婴幼儿视力检查精品课件.pptVIP

Whatcanchildrensee?注视和追随的能力Qualityoffixation-FixFollow行为检查BehavioraltestingWhatcanchildrensee?注视偏好检查Fixationpreference行为检查BehavioraltestingWhatcanchildrensee?视动性眼球震颤OKN行为检查BehavioraltestingWhatcanchildrensee?强制性选择性观看Forcedpreferentiallooking(Telleracuity)行为检查BehavioraltestingWhatcanchildrensee?视力表Optotypes图案字母行为检查BehavioraltestingWhatcanchildrensee?视觉诱发电位VEPacuity快速记录多振幅线条轨迹RapiddisplayofstripesofmultiplewidthsERG振幅波峰与条带宽度成比例AmplitudeofEEG“spike”isproportionaltostripewidth电生理检查Electrophysiologictesting固视和追随QualityofFixationFixfollow(FF)中心注视，稳定注视，维持注视Central,steady,maintained(CSM)斜视儿童注视偏好检查FixationPreferenceTest(FPT)inchildrenwithstrabismus注视偏好检查主要用于探查:无法获得可信视锐度的儿童(除外患有微小斜视以及有显斜视的儿童)是否患有弱视.Fixation-preferencetestinghasbeenusefulindetectingamblyopiainchildrenunabletogivereliablevisualacuities,exceptforchildrenwithsmall-angletropiasandthosewithoutmanifestdeviations.斜视儿童注视偏好检查SFPT检查方法:将14度垂直三棱镜置于一眼前,从而诱导出垂直斜视.当双眼被分离后,可以检测出患儿的注视偏好,并用于推测弱视是否存在.Byplacinga14-diopterverticalprismoveroneeye,weinduceaverticaldeviation.Oncetheeyesaredissociated,fixationpreferenceisevaluatedandusedtopredictthepresenceofamblyopia.垂直棱镜诱导斜视试验Verticalinducedtropiatest(VITT,14Δprismtest)正常反应:注视眼应该是没带棱镜的眼Fixprefshouldbeeyewithoutprism垂直棱镜诱导斜视试验Verticalinducedtropiatest(VITT,14Δprismtest)如一眼存在弱视，当另一眼前置棱镜时，未戴棱镜的这一眼不能很好的注视目标。斜视儿童注视偏好检查FPT结果通过测试两眼可以自然的交替注视(Alternates)能持续注视一段时间(5秒)直到眨眼(Holdswell--5secpursuitorthruablink)未通过测试坚持看很短的时间(3秒)即眨眼(Holdsbriefly-uptoablink~3sec)只能坚持看一瞬间(1~2秒)(Holdsmomentarily~1-2sec)不能注视(Willnothold)此ppt下载后可自行编辑Whatdochildrenseeandhowdoweknow?孩子看的好吗？如何知道？Theopticsofvision屈光系统正视化Emmetropization眼轴变长角膜曲率变小晶状体屈光力变小TheNeurologyofvi