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间歇性外斜视术后的双眼视觉训练研究进展
http://www.100md.com 2025年8月10日 中国美容医学 2025年第8期
     [摘要]间歇性外斜视(Intermittent exotropia, IXT)在外斜视中最为常见,患者眼位偏斜并破坏双眼视功能,导致视混淆、旁中心注视、异常视网膜对应及视觉抑制,没有立体视,对患儿及其父母生活质量的负面影响逐渐增大,可以引起一系列社会心理问题,目前以手术治疗为主。IXT斜视术后患者,通过双眼视觉训练增加融合范围,提高眼位控制力,恢复双眼视觉。近年来有不少文献指出视知觉学习训练激活视觉信号通路,强化视觉系统对外界的可塑性反映,提高大脑功能。为增进对双眼视觉训练的认识,本文主要从双眼视觉训练的机制、方法、国内外在间歇性外斜视术后患者中的临床应用及意义进行概述。

    [关键词]间歇性外斜视;双眼视功能;双眼视觉训练;立体视;眼外科手术

    [中图分类号]R246.82" " [文献标志码]A" " [文章编号]1008-6455(2025)08-0179-04

    Research Progress of Binocular Vision Therapy After Intermittent Exotropia Surgery

    LIU Yurong, LIU Yanzi, SUN Siyu, DONG He

    ( Department of Ophthalmology, the Third People’s Hospital of Dalian, Dalian 116033, Liaoning, China )

    Abstract: Intermittent exotropia (IXT) is the most common type of exotropia. The patient's eye position deviation destroys the binocular visual function, resulting in visual confusion, paracentral fixation, abnormal retinal correspondence and visual inhibition. There is no stereoacuity. The negative impact on the quality of life of children and their parents gradually increases, which can cause a series of social and psychological problems. At present ......

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