关键词: Congenital cataracts amblyopia critical period latent period progressive occlusion stereoacuity

Mesh : Humans Child Amblyopia / therapy Cataract Extraction Lens Implantation, Intraocular Cataract / congenital Lenses, Intraocular

来  源:   DOI:

Abstract:
Unilateral congenital cataracts present multiple barriers in the development of vision and stereoacuity despite the improved visual optics that early surgery, contact lenses and intraocular lenses (IOL) have provided. With better understanding of the latent period (the timeframe in which the abnormal event has no long-term effect on visual development in the deprived eye) and the critical periods (the age range during which developing brains can be altered in a profound and permanent way by abnormal experience) for stereoacuity and amblyopia we can focus our treatment methods to not only improve vision but also develop binocularity. Fifty years ago, it was believed that it was almost impossible for an eye with a unilateral congenital cataract to achieve good visual acuity. Twenty-five years ago, we believed that it was almost impossible for an eye with a unilateral cataract to achieve stereoacuity. It is time to expand our belief that the best that we can do with the eye in unilateral congenital cataract is to create a spare.
摘要:
尽管早期手术改善了视觉光学,但单侧先天性白内障在视觉和立体敏锐度的发展中仍存在多种障碍,已经提供了隐形眼镜和人工晶状体(IOL)。通过更好地了解立体敏锐度和弱视的潜伏期(异常事件对剥夺眼睛的视觉发育没有长期影响的时间范围)和关键时期(发育中的大脑可以深刻而永久地改变的年龄范围),我们可以集中治疗方法,不仅可以改善视力,而且还可以发展双眼。五十年前,人们认为,患有单侧先天性白内障的眼睛几乎不可能达到良好的视力。二十五年前,我们认为单侧白内障的眼睛几乎不可能达到立体视力。现在是时候扩大我们的信念,即在单侧先天性白内障中,我们可以用眼睛做的最好的事情就是创造一个备用的。
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