Stereoacuity outcomes after treatment of infantile and accommodative esotropia.
Stereoacuity outcomes after treatment of infantile and accommodative esotropia.
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DOI：
10.1097/opx.0b013e3181a6168d
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发表时间：
2009-06
期刊：
影响因子：
--
通讯作者：
Wang J
中科院分区：
文献类型：
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作者：
Birch EE;Wang J
回顾已知的立体视的正常成熟，立体视缺陷与婴儿和斜视性内斜视，提高立体视的治疗目标的基本原理，以及改善立体视结果的策略。本文综述了正常发育过程中立体视锐度成熟的研究、婴儿期和矫正性内斜视治疗后立体视锐度结果的研究以及灵长类动物内斜视模型的研究。立体视敏度成熟通常在生命的第一年迅速进行。婴儿型和矫正性内斜视与立体视觉的深度和永久性破坏有关。虽然内斜视治疗后立体视敏度的康复仍然是一个挑战，但即使达到低于正常的立体视敏度也可能对孩子有真实的好处。立体视的某些异常可能在内斜视发病前就已存在，但另一些异常可能是由异常的双眼经验直接引起的。目前正在积极研究几种改善内斜视立体视锐度的方法。改善的立体视锐度结果与更好的长期对准稳定性、降低的弱视风险和/或严重程度、更好的感觉运动发育里程碑的实现、更好的阅读能力和改善的长期生活质量相关。
To review what is known about the normal maturation of stereoacuity, the stereoacuity deficits associated with infantile and accommodative esotropia, the rationale for making improved stereoacuity a goal of treatment, and strategies for improving stereoacuity outcomes. Studies of stereoacuity maturation during normal development, studies of stereoacuity outcomes following treatment for infantile and accommodative esotropia, and studies of primate models of esotropia are reviewed. Stereoacuity maturation normally proceeds rapidly during the first year of life. Infantile and accommodative esotropia are associated with profound and permanent disruption of stereopsis. While rehabilitation of stereoacuity following treatment of esotropia remains a challenge, even the achievement of subnormal stereoacuity may have real benefits to the child. Some abnormalities in stereoacuity may exist before the onset of esotropia, but others may result directly from abnormal binocular experience. Several strategies for improving stereoacuity outcomes in esotropia are currently under active investigation. Improved stereoacuity outcomes are associated with better long term stability of alignment, reduced risk for and/or severity of amblyopia, improved achievement of sensorimotor developmental milestones, better reading ability, and improved long-term quality of life.