视觉神经可塑性训练对斜视患者视知觉、视觉质量和黄斑血流量的影响。

IF 2.1 4区 医学 Q2 OPHTHALMOLOGY
Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-07-11 DOI:10.4103/IJO.IJO_2960_23
Min Tian, Linbi Luo, Peilin Zhang, Zixuan Cheng, Siyan Liu, Xibo Zhang, Jinchuan Wu, Hongbin Lv
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引用次数: 0

摘要

目的:观察视觉神经可塑性训练对并发斜视患者术后视知觉、视觉质量和黄斑血流的影响:共有 108 名患者接受了双眼斜视矫正手术,部分患者接受了神经可塑性训练。所有患者均接受了临床眼科检查,包括最佳矫正视力、球面等值、轴长、光学相干断层血管造影、光学质量分析系统以及视知觉检查:共有 78 名患者在术后 1 个月接受了神经可塑性训练,30 名患者没有接受训练。所有患者都在术前和术后 1 天、1 周和 1 个月接受了视知觉检查。术前和术后 1 个月对黄斑血流和视觉质量进行了检查。术后视知觉优于术前(P < 0.05)。经过神经可塑性训练后,接受训练者的视知觉优于未接受训练者(P < 0.05),接受训练者黄斑区的血流量低于未接受训练者(P < 0.05)。结论:视觉检查系统能准确评估合并斜视患者的双眼视知觉。斜视患者手术对位后,训练可在短时间内刺激和整合立体视觉的形成,维持患者术后视觉质量,为双眼视觉信号和双眼立体视觉的形成提供条件,但短期内会导致黄斑血管密度和灌注密度下降。但训练的长期效果尚未得到证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of visual neuroplasticity training on visual perception, visual quality, and macular blood flow in patients with strabismus.

Purpose: To observe the effects of visual neuroplasticity training on visual perception, visual quality, and macular blood flow in patients with concomitant strabismus postoperatively.

Methods: In total, 108 patients underwent binocular strabismus correction operation, and some patients underwent neuroplasticity training. All patients underwent clinical ophthalmic examination, including measurement of best-corrected visual acuity, spherical equivalent, axis length, optical coherence tomography angiography, optical quality analysis system, and visual perception examinations.

Results: A total of 78 patients received neuroplasticity training for 1 month postoperatively, and 30 patients did not receive training. All patients underwent a visual perception examination preoperatively and at 1 day, 1 week, and 1 month postoperatively. Macular blood flow and visual quality were examined preoperatively and at 1 month postoperatively. Postoperative visual perception was better than preoperative visual perception ( P < 0.05). After neuroplasticity training, the visual perception of the trained subjects was better than that of the untrained subjects ( P < 0.05), and the blood flow in the macular area of the trained patients was lower than that of the untrained subjects ( P < 0.05). The visual quality of the untrained subjects was lower than that of the trained patients ( P < 0.05).

Conclusions: Visual inspection system could accurately evaluate binocular visual perception in patients with concomitant strabismus. After surgical alignment of the strabismus patient, training can stimulate and integrate the formation of stereovision in a short period of time, maintain the visual quality of patients after surgery, and provide conditions for the formation of binocular visual signals and binocular stereovision, but in the short term, it will lead to the decrease of macular blood vessel density and perfusion density. However, the long-term effects of training have not been proven.

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来源期刊
CiteScore
3.80
自引率
19.40%
发文量
1963
审稿时长
38 weeks
期刊介绍: Indian Journal of Ophthalmology covers clinical, experimental, basic science research and translational research studies related to medical, ethical and social issues in field of ophthalmology and vision science. Articles with clinical interest and implications will be given preference.
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