Personalized design and effect evaluation of visual function training program for patients with low vision
斜弱视患者视功能训练方案的个性化设计与效果评估

摘要

目的 探究斜弱视患者视功能训练方案个性化设计的方法及其临床效果。方法 选取2024年1月1日—2024年12月31日140例斜弱视患者，按随机数字表法分为对照组（70例）与实验组（70例）。对照组采用常规视功能训练，实验组基于患者年龄、弱视类型、斜视度等制定个性化训练方案，包括红光闪烁、精细目力训练、双眼视功能训练等，训练周期为6个月。采用国际标准视力表、Titmus立体视觉检查图及眼位检查评估效果。结果 训练后，实验组视力提升幅度、立体视锐度改善值及眼位矫正有效率分别为（1.02±0.23）行、（156.32±34.51）″、85.71%，均显著优于对照组的（0.65±0.18）行、（212.54±42.76）″、62.86%（P＜0.05）。结论 个性化视功能训练方案可显著提升斜弱视患者视力、改善立体视功能及眼位，效果优于常规训练，值得临床推广应用。

Abstract

Objective To explore the methods for personalized design of visual function training programs for patients with esotropia and amblyopia, and to evaluate their clinical outcomes.
Methods A total of 140 patients with esotropia and amblyopia were selected from January 1, 2024, to December 31,2024. They were randomly divided into a control group (70 patients) and an experimental group (70 patients). The control group received standard visual function training, while the experimental group received personalized training programs tailored to their age, type of amblyopia, and degree of strabismus, including red light flicker, fine visual acuity training, and binocular visual function training. The training period was 6 months. The effectiveness was assessed using the International Standard Visual Acuity Chart, Titmus Stereopsis Test, and eye position examination.
Results After the training, the experimental group showed significant improvements in visual acuity (1.02±0.23), stereopsis sharpness (156.32±34.51)″, and eye position correction effectiveness (85.71%), compared to the control group (0.65±0.18), (212.54±42.76)″, and 62.86% (P<0.05).
Conclusion   Personalized visual function training programs can significantly enhance the visual acuity, improve stereopsis, and correct eye position in patients with esotropia and amblyopia, outperforming standard training methods and are recommended for clinical application.