低视力患者助视器验配的应用效果评估

发布时间：2018-02-02 21:22

本文关键词： 低视力助视器个性化验配　出处：《眼科新进展》2017年10期 　论文类型：期刊论文

【摘要】：目的评估低视力患者助视器验配后的实际应用效果,探讨低视力康复有效性的维持与改进方法。方法对173例低视力患者进行视功能评估及助视器验配,1 a后对助视器使用情况进行回访调查,就低视力患者视觉改善状况、助视器日均使用时间、助视器弃用原因以及存在的问题等进行分析。结果 173例低视力患者的前三位主要病因为高度近视、先天性眼病及糖尿病视网膜病变。助视器日均使用时间:偶尔使用者占66.47%,使用≤1 h者占4.62%,使用1~2 h者占19.08%,使用2~3 h者占4.62%,使用3 h者占5.20%。助视器验配的总有效率为79.77%,远用光学助视器之间的使用效果差异无统计学意义(χ~2=0.794,P=0.939);近用助视器的使用效果间差异有统计学意义(χ~2=12.535,P0.05)。弃用的23个助视器中,因视力差弃用者占73.91%,因使用不方便弃用者占17.39%,因不会使用弃用者占8.70%。结论个性化验配助视器能够使助视器得到有效的利用,光学和电子助视器的适当使用能够明显提高低视力患者的残余视功能,但需要加强后续的随访及服务,解决助视器验配及使用中出现的问题。
[Abstract]:Objective to evaluate the practical application of low vision aids in patients with low vision, and to explore the methods of maintaining and improving the effectiveness of low vision rehabilitation. Methods 173 patients with low vision were evaluated with visual function and visual aids were matched with visual aids. After 1 year, the visual aids were investigated, and the average daily use time of visual aids in patients with low vision was investigated. Results the first three main causes of 173 cases of low vision were high myopia. Congenital ophthalmopathy and diabetic retinopathy. The average daily use time of visual aids was 66.47 times for occasional users, 4.62% for those who used less than 1 hour, and 19.08% for 1 hour or 2 hours. The total effective rate of visual aids was 79.77%. There was no significant difference in the use effect among the distant optical aids (蠂 ~ (2) 0.794). There was statistically significant difference in the use effect of visual aids among the 23 visual aids (蠂 ~ (2 / 2) 12.535) (P 0.05). Of the 23 visual aids abandoned, 73.91% were abandoned because of poor visual acuity. Because of inconvenient use, 17.39%, 8.70.Conclusion Personalized visual aids can make effective use of visual aids. The proper use of optical and electronic visual aids can obviously improve the residual visual function of patients with low vision, but it is necessary to strengthen follow-up and service to solve the problems in the inspection and use of visual aids.
【作者单位】：天津医科大学眼科医院天津医科大学眼视光学院天津医科大学眼科研究所;天津市残疾人辅助器具资源中心;
【基金】：天津医科大学科学基金(编号:2014ky216)~~
【分类号】：R778.2
【正文快照】： 2006年第二次残疾人抽样调查结果显示,我国有视力残疾人1233万[1],其中盲人400多万,低视力者800多万,是全球低视力人口最多的国家。视力损害严重影响个人的学习、工作和生活,使患者生存质量下降,给家庭与社会造成沉重的负担[2-3]。目前我国90%的低视力患者有康复需求,近年来,

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