美国视光学院课程 双眼视觉训练 3.0 非斜视性双眼视觉异常视觉训练2018.pptx

天津职业大学眼视光工程学院非斜视性双眼视异常的视觉训练 陈丽萍Treatment非斜视性双眼视觉异常的处理Correct refractive errorAdded lensesPrismVision therapyWhy treat with VT?Possibly no glasses!Review studies of vision therapy success rates视觉训练的成功率相关研究Convergence insufficiency: 90% (Grisham)Convergence insufficiency, adults subjects: 65% (Birnbaum)Convergence excess: 84% (Gallaway, Scheiman)Accommodative anomalies: 80-90% (Rouse）Vision TherapyMost patients with A/BV problems cannot be treated with lenses or prism aloneOnly 5 of the 12 common A/BV problems can be treated with lenses or prism aloneBest Treatment Approach by DiagnosisAccommodative insufficiency Added plus , Vision TherapyIll-sustained Accommodation Added plus, Vision TherapyAccommodative Excess Vision TherapyAccommodative Infacility Vision TherapyConvergence Insufficiency Vision Therapy, PrismDivergence Insufficiency Prism, Vision TherapyConvergence Excess Added lenses, Vision TherapyDivergence Excess Vision TherapyBasic Esophoria Vision Therapy, Prism, Added LensesBasic Exophoria Vision Therapy, Added Lenses, PrismFusional Vergence Dysfunction Vision TherapyVertical phoria Prism, Vision TherapyScheiman Wick, 2014VT is Treatment of Choiceconvergence insufficiencydivergence excessfusional vergence dysfunctionbasic exophoriabasic esophoriaaccommodative excessaccommodative infacilityVT Can Be Used to:increase amplitude of accommodationincrease accommodative facilityeliminate accommodative spasmincrease fusional vergence amplitudesincrease fusional vergence facilityeliminate suppressionimprove stereopsisimprove the accuracy of saccades and pursuitsimprove stability of fixation诊所 vs 家庭VT基于诊所的标准治疗集合不足训练研究（CITT）非斜视性双眼视或调节问题：12-16 诊所训练 每天15 分钟家庭VT (HTS)单纯的家庭VT 次要的选择经济上的考虑远距离根据诊断确定的最佳治疗方法调节不足 正镜 , 视觉训练调节不持久 正镜, 视觉训练调节过度 视觉训练调节不灵活 视觉训练集合不足 视觉训练, 棱镜?发散不足 棱镜, 视觉训练集合过度 正镜, 视觉训练发散过度 视觉训练, 加负镜基本内斜 视觉训练, 棱镜, 加镜片基本外斜 视觉训练, 加镜片, 棱镜融像功能障碍 视觉训练垂直隐