CN101224151A - Amblyopia vision increasing treatment method and system thereof - Google Patents
Amblyopia vision increasing treatment method and system thereof Download PDFInfo
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- CN101224151A CN101224151A CNA2007100011260A CN200710001126A CN101224151A CN 101224151 A CN101224151 A CN 101224151A CN A2007100011260 A CNA2007100011260 A CN A2007100011260A CN 200710001126 A CN200710001126 A CN 200710001126A CN 101224151 A CN101224151 A CN 101224151A
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Abstract
The invention relates to an amblyopia vision increase treatment method and the system, which combines the modern visual physiology research results on the basis of the traditional after-image vision increase therapy, the invention can allow patients to organically integrate the direct stimulation of a characteristic light source on the vision and the indirect stimulation of the sound signal on the visual cortex by the eyes-hands-brain cortex combined space perception and the central vision fixation training actions on the light, sound, electric and data controlled technical lever, so as to strengthen the synchronous activities of the input cortex cells of the amblyopia eye, further to relieve the suppression of the vision on the brain cortex level, promote vision development and finally realize the effective treatment of amblyopia. The clinical observations of 2 years show that the improved after-image vision increase therapy is an amblyopia treatment method which is safe, reliable and good in efficacy, and the invention especially has the treatment effect which is significantly better than other methods for the non-center watch type and other refractory amblyopia. The system can not only greatly improve efficacy, but also improve the working conditions of the medical staff and enhance working efficiency.
Description
Technical field
The invention belongs to medical skill, more precisely relate to a kind of amblyopia vision increasing treatment method and system thereof of being used for.
Background technology
The main method of the amblyopia treatment that China is existing comprises: traditional covering therapy, major amblyoscope (synoptophore) therapy, traditional after image pleoptics, lasing image pleoptics, VAT, multimedia integration coaching method etc.
iIn the therapeutic process of amblyopia, the shortcoming that present Therapeutic Method exists is: stiff, the design action difficulty is excessive, interesting compliance poor, child patient is relatively poor; Or it is interesting too to pay attention to what is called, and reasonable inadequately to the action design based on therapeutic purposes in the therapeutic process, or lacks technology control device and quantizating index for action accuracy, and training process is become a mere formality, and therapeutic effect is not good enough; Even the of therapeutic modality own can bring negative influence to patient's eye health.
Summary of the invention
The objective of the invention is based on traditional after image pleoptics, in conjunction with modern visual physiology achievement in research, at light, sound,, on the technological layer of digital control, allow the patient look training action admittedly by eye-hands-cerebral cortex joint space perception and center, with of the direct stimulation of feature light source for vision, indirect stimulation for visual cortex organically combines with acoustical signal, the synchronization activity of the cortical cell of amblyopia eye input is strengthened, thereby remove the inhibition of vision in the cerebral cortex level, promote visual development, the final effectively treatment amblyopia that realizes.Improvement after image pleoptics is a kind of safe, reliable, eutherapeutic amblyopia treatment method, especially watches type attentively and other refractory type amblyopia has the therapeutic effect that obviously is better than other method for non-central.This system both can improve curative effect greatly, can improve medical worker's working condition again, increased work efficiency.
For achieving the above object, technical scheme provided by the invention is achieved in that the present invention is based on traditional after image pleoptics, relevant theoretical according to visual physiology, absorbing and keeping on the basis of traditional after image pleoptics effective technology composition, by key component to this system---photoelectricity automatization, the standardized designs of " after image reinforcement " and " LSC instrument for training " overcome the deficiency of traditional after image pleoptics.Instrument has increased the multiformity and the interest of therapeutic modality under the prerequisite of treatment procedure standardization, automatization's control, in the hope of strengthening the compliance of patient to treatment, improve curative effect.At first; the optical fundus of the strong illumination amblyopia eye of the safe dose that sends with the after image visor (protecting central fovea of macula to avoid irradiation simultaneously); the after image responsiveness that forms the central fovea of macula exterior domain of appropriateness suppresses; relative responsive advantage with the central fovea of macula zone allows shielded central fovea of macula and " ten " pipper set up normal corresponding relation then.On the one hand, the stimulation that allows central fovea of macula pass through the responsive light source in acceptance " ten " central area produces excited, and the up repeatedly visual centre that acts on; On the other hand, being changed to action response clue (only watch attentively during flicker and do not click, flicker had both been watched attentively when stopping click) with the difference of feature thorn laser makes central fovea of macula and " ten " pipper set up normal corresponding relation by " eye-hands-cerebral cortex joint space perception and center are looked admittedly " training to be able to firmly and reinforcement; Meanwhile, replaced traditional " bright/as to go out " formula stroboscopic lamp, both played the effect that prolongs the after image retention time, can suppress the activity of rod cell again, the activity of cone cell is strengthened with " a large amount/low bright " formula stroboscopic lamp
IiThe responsive light of this strobe light and above-mentioned cone cell constitutes this therapy system distinctive " photostimulation (Light stimulation) " jointly and increases and look key element; Simultaneously, the music signal that is imbued with sense of rhythm, stimulate auditory center through Auditory Pathway, by corticocerebral integration, produce the oscillating field potential change of rhythmicity, horizontal excited visual centre, remove the inhibition of vision in the maincenter level, becoming this therapy system distinctive " sonic stimulation (Soundstimulatios) " increases and looks key element, " eye-hands-cerebral cortex joint space perception and center the are looked admittedly " training that is associated with phototherapy and sound, the formation native system " motion of relatedness eye-hand coordination (Coordinate; eye-hand) " increase and look key element, stimulating visual centre simultaneously by above-mentioned multiple mode, promote foveal vision, is the fundamental of native system treatment design.
The present invention compared with prior art, advantage is: based on traditional after image pleoptics, in conjunction with modern visual physiology achievement in research, at light, sound,, on the technological layer of digital control, allow the patient look training action admittedly by eye-hands-cerebral cortex joint space perception and center, with of the direct stimulation of feature light source for vision, indirect stimulation for visual cortex organically combines with acoustical signal, the synchronization activity of the cortical cell of amblyopia eye input is strengthened, thereby remove the inhibition of vision in the cerebral cortex level, promote visual development, the final effectively treatment amblyopia that realizes.Clinical observation more than 2 years shows, improvement after image pleoptics is a kind of safe, reliable, eutherapeutic amblyopia treatment method, especially watches type attentively and other refractory type amblyopia has the therapeutic effect that obviously is better than other method for non-central.This system both can improve curative effect greatly, can improve medical worker's working condition again, increased work efficiency.
The invention has the beneficial effects as follows:
1. in LSC instrument for training training panel " ten " center creativeness the light emitting control point that one diameter is 10mm is set, the light that this specified point light source sends is corresponding with macula retinae district photoreceptor cell sensitive wave length, and can be according to the variation of in 1-50 hertz (adjustable) frequency range, glimmering of treatment needs, simultaneously by the photo-electric control technology, make " ten " center luminous point color (by the rule turn colors), state (glimmer or do not glimmer by rule) with " training is looked at eye-hands-cerebral cortex joint space perception and center admittedly " action the relatedness variation takes place (only to be watched attentively during flicker and not to click, flicker had both been watched attentively when stopping click), fundamentally change the rough training method of " machinery is clicked " in the past, strengthened the accuracy of treatment and the interest of therapeutic process;
2. adopt the photo-electric control technology, increase clock, numeration and therapeutic process sequencing control function, the training action index is quantized, pass through the raising of the automatic degree of system simultaneously, avoid systematic error, increase work efficiency.
3. be provided with action prompt sound (give trainer portion action response to remind) accurately and be imbued with the background music of sense of rhythm, both can increase accuracy of action, sense of rhythm and harmony, can therapeutic effect be strengthened in the crossings on different level training system of the coordinating and unifying by the horizontal excited visual centre of effective auditory stimulus again.
Description of drawings
Fig. 1 is the amblyopia vision increasing therapy system.
Fig. 2 is the instrument for training sketch map.
Fig. 3 is the amblyopia treatment systems function diagram.
The specific embodiment
Adopt three-dimensional distributed frame, mainly comprise: part, background illumination part and " training is looked at joint space perception and center admittedly " part take place in after image.Wherein " the LSC instrument for training " that the training part adopts the independent development development looked at joint space perception and center admittedly, the part that takes place after image adopt Tianjin * * * produce * * * the after image visor, " a large amount/low bright " the unidirectional stroboscopic lamp of formula that is projeced into " training aids is looked at joint space perception and center admittedly " training plan is partly selected in background illumination for use.Joint space perception and center are looked training aids and unidirectional stroboscopic lamp and after image visor admittedly, constitute after image jointly and increase and look therapy system (as Fig. 1).Treatment the core---the structure of LSC instrument for training comprises: luminescence unit, operation control part branch, timing part, audio frequency output and receiving unit (as Fig. 2).The basic function of native system is: on the basis that forms artificial after image, utilize specific background throwing irradiation reinforcement and keep after image, admittedly look multiple the modes that are mutually related such as training by responsive light and sonic stimulation, the joint space perception of eye-hand coordination mode and center simultaneously, stimulate visual centre, make it to produce excited, progressively eliminate the inhibition of vision, promote amblyopia eye vision (as Fig. 3) in the maincenter level.Its functional character is as follows:
1, creativeness is provided with the light emitting control point that a diameter is 10mm in LSC instrument for training training panel " ten " center, the light that this specified point light source sends is corresponding with macula retinae district photoreceptor cell sensitive wave length, and can be according to the variation of in 1-50 hertz (adjustable) frequency range, glimmering of treatment needs, simultaneously by the photo-electric control technology, make " ten " center luminous point color (by the rule turn colors), state (glimmer or do not glimmer by rule) with " training is looked at eye-hands-cerebral cortex joint space perception and center admittedly " action the relatedness variation takes place (only to be watched attentively during flicker and not to click, flicker had both been watched attentively when stopping click), fundamentally change the rough training method of " machinery is clicked " in the past, strengthened the accuracy of treatment and the interest of therapeutic process;
2, adopt the photo-electric control technology, increase clock, numeration and therapeutic process sequencing control function, the training action index is quantized, pass through the raising of the automatic degree of system simultaneously, avoid systematic error, increase work efficiency.
3, be provided with action prompt sound (give trainer portion action response to remind) accurately and be imbued with the background music of sense of rhythm, both can increase accuracy of action, sense of rhythm and harmony, can therapeutic effect be strengthened in the crossings on different level training system of the coordinating and unifying by the horizontal excited visual centre of effective auditory stimulus again.
Clinical practice and result:
Mirror center amblyopia Rehabilitation Clinic year June in June, 2003-2005 is joined in Beijing Tongren Hospital's optometry, by the anti-group standard of making a study of subjects of national children's myopia using stravismus
IiiBe diagnosed as amblyopia, complete data person 564 examples were wherein used 245 of 138 examples of traditional after image therapy for treating in 1997-2000, age 3-13 year, average 8 years old, male 74 examples, 64 examples, group in contrast
IvIn January, 2004-2005, year December was used 674 of 426 examples of LSC systematic treating, wherein male 220 examples (414), women 206 examples (368); Age 3-14 year, average 8.5 years old.Eyes amblyopia 224 examples (448), simple eye amblyopia 226 examples (226), wherein patient's the formation age and in various degree, dissimilar, central fixation or paracentral fixation amblyopia incidence see Table 1～4.
Method: routine examination vision, eye position, ocular movement, refractive media, optical fundus and nature of fixation before the treatment.Eyes 1% oculentum atropinae sulfatis, every day 2 times, back retinoscopy optometry for three days on end.The equal mirror wildcarding correcting of ametropia person, matched group adopt traditional after image to increase and look treatment, and observation group uses the native system treatment, and therapeutic frequency is 1 time/day, 2～5 times/week weekly, average 3 times/week; Two groups of patients all are aided with conventional covering, family's fine manipulation (beading, tracing etc.) treatment.The standard that the anti-group of making a study of subjects of in April, 1994 whole nation children's myopia using stravismus is formulated is followed in therapeutic evaluation substantially
12, this paper " healing " comprises " healing " and " the basic healing " in this standard.Statistical procedures adopts x
2Check.
The result:
This group case treatment 1-2, average 18 months.Cure 624 (92.58%) progressive 35 (5.19%) invalid 15 (2.23%).
1, patient age and curative effect
Patient age is more little, and curative effect is good more, and the curative effect difference between the age groups has remarkable statistical significance (P＜0.005).(seeing Table 1) three age bracket patient cure rates all are higher than matched group and (are respectively: 92.6%, 91.0%, 50%);
Table 1 patient age and curative effect eye (%)
2, nature of fixation and curative effect
The person's of central fixation curative effect is better than paracentral fixation person, two group differences have remarkable statistical significance (P＜0.005).(seeing Table 2)
Table 2 nature of fixation and curative effect
3, amblyopia type and curative effect
The ametropic amblyopia curative effect is best, with strabismic amblyopia and anisometropic amblyopia comparing difference remarkable statistical significance (P＜0.005) is arranged.Strabismic amblyopia and anisometropic amblyopia cure rate comparing difference not statistically significant (P＞0.05).(seeing Table 3), ametropic and anisometropic amblyopia patient's cure rate all are higher than matched group (be respectively: 88.1%, 86.5%, strabismic amblyopia is not added up).
Claims (5)
1. amblyopia vision increasing treatment method and system thereof, the present invention is based on traditional after image pleoptics, relevant theoretical according to visual physiology, absorbing and keeping on the basis of traditional after image pleoptics effective technology composition, by key component to this system---photoelectricity automatization, the standardized designs of " after image reinforcement " and " LSC instrument for training " overcome the deficiency of traditional after image pleoptics; Instrument has increased the multiformity and the interest of therapeutic modality under the prerequisite of treatment procedure standardization, automatization's control, in the hope of strengthening the compliance of patient to treatment, improve curative effect; Method of the present invention is achieved in that
At first, the optical fundus of the strong illumination amblyopia eye of the safe dose that sends with the after image visor (protecting central fovea of macula to avoid irradiation simultaneously), the after image responsiveness that forms the central fovea of macula exterior domain of appropriateness suppresses, relative responsive advantage with the central fovea of macula zone allows shielded central fovea of macula and " ten " pipper set up normal corresponding relation then; On the one hand, the stimulation that allows central fovea of macula pass through the responsive light source in acceptance " ten " central area produces excited, and the up repeatedly visual centre that acts on; On the other hand, being changed to action response clue (only watch attentively during flicker and do not click, flicker had both been watched attentively when stopping click) with the difference of feature thorn laser makes central fovea of macula and " ten " pipper set up normal corresponding relation by " eye-hands-cerebral cortex joint space perception and center are looked admittedly " training to be able to firmly and reinforcement; Meanwhile, replaced traditional " bright/as to go out " formula stroboscopic lamp, both played the effect that prolongs the after image retention time, can suppress the activity of rod cell again, made the activity of cone cell be strengthened this with " highlighted/low bright " formula stroboscopic lamp; The responsive light of strobe light and above-mentioned cone cell constitutes this therapy system distinctive " photostimulation (Light stimulation) " jointly and increases and look key element; Simultaneously, the music signal that is imbued with sense of rhythm, stimulate auditory center through Auditory Pathway, by corticocerebral integration, produce the oscillating field potential change of rhythmicity, horizontal excited visual centre, remove the inhibition of vision in the maincenter level, becoming this therapy system distinctive " sonic stimulation (Sound stimulatios) " increases and looks key element, " eye-hands-cerebral cortex joint space perception and center the are looked admittedly " training that is associated with phototherapy and sound, the formation native system " motion of relatedness eye-hand coordination (Coordinate; eye-hand) " increase and look key element, stimulating visual centre simultaneously by above-mentioned multiple mode, promote foveal vision, is the fundamental of native system treatment design.
2. amblyopia vision increasing therapy system, adopt three-dimensional distributed frame, mainly comprise after image generation part, it is characterized in that: it also is provided with figure viewed from behind illumination section and joint space perception and central control equipment, and " a large amount/low bright " the unidirectional stroboscopic lamp of formula that is projeced into " training aids is looked at joint space perception and center admittedly " training plan is partly selected in background illumination for use; Joint space perception and center are looked training aids and unidirectional stroboscopic lamp and after image visor admittedly, constitute after image jointly and increase and look therapy system.
3. according to right 2 described systems, it is characterized in that: instrument for training training panel " ten " center creativeness is provided with the light emitting control point that a diameter is 10mm, the light that this specified point light source sends is corresponding with macula retinae district photoreceptor cell sensitive wave length, and can be according to the variation of in 1-50 hertz (adjustable) frequency range, glimmering of treatment needs, simultaneously by the photo-electric control technology, make " ten " center luminous point color (by the rule turn colors), state (glimmer or do not glimmer by rule) with " training is looked at eye-hands-cerebral cortex joint space perception and center admittedly " action relatedness takes place to be changed, only watch attentively during flicker and do not click, flicker is not only watched attentively but also click when stopping, fundamentally changed " machinery is clicked " in the past " rough training method, strengthen the accuracy of treatment and the interest of therapeutic process.
4. according to right 2 described systems, it is characterized in that: adopt the photo-electric control technology, increase clock, numeration and therapeutic process sequencing control function, the training action index is quantized, by the raising of the automatic degree of system, avoid systematic error simultaneously, increase work efficiency.
5. according to right 2 described systems, it is characterized in that: be provided with the action prompt sound, give the trainer accurately action response to remind and to be imbued with the background music of sense of rhythm, both can increase accuracy of action, sense of rhythm and harmony, can therapeutic effect be strengthened in the crossings on different level training system of the coordinating and unifying by the horizontal excited visual centre of effective auditory stimulus again.
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101433492B (en) * | 2008-12-25 | 2010-12-22 | 广州视景医疗软件有限公司 | System for training dichoptic viewing |
| CN103099724A (en) * | 2011-11-10 | 2013-05-15 | 天津市三吉科工贸有限公司 | Novel GJZY-I direct eye ground rear image sight glass and technology principle thereof |
| CN113230018A (en) * | 2021-03-31 | 2021-08-10 | 浙江理工大学 | Device and method for assisting amblyopia training |
| WO2022062436A1 (en) * | 2020-09-24 | 2022-03-31 | 华为技术有限公司 | Amblyopia training method, apparatus and device, storage medium, and program product |
-
2007
- 2007-01-19 CN CNA2007100011260A patent/CN101224151A/en active Pending
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101433492B (en) * | 2008-12-25 | 2010-12-22 | 广州视景医疗软件有限公司 | System for training dichoptic viewing |
| CN103099724A (en) * | 2011-11-10 | 2013-05-15 | 天津市三吉科工贸有限公司 | Novel GJZY-I direct eye ground rear image sight glass and technology principle thereof |
| WO2022062436A1 (en) * | 2020-09-24 | 2022-03-31 | 华为技术有限公司 | Amblyopia training method, apparatus and device, storage medium, and program product |
| CN113230018A (en) * | 2021-03-31 | 2021-08-10 | 浙江理工大学 | Device and method for assisting amblyopia training |
| CN113230018B (en) * | 2021-03-31 | 2023-04-28 | 浙江理工大学 | Amblyopia training assisting device and method |
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Open date: 20080723 |