Clinical efficacy of visual function training in the late stage of ametropic amblyopia treatment
Journal Title: Guoji Yanke Zazhi - Year 2018, Vol 18, Issue 12
Abstract
AIM: To investigate the clinical efficacy of visual function training in the late stage of ametropic amblyopia treatment. <p>METHODS: One hundred and twenty two children patients and 244 eyes with ametropic amblyopia, which were ranged from January 2016 to December 2016, were enrolled in the prospective case control study. Patient inclusion criteria: spherical power≤ ±3.00D, absolute value of astigmatism(hereinafter referred to as the degree of astigmatism)≥2.00D, binocular spherical lens difference ≤1.50D, binocular cylinder difference ≤1.00D. All patients received preliminary treatment. After routine optometry and amblyopia treatment, visual acuity in amblyopic eyes improved to more than 0.6 and visual acuity difference between two eyes should be less than 2 lines in visual chart testing. Enrolled patients were randomly assigned into a training group(62 cases 124 eyes)and a control group(60 cases 120 eyes). All patients had routine glasses with a combination of both family and clinic training. Treatments in the control group included: amblyopia training instrument(light brush, red flash and grating etc.)and fine stimulation training through computer software. In addition to similar treatments in control group, patients in training group also received following treatments including monocular adjustment function training, binocular adjustment function training, binocular integration and fusion function training. After 6mo, visual acuity, near stereopsis, adjustment amplitude, adjustment sensitivity and adjustment response tests were compared and statistically analyzed in patients of both control and training groups. <p>RESULTS: Our data demonstrated that the overall visual acuity was significantly improved in training group(<i>P</i><0.05). Additionally, results of near stereopsis function, adjustment amplitude, adjustment sensitivity and adjustment response examination, also displayed significant difference between the two groups(<i>P</i><0.05). <p>CONCLUSION: Binocular visual function training has a certain effect in the improvement of successful cure rate, shortening treatment course and establishing a sound stereo vision function in the late stage of children patients receiving a comprehensive therapy.
Authors and Affiliations
Ying-Ying Yang
Recent progress of formation mechanisms and factors related to postoperative visual function in patients with IMEM
Idiopathic macular epiretinal membrane(IMEM)is a common macular area disease associated with age and characterized by symptoms of decreased visual acuity and metamorphopsia. With the acceleration of aging population, the...
Clinical study of SMILE on the correction of large astigmatism for 2a
AIM: To observe the surgical results of large astigmatism with small incision lenticule extraction(SMILE)for 2a. <p>METHODS: Totally 33 eyes of 17 consecutive patients were enrolled in this retrospective study, aged from...
Diagnostic value of mGCC in primary glaucoma and its correlation with pRNFL and visual fields
AIM: To analyze the diagnostic value of macular ganglion cell complex(mGCC)in primary glaucoma and explore the correlation between mGCC and peripapillary retinal nerve fiber layer(pRNFL)and visual field, in order to prov...
Measurement of RNFL thickness in the normals and open angle glaucoma patients by OCT
AIM: To investigate the retinal nerve fiber layer thickness(RNFL)in normal subjects and primary open angle glaucoma(POAG)patients by optical coherence tomography(OCT), and to provide a theoretical basis for the diagnosis...
Influence of size of Nd:YAG capsulotomy on ocular biological parameters and refraction
AIM:To investigate the influences of Nd:YAG laser capsulotomy with different size on visual acuity(VA), intraocular pressure(IOP), refraction, anterior chamber depth(ACD), and macular thickness(MT)in patients with poster...