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目的观察用镜框遮边、矫正器械训练、增强注视能力及药物治疗等综合方法治疗先天性眼源性眼球震颤的效果。设计回顾性病例系列。研究对象单纯眼源性眼球震颤患者221例。方法 221例患者戴最佳矫正视力眼镜,根据震颤的幅度将患者镜片边缘用黑色胶带粘贴,形成窥孔,窥孔直径一般大于2.5 cm,同时采用光栅治疗。视力低于0.2的患者使用最宽的条幅,配合双目红闪治疗,海丁格刷每天每眼10分钟,每天注视正前方3米处直径小于5 cm的醒目视标6分钟。对于VEP潜时较长患者给予口服叶黄素。首诊记录患者的视力、眼球震颤幅度和频率,复诊时进行比较。复诊时间为1个月、3个月、半年,最长2年。主要指标视力、眼球震颤幅度和频率。结果复诊时间为治疗后3个月,患者视力由治疗前的(0.40±0.12)提高到(0.92±0.17)。根据影像记录比较,震颤频率由治疗前的(180±30)次/分下降到(150±20)次/分;震颤幅度由(3±1)mm下降到(2±1)mm。结论通过镜框遮边、光学训练,缩小眼球震颤患者的注视区域,建立中心注视的方法治疗眼球震颤有效。
Objective To observe the effect of the treatment of congenital ocular nystagmus by means of the frame edge mask, orthopedic device training, enhanced gaze and drug treatment. Design retrospective case series. 221 cases of simple eye-derived nystagmus in our study. Methods 221 patients with best corrected visual acuity glasses, according to the amplitude of tremor, the edge of the lens with a black tape to form a peephole, peephole diameter is generally greater than 2.5 cm, while the use of grating treatment. Patients with visual acuity of less than 0.2 should use the widest banner in conjunction with binocular red flash treatment. Hedinge brush should be used for 10 minutes per eye per day. Each day, the eye should see the eye-catching visual target less than 5 cm in diameter 3 meters in front of it for 6 minutes. Patients with longer VEPs were given oral lutein. The first visit recorded the patient’s vision, nystagmus amplitude and frequency, compared when the referral. Referral time is 1 month, 3 months, 6 months, up to 2 years. Main indicators of vision, nystagmus and frequency. Results The visit time was 3 months after treatment, and the visual acuity increased from 0.40 ± 0.12 to 0.92 ± 0.17 before treatment. According to the video recording comparison, the tremor frequency decreased from (180 ± 30) beats / min to (150 ± 20) beats / min before treatment; the tremor amplitude decreased from (3 ± 1) mm to (2 ± 1) mm. Conclusion The method of central gaze for the treatment of nystagmus is effective in the treatment of nystagmus by means of framing, optical training and narrowing of the gaze area of nystagmus.