摘要
目的 研究分析斜视患者术后采取视觉训练对其双眼视觉功能恢复的作用效果。方法 选取医院2024年8月至2025年8月收治的斜视小学生住院病例80例，按照随机数字法分组为观察组以及对照组每组40例。对照组患儿术后仅接受常规随访、视力及眼位检查；观察组在此基础上实施系统化、多阶段视觉训练方案。比较两组患儿术前及术后3个月的双眼视觉功能变化情况，包括立体视、融合范围及视疲劳评分。结果 术后3个月，两组患儿立体视水平及视疲劳评分均较术前显著降低，融合范围较术前显著增大（P＜0.05）；且观察组患儿术后3个月的立体视水平和视疲劳评分显著低于对照组，融合范围显著高于对照组，差异均具有统计学意义（P＜0.05）。结论 在斜视小学生患者术后实施视觉训练，可有效促进双眼视觉功能恢复，增强双眼协调与融合能力，改善立体视觉水平，减轻视疲劳，对儿童视觉系统的功能重建及视觉质量提升具有重要临床价值。
关键词： 斜视；术后；视觉训练；双眼视觉功能
Abstract
Objective To investigate the effect of visual training on the recovery of binocular visual function in strabismic patients after surgery. Methods A total of 80 hospitalized cases of strabismus in elementary school children admitted to the hospital from August 2024 to August 2025 were selected and randomly divided into an observation group and a control group, with 40 cases in each group. The control group received only routine follow-up, visual acuity, and eye position examinations postoperatively, while the observation group underwent a systematic, multi-stage visual training program in addition. The changes in binocular visual function, including stereopsis, fusion range, and visual fatigue scores, were compared between the two groups before and 3 months after surgery. Results Three months postoperatively, both groups showed significant improvements in stereopsis levels and visual fatigue scores compared to preoperative levels, along with a significant increase in fusion range (P < 0.05). Additionally, the observation group exhibited significantly better stereopsis levels and lower visual fatigue scores than the control group, along with a significantly larger fusion range, with all differences being statistically significant (P < 0.05). Conclusion Postoperative visual training in strabismic elementary school children effectively promotes the recovery of binocular visual function, enhances binocular coordination and fusion ability, improves stereopsis levels, and reduces visual fatigue, demonstrating important clinical value for the functional reconstruction of the visual system and the enhancement of visual quality in children.
Key words： Strabismus; Postoperative; Visual training; Binocular visual function
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