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中华眼科医学杂志(电子版) ›› 2025, Vol. 15 ›› Issue (06) : 379 -384. doi: 10.3877/cma.j.issn.2095-2007.2025.06.011

标准与规范

动态视觉的概念、生理病理机制、检测评估及康复治疗专家共识(2025)
中国医学装备协会眼科专业委员会视觉康复学组   
  • 收稿日期:2025-12-01 出版日期:2025-12-28

Expert consensus on key dynamic parameter settings and debugging operations for phacoemulsification cataract extraction (2025)

Visual Rehabilitation Group of Ophthalmological Committee of China Association of Medical   

  • Received:2025-12-01 Published:2025-12-28
引用本文:

中国医学装备协会眼科专业委员会视觉康复学组. 动态视觉的概念、生理病理机制、检测评估及康复治疗专家共识(2025)[J/OL]. 中华眼科医学杂志(电子版), 2025, 15(06): 379-384.

Visual Rehabilitation Group of Ophthalmological Committee of China Association of Medical. Expert consensus on key dynamic parameter settings and debugging operations for phacoemulsification cataract extraction (2025)[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2025, 15(06): 379-384.

动态视觉,是指凭借视觉识别和跟踪动态目标的能力,包括动态视力与动态色觉,涉及眼科学、神经科学及运动医学。当前,有关动态视觉的理论认知、实践应用拓展、评估分级规范化和干预康复经验累积已渐成体系。近期,中国医学装备协会眼科专业委员会视觉康复学组组织相关专家就此进行了专题研讨形成了共识。本共识就动态视觉的相关概念、生理病理机制、检测评估及康复治疗进行系统归纳。

图7 动态色觉检测范式和刺激的流程图 图A示实验流程图:受试者坐于屏幕前66 cm处,头置于颌托上。调整座位,使字母与眼睛平齐。每个被试者的非主视眼使用HY-K601型高清红外摄像机(韩国HYUNDAI公司生产)在10 cm的距离进行监测。在每次试验中,被试者都被指示尽可能地盯着并追逐静态或移动的字母。该试验包括6个小试验。每个试验分3个阶段:固定字母阶段,每次试验开始时,屏幕中央出现1个固定字母,持续1分钟,记录瞳孔大小1;移动字母阶段:1 min后,固定字母消失且出现1个移动字母以等速从屏幕左边框的中心向右边框水平移动直至消失,再出现下一个移动的字母以相同的速度重复出现移动字母,10次/试验,记录瞳孔大小2;速度递增阶段:在6个实验中,字母的移动速度分别为10 dps、20 dps、30 dps、40 dps、50 dps和60 dps,速度递增。图B示视锥介导的刺激和背景:锥体刺激在白色背景(主亮度30 cd/m2)上进行,呈现中等亮度(30 cd/m2)的长波长红光(主波长642 nm)。通过SpectraScan PR-740光谱辐射度计(美国Photo Research公司生产)在受试者眼的位置确认亮度和刺激波长。图C示视杆介导的刺激和背景:在黑色背景(主亮度为0.01 cd/m2)上呈现短波长蓝光(主波长为465 nm)、低亮度光型(0.01 cd/m2)。通过SpectraScan PR-740光谱辐射度计(美国Photo Research公司生产)在参与者眼所在位置确认亮度和刺激波长
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