)] after treatment and far stereopsis, near stereopsis and eye position after treatment were compared between the two groups, and the visual discomfort symptoms were recorded. Results After treatment, the exotropia deviation in combined group was lower than that in conventional group (P＜0.05). After treatment, the Vs in combined group was higher than that in conventional group (P＜0.05), and there were no significant differences in Vd and RI between the two groups (P ＞0.05). The detection rates of far stereopsis, near stereopsis and emmetropic position after treatment in combined group were higher than those in conventional group (P＜0.05). The total incidence rate of visual discomfort symptoms such as orbital pain, eye swelling and blurred vision in combined group was signifi cantly lower than that in conventional group (P ＜0.05). Conclusion Triangular prism combined with binocular visual perception training has a signifi cant effi cacy in the treatment of children with intermittent exotropia, and can eff ectively reduce the exotropia deviation, relieve visual discomfort symptoms and improve binocular visual function.

相似文献/References:

[1] 梁光丽,白 莹,文 勇,等. 直肌边缘切开术与配戴三棱镜矫治共同性内斜视疗效比较[J].中国美容医学,2021,(7):40.
　 LIANG Guang-li,BAI Ying,WEN Yong,et al. Comparison of the Efficacy of Rectus Marginal Incision and Prism in the Treatment ofConcomitant Esotropia[J].Medical Aesthetics and Beauty,2021,(12):40.

更新日期/Last Update: 2023-12-26