CN102755240A - Device for treating astigmatism and strabismus - Google Patents
Device for treating astigmatism and strabismus Download PDFInfo
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- CN102755240A CN102755240A CN2012102770064A CN201210277006A CN102755240A CN 102755240 A CN102755240 A CN 102755240A CN 2012102770064 A CN2012102770064 A CN 2012102770064A CN 201210277006 A CN201210277006 A CN 201210277006A CN 102755240 A CN102755240 A CN 102755240A
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Abstract
The invention discloses a device for treating astigmatism and strabismus. The device for treating astigmatism and strabismus has three contributions. A first contribution is that in aspect of astigmatism and strabismus treatment, people surprise to discover that the incurable astigmatism is not caused by eyeballs but lack of actual causes of astigmatism formation in the modern medicine. A second contribution is that people find out the actual causes of the astigmatism: 1, extraocular muscles cannot achieve gathering enough, and intraocular muscles cannot perform enough adjustment; 2, peripheral visual fields of eye grounds are locally lengthened; 3, deformation happens to the edge when eyes look at big-view objects; 4, the extraocular muscles perform local traction on corneas; and 5, double images occur when the eyes look at small-view objects in the distance. A third contribution is that people find out a method for recovering the peripheral visual fields of the eye grounds. By matching the method and comprehensive eye yoga movement disclosed by the patent of CN200980107835.4, the balance of the extraocular muscles is recovered, and internal and external causes of the astigmatism and the strabismus are eliminated, so that the astigmatism and strabismus which are incurable originally can be prevented and cured.
Description
Technical field: the present invention relates to a kind of device of treating astigmatism and stravismus
Background technology:
Modern ophthalmology is to ametropic understanding:
Under ciliary muscle regulating action resting state; Parallel rays (light that the infinity object sends) is through the dioptric system (cornea, aqueous humor, crystalline lens, vitreous body) of eye; Focus on the retina person and be emmetropia, be myopia before focusing on retina, be hypermetropia after focusing on retina; Astigmatism can not be focused into a focus, but forms one in front and one in back two focal lines.
Hypermetropia and myopia are the fuzzy hot spots that on retina, forms an expansion, thereby blurring of vision, and astigmatism is on retina, to form the disperse ring of light.Myopia, hypermetropia, astigmatism general designation ametropia.
Myopia, hypermetropia are mainly by cornea, lens surface curvature excessive (myopia) or too small (hypermetropia), and axis oculi long (myopia) or too short (hypermetropia) cause.(be that corneal curvature whenever dwindles 1mm, myopia increases by 6.00 degree when the every change of corneal curvature 1mm diopter changes 6.00 degree; Hypermetropia is opposite); The every change of axis oculi 1mm, diopter change 3.00 degree, and (be that axis oculi increases 1mm, myopia increases by 3.00 degree; Hypermetropia is opposite).Astigmatism is mainly by cornea, inconsistent the causing of each curvature of meridian of lens surface, also can owing to cornea or, the crystalline lens refractive index is undesired causes.Hypermetropia, astigmatism are mainly due to the gene genetic influence, and myopia is influenced by multifactorial inheritance, but environmental factors plays a major role.Surface curvature, axis oculi axial length receive hereditation bigger behind general corneal curvature, the crystalline lens.
Hypermetropia always forms an ambiguous picture on retina, low hypermetropia can be regulated through utilization and move on to focus on the retina, makes that to look thing clear; And middle and high degree hypermetropia often uses adjusting to move on to focus on the retina; So always form ambiguous picture on the retina; Can not in time be corrected in the growth snap shot phase; Ambiguous image stimulus effects the normal development of optic nerve, cause hypoplasia of optic nerve easily, form amblyopia.Though myopia or myopic astigmatism distant vision are affected, the influence that near vision often receives is less, so near vision is often normal or near normal, so visual function obtains taking exercise easily, amblyopia do not occur; Hypermetropia, far away loosing if utilization is regulated, can move on to minimum dispersion ring on the retina, eye muscle muscular imbalance (and tiltedly latent or stravismus) and asthenopia phenomenon often only occur; If high hypermetropia, far away loose, mixed astigmatism (particularly two meridian refractive powers do not equate the person basically); Often utilization is regulated and can not be moved on to minimum dispersion ring on the retina; Blurring of vision often; Show as distant vision and near vision all reduces, cause expense property amblyopia all takes place on all meridians, have the tendency of sending out into stravismus after the amblyopia.
When facing soon near objects, the light that near objects is sent must be dispersed, rather than parallel rays; At this moment; Emmetropia is not employed after adjusting must focus on retina, and on retina, forms the fuzzy hot spot of an expansion, and it is moving that this moment, near reflex three through transports took place: contracted pupil; Set is regulated.When seeing distant objects, two optical axis are parallel, and see near objects, and two will make the optical axis aim at object to the nasal side rotation, and be called set.Adjusting is meant when seeing near objects that the ciliary muscle circular muscle shrinks, and loosens outstanding tough little band, makes crystalline lens rely on intrinsic elasticity to become protruding, and its refractive power is strengthened, and the divergent rays of near objects is focused on the retina, forms clear image.Near reflex three through transports are moving to be synchronous (but when the three merges existence, or the change degree is identical, but under normal circumstances, their threes usually link together), and be two equal.Emmetropia is looked nearly used adjusting and is called the physiological adjusting; Hypermetropia is because see the expansion hot spot that far also can on retina, form with fuzzy, and utilization is regulated and can be moved on to focus on the retina, makes that to look thing clear, and hypermetropia is looked used adjusting far away and is called the non-physiologic adjusting.
Because bathomorphic far point is in limited distance, because its range of accommodation is less, when seeing near objects, its adjusting is littler than emmetropia, because the synchronicity of set and adjusting, thereby form outer latent oblique easily; Hypermetropia sees and far sees closely all and will regulate, and sees that near adjusting is also will add a part seeing on the adjusting far away basis, because set and the synchronicity regulated, so hypermetropia forms esophoria easily.
Modern medicine is thought: hypermetropia, astigmatism influence mainly due to gene genetic.Stravismus all can not be cured with astigmatism, and effective method is exactly to correct through glasses, or operative treatment.
Summary of the invention:
The objective of the invention is to: by the balanced peripheral visual field, two approach such as balance extraocular muscle, the interior external cause of disease of elimination astigmatism and stravismus to reach astigmatism, to look side ways to perform the operation and just can remove glasses, is recovered the purpose of twenty-twenty vision.
Researcher of the present invention is in first contribution aspect astigmatism and the stravismus treatment: surprised discovery " astigmatic uncurable disease " is not the mistake of eyeball, but the real cause of disease that modern medicine does not find astigmatism to form is alleged it become " inborn ".And then, stoped the exploration of academia to the cause of disease, more make ophthalmic industry generally admit " astigmatism can not be treated " " astigmatism need be worn glasses all one's life " and cause:
Someone adds up, and " along routine astigmat, is 92.38% in the time of 10 years old, becomes 14.3% during by 80 years old; And the counter-example astigmat, 85.7% when 7.62% during then from teenager rises to old age, explanation reasons is because the age increase has changed due to the astigmatism axial direction.”
Researcher of the present invention is thought, if astigmatism is congenital achievements, scattered-light axle position can be because of the difference at age, and the variation of 90 degree takes place.
Affiliated Hospital of Zunyi Medical College; Ye Lei: " to my institute in February, 2008---the prescription that outpatient service is gone to a doctor during in February, 2010 has 66 routine patients of asthenopia symptom (20 years old～35 years old age; job specification is for a long time in the knitting mill, and Shoes Factory etc. are fine manipulation closely) is carried out retrospective analysis.Customary detailed medical history-taking, the row slit lamp, examination of ocular fundus after the eliminating eye organic disease, is all used homemade Tropicamide and Phenylephrine eye drop eye drip mydriasis, 10 minutes 1 time, totally 3 times, after the 45min, it is carried out computerized optometry, retinoscopy optometry.There are 60 examples to have ametropia (accounting for 90.9%), simple myopia 8 examples (accounting for 12.1%) wherein, myopic astigmatism 45 examples (accounting for 68.1%), simple hypermetropia 2 examples (accounting for 3%), hypermetropic astigmatism 5 examples (accounting for 7.5%).Formal eye 6 examples (accounting for 9%) " (being published in the 15 the academic conference of national ophthalmology).
Note that for a long time closely fine manipulation, have 50 astigmatism (myopic astigmatism 45 examples, hypermetropic astigmatism 5 examples) to account for 75.75% among the patient that 66 have an asthenopia symptom.
It is thus clear that astigmatism is can be acquired, and with closely use for a long time the eye closely related.
Optic disc is oblique obscure boundary.
At first, three heads of a family are successively arranged to our feedback " child's amblyopia has been got well, also complete obiteration of astigmatism "; First; Second feedback do not cause our attention as yet, and when the 3rd feedback reminded us once more, we had set up thematic group study immediately: " why astigmatism has all been controlled not in the whole world; we by accident cured some examples? " " the scattered-light cause of disease, what is pathogenesis machine Therapeutic Method? "
Researcher of the present invention is in astigmatism and stravismus second aspect treatment contribution: found the scattered-light real cause of disease: 1 a, astigmatism and closely use closely related; 2, the extraocular muscles convergence power is not enough: see for a long time when near, gather not in placely, make image drop on the other center of retina for a long time, adding ophthalmic flesh this moment, to regulate power not enough, forms the power that elongates center, side axiallength; 3, central fovea of retina peripheral visual field part is elongated, has then occurred the lines distortion when seeing the object with great visual angle (like door, window) that needs the peripheral visual field participation this moment, brain and empirical data are compared and are judged that not accepting this lines is out of shape; 4, brain is employed the extraocular muscles corneal through nerve and is carried out tractive, changes corneal curvature, in order to remedy the defective that peripheral visual field part, optical fundus is elongated, and eliminates the lines distortion when seeing image with great visual angle; 5, corneal curvature is conditioned successfully back (distortion), and (image drops on central fovea of retina) occurred then that ghost image---astigmatism has formed when seeing distant place small angle object again.6, ghost image appears, and again need be with cornea toward readjustment.7, (trouble be), the speed of adjusting do not catch up with forever sees and far sees and closely see the speed of seeing little switching greatly; Cause astigmatic patient, see and far see closely all and blur, dizzy often, headache.
Support that directly the clinical evidence of above-mentioned viewpoint has:
1. astigmatic patient's axle position: most scattered-light axles position 90 degree, 180 degree, all closely related with the tractive stop of extraocular muscles.
2. astigmatic patient's optometry: scattered-light patient sees that the big sighting target of visual acuity chart does not produce ghost image, produces ghost image suddenly when waiting to see certain delegation sighting target at visual acuity chart middle part, and as boundary, below all little sighting targets ghost image all appears.
3. " along routine astigmat, be 92.38% in the time of 10 years old, become 14.3% during by 80 years old; And the counter-example astigmat, 85.7% when 7.62% during then from teenager rises to old age ".This statistical result is accustomed to fitting like a glove with eye with child and old man's health.The child closely reads a book, the old man reads a book at a distance; Child's extraocular muscles still undeveloped mature, old man is short of physical strength not and book to be lifted due height is added elder person's eyeball and rotate dumb up and down.
4. " to my institute in February, 2008---the prescription that outpatient service is gone to a doctor during in February, 2010 has 66 routine patients of asthenopia symptom (20 years old～35 years old age, job specification is for a long time in the knitting mill, Shoes Factory etc. are fine manipulation closely) is carried out retrospective analysis ".Be to form scattered-light key closely with eye.
5. inquire medical history, nearly all astigmatic child had super close distance to see, play the custom of thing.
It will be further appreciated that look side ways extremely similarly with scattered-light etiology and pathogenesis, unique difference is that the relatively balanced amalgamation of astigmat's eyes is good; Stravismus then is to serve as the main eye of looking with eyes, and auxilliary to look eye corresponding with it and form stravismus with the optical fundus peripheral visual field.
Researcher of the present invention is in the 3rd contribution aspect astigmatism and the stravismus treatment:
On the basis of close at the moving eyes of the secondary substructure of the luminous viewpoint of patent CN200980107835.4, visual system 5-linked that picture, peripheral visual field stimulate, left eye and the corresponding luminous viewpoint of right eye alternately being glimmered comprehensive eyeball Yoga campaign; Further provide optical fundus peripheral visual field balance training; And central fovea of retina and peripheral visual field image switching training; Be used for progressively eliminating the optical fundus peripheral visual field cause of disease of astigmatism and stravismus, and can make instrument treatment be suitable for becoming younger.Wherein,
Said optical fundus peripheral visual field balance training is by device attention to be guided to the luminous viewpoint of peripheral visual field balance training group center place, and the balance stimulating exercise that the optical fundus peripheral visual field is carried out with the peripheral luminous viewpoint crowd of surplus photoreception.
Said central fovea of retina and peripheral visual field image switching training is by device attention to be guided to center, the visual field, and the fluctuation through peripheral figure and/or size variation promote the restore balance training of state of optical fundus peripheral visual field.
Saidly attention is guided to the luminous viewpoint of peripheral visual field balance training group center place by device; Through the center is that dynamic center of rotation is accomplished; Or through of the large and small different completion of the luminous viewpoint in center with the luminous viewpoint of periphery; Or through of the color different completion of the luminous viewpoint in center, or through of the light and shade different completion of the luminous viewpoint in center with the luminous viewpoint of periphery with the luminous viewpoint of periphery.
The balance stimulating exercise that the luminous viewpoint crowd of the surplus photoreception periphery of said usefulness carries out the optical fundus peripheral visual field; Numerous luminous viewpoint through around the central peripheral visual field is accomplished; Or numerous luminous viewpoint completion through rotating around the center; Or pass through to center on the more than one luminous line completion that the center rotates, or through centering on the various luminous patterns completion that the center rotates.
Said fluctuation and/or size variation through peripheral figure promotes the restore balance training of state of optical fundus peripheral visual field, can stimulate uniform relatively various luminous patterns to accomplish through the periphery around the center size variation,
Said fluctuation and/or size variation through peripheral figure promotes the restore balance training of state of optical fundus peripheral visual field, can stimulate uniform relatively various luminous patterns to accomplish through the periphery of the rotation around the center,
Said fluctuation and/or size variation through peripheral figure promotes the restore balance training of state of optical fundus peripheral visual field, can stimulate uniform relatively various luminous patterns to accomplish through the periphery of the fluctuation around the center.
Said optical fundus peripheral visual field balance training reaches central fovea of retina and peripheral visual field image switching and trains formed visual angle between 10 subangles and 120 degree angles, to change.
Said optical fundus peripheral visual field balance training reaches central fovea of retina and peripheral visual field image switching training and is arranged on completion in the same plane, and/or is arranged on completion simultaneously in the Different Plane.
Said optical fundus peripheral visual field balance training, and central fovea of retina and peripheral visual field image switching training in, train through the balance of power of comprehensive eye Yoga campaign completion extraocular muscles
Above-mentioned training can realize through simple eye or eyes eye disease therapeutic instrument, or above-mentioned training can realize in computer, TV, electronic display through curing eye diseases software, or above-mentioned training can realize through projector and projection screen jointly.
Comparable advantage:
Researcher of the present invention is in first contribution aspect astigmatism and the stravismus treatment: surprised discovery " astigmatic uncurable disease " is not the mistake of eyeball, but the real cause of disease that modern medicine does not find astigmatism to form causes.Second contribution of researcher of the present invention is: found the scattered-light real cause of disease: 1, the extraocular muscles set is not in place, the adjusting of ophthalmic flesh is not in place; 2, peripheral visual field part in optical fundus is elongated; 3, see that distortion appears in object edge with great visual angle; 4, tractive (remedy optical fundus distortion, eliminate distortion) is carried out in extraocular muscles corneal part, and 5, then occurred ghost image when seeing at a distance the small angle object.The 3rd contribution of researcher of the present invention is: found to make the optical fundus peripheral visual field return to a planar method; Cooperate again that the moving eyes of the secondary substructure of the luminous viewpoint of patent CN200980107835.4, visual system 5-linked close that picture, peripheral visual field stimulate, the comprehensive eyeball Yoga campaign of alternately glimmering of left eye and the corresponding luminous viewpoint of right eye eliminates the optical fundus injustice cause of disease in addition; Make astigmatism, the stravismus of original " uncurable disease ", become and to prevent and to control.
The specific embodiment:
In order to further specify the present invention, but not limited provide following embodiment:
Embodiment 1, monocular squint, astigmatic therapeutic instrument:
Monocular squint, astigmatic therapeutic instrument: at first can get rid of and main look eye, attach and look the influence of eye, eliminate the paracentral fixation of set formed optical fundus not in place peripheral visual field, for the better performance of technical characterictic of the present invention creates conditions to training result.This monocular squint, astigmatic therapeutic instrument can pass through the small hand-held formula, software desk-top or simple eye through the computer completion or that eyes are looked side ways, astigmatism is trained is accomplished.
Claims (10)
1. the device of treating astigmatism and looking side ways is characterized in that, through the balanced peripheral visual field, and two approach such as balance extraocular muscles, the external cause of disease in eliminating astigmatism and looking side ways is for astigmatic thorough healing with stravismus provides sufficiency;
The described balanced peripheral visual field comprises: optical fundus peripheral visual field balance training, and central fovea of retina and peripheral visual field image switching training, wherein,
Said optical fundus peripheral visual field balance training is by device attention to be guided to the luminous viewpoint of peripheral visual field balance training group center place, and the balance stimulating exercise that the optical fundus peripheral visual field is carried out with the peripheral luminous viewpoint crowd of surplus photoreception;
Said central fovea of retina and peripheral visual field image switching training is by device attention to be guided to center, the visual field, and the fluctuation through peripheral figure and/or size variation promote the restore balance training of state of optical fundus peripheral visual field.
2. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; Saidly by device attention being guided to the luminous viewpoint of peripheral visual field balance training group center place, is that dynamic center of rotation is accomplished through the center, or through the large and small different completion of the luminous viewpoint in center with peripheral luminous viewpoint; Or through of the color different completion of the luminous viewpoint in center, or through of the light and shade different completion of the luminous viewpoint in center with the luminous viewpoint of periphery with the luminous viewpoint of periphery.
3. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; The balance stimulating exercise that the luminous viewpoint crowd of the surplus photoreception periphery of said usefulness carries out the optical fundus peripheral visual field is accomplished through the numerous luminous viewpoint around the central peripheral visual field, or accomplishes through the numerous luminous viewpoint of the rotation around the center; Or pass through to center on the more than one luminous line completion that the center rotates, or through centering on the various luminous patterns completion that the center rotates.
4. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; Said fluctuation and/or size variation through peripheral figure promotes the restore balance training of state of optical fundus peripheral visual field, can stimulate uniform relatively various luminous patterns to accomplish through the periphery around the center size variation.
5. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; Said fluctuation and/or size variation through peripheral figure promotes the restore balance training of state of optical fundus peripheral visual field, can stimulate uniform relatively various luminous patterns to accomplish through the periphery of the rotation around the center.
6. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; Said fluctuation and/or size variation through peripheral figure promotes the restore balance training of state of optical fundus peripheral visual field, can stimulate uniform relatively various luminous patterns to accomplish through the periphery of the fluctuation around the center.
7. a kind of device of treating astigmatism and stravismus according to claim 1 is characterized in that said optical fundus peripheral visual field balance training reaches central fovea of retina and peripheral visual field image switching and trains formed visual angle between 10 subangles and 120 degree angles, to change.
8. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; Said optical fundus peripheral visual field balance training reaches central fovea of retina and peripheral visual field image switching training and is arranged on completion in the same plane, and/or is arranged on completion simultaneously in the Different Plane.
9. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; Said optical fundus peripheral visual field balance training, and central fovea of retina and peripheral visual field image switching training in, train through the balance of power of comprehensive eye Yoga campaign completion extraocular muscles.
10. a kind of device of treating astigmatism and stravismus according to claim 1; It is characterized in that; Above-mentioned training can realize through simple eye or eyes eye disease therapeutic instrument; Or above-mentioned training can realize in computer, TV, electronic display through curing eye diseases software, or above-mentioned training can realize through projector and projection screen jointly.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2531458C1 (en) * | 2013-08-14 | 2014-10-20 | федеральное государственное бюджетное учреждение "Межотраслевой научно-технический комплекс "Микрохирургия глаза" имени академика С.Н. Федорова" Министерства здравоохранения Российской Федерации | Method of treating hyperactive inferior oblique muscle of eye |
| RU2619749C1 (en) * | 2016-04-22 | 2017-05-17 | Федеральное государственное автономное учреждение "Межотраслевой научно-технический комплекс "Микрохирургия глаза" имени академика С.Н. Федорова" Министерства здравоохранения Российской Федерации | Method for treatment of strabismus with hyperfunction of the lower oblique muscle |
-
2012
- 2012-08-06 CN CN2012102770064A patent/CN102755240A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2531458C1 (en) * | 2013-08-14 | 2014-10-20 | федеральное государственное бюджетное учреждение "Межотраслевой научно-технический комплекс "Микрохирургия глаза" имени академика С.Н. Федорова" Министерства здравоохранения Российской Федерации | Method of treating hyperactive inferior oblique muscle of eye |
| RU2619749C1 (en) * | 2016-04-22 | 2017-05-17 | Федеральное государственное автономное учреждение "Межотраслевой научно-технический комплекс "Микрохирургия глаза" имени академика С.Н. Федорова" Министерства здравоохранения Российской Федерации | Method for treatment of strabismus with hyperfunction of the lower oblique muscle |
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Application publication date: 20121031 |