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中华眼科医学杂志(电子版)

中华眼科医学杂志(电子版) ›› 2018, Vol. 08 ›› Issue (02) : 49 -55. doi: 10.3877/cma.j.issn.2095-2007.2018.02.001

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重视老年性黄斑变性患者的视觉康复治疗
崔珊珊1, 邹燕红1,†()   
  1. 1. 100016　北京，清华大学第一附属医院眼科
  • 收稿日期:2017-08-29 出版日期:2018-04-28
  • 通信作者: 邹燕红
  • 基金资助:
    国家自然科学基金(81273159); 首都临床特色应用研究(Z141107002514041)

Lay further emphasis on visual rehabilitation therapy of age-related macular degeneration

Shanshan Cui1, Yanhong Zou1,†()   

  1. 1. Department of Ophthalmology, The First Hospital of Tsinghua University, Beijing 100016, China
  • Received:2017-08-29 Published:2018-04-28
  • Corresponding author: Yanhong Zou
  • About author:
    Corresponding author: Zou Yanhong, Email:
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崔珊珊, 邹燕红. 重视老年性黄斑变性患者的视觉康复治疗[J]. 中华眼科医学杂志(电子版), 2018, 08(02): 49-55.

Shanshan Cui, Yanhong Zou. Lay further emphasis on visual rehabilitation therapy of age-related macular degeneration[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2018, 08(02): 49-55.

目前，老年性黄斑变性(AMD)已成为我国老年人群不可逆视力损伤的主要原因。该疾病可导致患者中心视力下降、视物变形甚至视力丧失，造成不同程度的视力残疾，使患者的生活质量受到极大影响。当AMD患者出现双眼视功能损伤时，应积极开展视觉康复治疗，通过验配适宜的辅助器具，进行必要的视觉训练和心理支持，以提高患者的独立生活能力，改善其生活质量。本文中笔者就AMD对患者视功能和生活质量的影响、视觉康复的基本原则及康复治疗在AMD患者中的应用进行评述。

关键词: 老年性黄斑变性, 视觉康复

In recent years, age-related macular degeneration (AMD) has become the main cause of irreversible visual impairment in the elderly in China. It can cause central vision loss, deformity of vision, or even loss of vision, resulting in different degrees of visual disability, and the quality of life of patients is greatly affected. When the AMD patients had binocular visual function damage, should actively carry out visual aids rehabilitation treatment, through fitting appropriate, necessary visual training and psychological support, to improve the patient's ability to live independently, improve their quality of life. The present article reviewed the impact of AMD on visual function and quality of life, the basic principles of visual rehabilitation, and the application of rehabilitation in AMD patients.

Key words: Age-related macular degeneration, Visual rehabilitation
图1 正常人与老年性黄斑变性患者的MAIA微视野计检查图像　A图显示正常人的注视点集中在黄斑中心凹，B图显示AMD患者的注视点散布在较大的椭圆范围内。视网膜光敏度值在图中采用不同颜色的点表示，绿色提示正常，红色提示异常，黑色则提示表面最亮的光点患者也不可见，视网膜背景上的小蓝点表示患者在检查过程中的注视点位置
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