目的 探讨Kinect体感交互技术对低视力儿童康复的效果.方法 选择2021年5月至2022年5月从泉州特殊教育学校筛查60例低视力儿童,按随机数字表法分成观察组(30例)和对照组(30例).两组患儿均给予常规视觉康复和感统训练治疗,观察组在对照组基础上加用Kinect体感交互技术强化训练.评估两组患儿训练前后低视力生活质量量表中文版(CLVQOL)各项分值,采用配对样本t检验对结果进行统计学分析.结果 训练前,两组患儿CLVQOL各项评分比较无统计学意义(P>0.05).连续训练6个月后,观察组患儿CL

目的 探讨基于Kinect体感交互技术的康复训练对低视力儿童感觉统合的影响.方法 采用方便抽样法,于2021年5月—2022年5月选取泉州特殊教育学校的60例低视力患儿作为研究对象.按照随机数字表法分为观察组与对照组,每组30例.2组患儿均给予常规视觉康复和感觉统合训练治疗,观察组患儿在对照组基础上加用Kinect体感交互技术强化训练.评估2组患儿训练前后儿童感觉统合能力发展评定量表(SIFS)各维度得分,并对结果进行统计学分析.结果 训练前,2组患儿SIFS中前庭感觉、触觉防御、本体感、学习能力得分比较,差异均无统计学意义(P＞0.05).训练后,观察组患儿前庭感觉、触觉防御、本体感、学习能力得分明显高于训练前,且高于同期对照组,差异均有统计学意义(P＜0.05).结论 应用Kinect体感交互技术实现的康复训练能够提高低视力儿童感觉统合水平.

目的 探讨基于"国际功能、残疾和健康分类"理念下感觉统合及残余视力感知觉联合康复训练对低视力儿童发育行为的影响.方法 选取2020年5月至2021年5月泉州盲校筛查的60名低视力儿童作为研究对象,依据随机数字表法将其分成观察组(30例)和对照组(30例).观察组儿童在使用各种助视器的同时进行感觉统合及残余视力感知觉联合康复训练,对照组仅使用助视器.所有儿童训练前后分别采用儿童感觉统合能力发展评定量表(SIFS)及Gesell发育诊断量表(GDDS)进行评估.两组儿童训练前后的SIFS及GDDS评分采用配对样本t检验对结果进行统计学分析.结果 两组儿童训练前的前庭感、触觉防御、本体感、学习能力、适应性行为、大动作、精细动作、语言、个人-社会性行为评分比较,差异无统计学意义(P>0.05).观察组训练6个月后的前庭感、触觉防御、本体感、学习能力、适应性行为、大动作、精细动作、语言、个人-社会性行为评分均高于对照组,差异均有统计学意义(P<0.05).结论 感觉统合及残余视力感知觉联合康复训练能够提高低视力儿童的发育行为.

目的 调查泉州市特殊教育学校普通班视障学生的生活质量现状及其影响因素.方法 2020年11月对普通班最好眼最佳矫正视力>0.02的52例学生(年龄7～26岁)进行近视力检查、对比敏感度检查和中文版低视力生活质量量表(CLVQOL)调查.以研究对象最好眼最佳矫正远视力为依据,分为二级盲、一级低视力、二级低视力3组.结果 三组间远视力(Z=45.671,P<0.001)、近视力(Z=24.972,P<0.001)、对比敏感度(Z=13.285,P=0.001)均存在非常显著性差异.近视力与远视力呈正相关(r=0.74,P<0.001),对比敏感度与远、近视力均呈负相关(r=-0.58,r=-0.57,P<0.001);CLVQOL总分与对数对比敏感度呈正相关(r=0.44,P<0.001).三组间CLVQOL总分(Z=10.145,P=0.006)、远视力维度(Z=13.586,P=0.001)、心理调节能力维度(Z=7.824,P=0.020)、阅读精细工作维度(Z=7.923,P=0.019)评分有显著性差异.结论 不同视障程度学生生活质量存在差异,特别是在远视力、心理调节能力、精细阅读等方面.对比敏感度与生活质量相关,对视障学生进行视功能评估时候应进行对比敏感度检查.

Objective::To evaluate the efficacy of inferior lacrimal punctum cauterization in the treatment of two types of severe aqueous deficient dry eyes.Methods::This was a prospective non-randomized controlled study. Twenty-nine severe aqueous tear-deficient dry eye patients (58 eyes) treated with artificial tears and topical anti-inflammatory conservation therapy from June 2019 to October 2020 at Department of Ophthalmology of the Secondary Affiliated Hospital of Fujian Medical University were enrolled. Patients were divided into two groups based on whether or not they had Sj?gren's syndrome: Sj?gren's syndrome dry eye (SS) group 17 cases (34 eyes) and non-Sj?gren's syndrome dry eye (non-SS) group 12 cases (24 eyes). Cauterization of the inferior lacrimal punctum was performed on all participants. Data were collected at 2 months and 1 day before the operation, and 2 weeks and 2 months after the operation and included ocular surface disease index (OSDI), fluorescein breakup time (TBUT), corneal fluorescein staining (FL) and Schirmer Ⅰ test (SⅠT). Data was analyzed by an independent samples t test, paired samples t test and repeated measures one-way ANOVA. Results::There was no significant difference in any clinical indicators at baseline between the two groups. At 2 weeks and 2 months after the operation, OSDI score, TBUT and FL were significantly improved compared to 1 day before the operation in the SS group ( F=69.58, P<0.001; F=49.45, P<0.001; F=34.07, P<0.001), and OSDI score, TBUT, FL and SⅠT were significantly improved compared to 1 day before operation in non-SS group ( F=57.89, P<0.001: F=72.83, P<0.001; F=47.44, P<0.001; F=28.35; P<0.001). However, SⅠT was not significantly improved compared to 1 day before operation in the SS group. Two months after cauterization, all four indicators in the non-SS group improved more than those in the SS group ( t=2.22, P=0.04: t=-3.32, P<0.001: t=2.90, P=0.01; t=-4.00, P<0.001). No adverse ocular effect was found in the study in two groups. The most common complication was the recanalization of the lacrimal passage. The recanalization rate was 5.2%. Conclusions::Lacrimal punctum cauterization is effective, simple, safe and cost-effective to relieve the symptoms and signs of two types of severe aqueous tear-deficient dry eyes. There are more benefits for non-Sj?gren's syndrome dry eyes.

目的 探讨感觉统合训练联合助视器对低视力患儿生活质量的影响.方法 选取2018年9月至2019年6月在该院眼视光门诊筛查低视力患儿40例,随机分为观察组和对照组,各20例.对照组采用助视器进行助视训练,观察组在对照组基础上进行感觉统合训练.比较两组训练前后儿童感觉统合能力发展评定量表(SIFS)及Achenbach儿童行为量表(CBCL)评分情况.结果 两组训练前SIFS评分及CBCL评分比较,差异均无统计学意义(P>0.05).观察组训练后SIFS评分明显高于对照组,而CBCL评分明显低于对照组,差异均有统计学意义(P<0.05).结论 感觉统合训练联合助视器能够改善低视力患儿康复效果,提高其生活质量.

Objective:To analyze the causes of blindness and residual vision at the Quanzhou Blind School and provide information to help prevent childhood blindness and low vision.Methods:This was a cross-sectional study of all the students (n=126) at the Quanzhou Blind School.All students received routine ophthalmology examinations.A detailed individual-level questionnaire was administered that addressed the causes of blindness and low vision.Results:Among the 126 students,66 had low vision,and 60 were blind.The major causes of blindness were retinopathy of prematurity (ROP) (23.3％),corneal degeneration (13.3％),optic nerve atrophy (13.3％),and congenital glaucoma (11.7％).The major causes of low vision were congenital cataract (27.3％),nystagrnus (13.7％),optic nerve atrophy (10.6％),and corneal degeneration (9.1％).Conclusions:Congenital or hereditary diseases were the leading causes of vision loss at the Quanzhou Blind School.ROP was the principle cause of blindness.Most low vision cases were due to congenital cataract.

目的：：评估低视力青少年学生使用光学及电子助视器对其阅读功能的影响。方法：在盲聋哑学校对其中低视力青少年学生进行常规眼科检查、屈光矫正、双眼最佳矫正视力和必要的辅助检查等明确诊断及视功能检查。采用5号字体数字阅读测试卡,分别使用光学助视器(OVA)及电子助视器(EVA)进行助视阅读,并测试阅读速度。结果：43名低视力青少年学生根据视觉损伤程度分组,随着视力损伤程度的加深,能够使用 OVA 阅读的人数百分比下降,而使用 EVA 阅读的人数百分比没有下降。在能同时使用 OVA 及 EVA 阅读的32名学生中,使用 EVA的阅读速度为99.32±40.35(字/min),快于使用 OVA 的阅读速度74.84±39.05(字/min),两者具有统计学差异(t=5.99,P <0.05)；其双眼最佳矫正视力与分别使用 OVA(P =0.249)及 EVA(P =0.635)的阅读速度之间没有直线相关性。结论：使用 EVA 较 OVA 可以明显提高低视力青少年学生的阅读成功率并提高阅读速度；低视力青少年的阅读速度与双眼最佳矫正视力不相关。

目的 了解先天性眼底病致低视力青少年的阅读功能特点,为低视力康复工作提供参考.方法 在泉州市盲校及我院2012年5月～2014年12月低视力门诊中,选取先天性眼底病致低视力组(眼底病组)30例和先天性白内障术后人工晶体眼致低视力组(白内障组)31例,进行常规眼科检查,分别使用光学及电子助视器进行助视阅读,测试阅读速度并采用独立样本t检验对结果进行统计学分析.结果 两组低视力青少年的双眼最佳视力及双眼对比敏感度视力,差异均无统计学意义(P＞0.05).眼底病组中有13例(43.3％)而白内障组31例(100％)可以使用光学助视器助视阅读(x2=25.354,P＜0.05).所有患者均可以使用电子助视器阅读.眼底病组与白内障组使用电子助视器的阅读速度差异无统计学意义(t=1.074,P＞0.05),但是放大倍率差异有统计学意义(t=2.103,P＜0.05),眼底病组需要更大的放大倍率.结论 先天性眼底病致低视力青少年可以通过使用电子助视器提高阅读能力,而相对先天性白内障术后人工晶体眼所致低视力患者,前者需要更多的视力储备.

年龄相关性黄斑变性(AMD)是老年人视力丧失的主要原因,分为干性AMD和湿性AMD两大类,干性AMD可以转化为湿性AMD导致视力进一步损害.眼科医生除给予常规治疗外,还应根据患者视力损害的特点加以个性化康复,通过寻找训练优选的视网膜定位点、合理利用各种助视器、恰当的医患沟通、必要的人文关怀及随访来达到有效的视功能康复.

Objective To examine the refractive status of the secondary school-age students with low vision by vision screening instrument. Methods The 35 cases of secondary school-age students with low vision were divided into congenital retinopathy group( 15 cases),congenital cataract surgery with intraocular lens group( 10 cases) and without intraocular lens group( 10 cases). They were applied with hand-held vision screening instrument for optometry examination. Using adjusted chi-square test or Fisher's exact test to compare the detection rate of the groups,using adjust chi-square to compare the distribution of refractive status. Results The distribution of refractive status between congenital retinopathy group and congenital cataract surgery with intraocular lens group did not have significant differences( χ2= 1. 62,P > 0. 05). the refractive status of congenital cataract surgery without intraocular lens group could not be examined. the refractive status of the congenital retinopathy group was easier to be examined( χ2= 42. 89,P < 0. 05). Conclusions The refractive status of the secondary school-age students with low vision is quite complicated. Vision screening instrument could be applied to screen the refractive status in the case of congenital retinopathy.

PURPOSE:To evaluate the reading speed of adolescents with different causes of low vision using electronic visual aids. METHODS:The screening of 10 young students from Quanzhou Blind School could read Chinese N5 print by different optical aids. After their refractive correction and ophthalmic examination, the reading speeds with Chinese N5 print were measured using various optical and electronic visual aids. RESULTS:The reading speed of (34.36±5.06) word / min by electronic visual aids performed faster than that of (18.50±6.54) word / min by optical visual aids in 10 young students with low vision (P<0.05). The reading speed of young people with low vision due to different causes had no direct linear correlation with their near visual acuity（P>0.05）. CONCLUSION:The electronic visual aids more significantly improve the reading speed of young people with low vision than the optical visual aids did. The reading speed of young people with low vision is not relevant to their near visual acuity induced by different causes.