visual rehabilitation

视觉康复
  • 文章类型: Systematic Review
    观看策略是用于支持视觉信息处理的策略。这些策略在患有脑视力障碍(CVI)的儿童之间可能有所不同,儿童视力障碍,和视力正常的儿童,因为视力障碍可能会对观看行为产生影响。在当前的视觉康复实践中,使用了多种策略,而没有考虑视觉障碍的病因或所使用的自发观看策略的差异。这项系统的范围界定审查侧重于在阅读等以学校为基础的任务中使用的观看策略,以及针对观看策略的可能干预措施。目标有三个:(1)创建一个清晰的观看策略概念,(2)视力障碍儿童在观看策略上的映射差异,患有CVI的儿童和视力正常的儿童,(3)确定可以通过针对观看策略来改善视觉处理的干预措施。使用四个数据库进行文献检索:PubMed,Embase,PsycINFO和Cochrane。两名独立审稿人使用PRISMA报告指南筛选了799篇文章,其中包括30篇用于定性分析。只有五项研究明确提到了在视觉处理过程中使用的策略,即凝视策略,阅读策略和搜索策略。我们将观看策略定义为在任务执行过程中有意识和系统的观看方式。这次审查的结果与不同的注意力网络系统相结合,它为如何设计未来的干预措施提供了方向,这些干预措施针对使用观看策略来改善视觉处理的不同方面。
    Viewing strategies are strategies used to support visual information processing. These strategies may differ between children with cerebral visual impairment (CVI), children with ocular visual impairment, and children with normal vision since visual impairment might have an impact on viewing behavior. In current visual rehabilitation practice a variety of strategies is used without consideration of the differences in etiology of the visual impairment or in the spontaneous viewing strategies used. This systematic scoping review focuses on viewing strategies used during near school-based tasks like reading and on possible interventions aimed at viewing strategies. The goal is threefold: (1) creating a clear concept of viewing strategies, (2) mapping differences in viewing strategies between children with ocular visual impairment, children with CVI and children with normal vision, and (3) identifying interventions that can improve visual processing by targeting viewing strategies. Four databases were used to conduct the literature search: PubMed, Embase, PsycINFO and Cochrane. Seven hundred and ninety-nine articles were screened by two independent reviewers using PRISMA reporting guidelines of which 30 were included for qualitative analysis. Only five studies explicitly mentioned strategies used during visual processing, namely gaze strategies, reading strategies and search strategies. We define a viewing strategy as a conscious and systematic way of viewing during task performance. The results of this review are integrated with different attention network systems, which provide direction on how to design future interventions targeting the use of viewing strategies to improve different aspects of visual processing.
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  • 文章类型: Journal Article
    Neuroscience, especially visual neuroscience, is a burgeoning field that has greatly shaped the format and efficacy of education. Moreover, findings from visual neuroscience are an ongoing source of great progress in pedagogy. In this mini-review, I review existing evidence and areas of active research to describe the fundamental questions and general applications for visual neuroscience as it applies to education. First, I categorize the research questions and future directions for the role of visual neuroscience in education. Second, I juxtapose opposing views on the roles of neuroscience in education and reveal the \"neuromyths\" propagated under the guise of educational neuroscience. Third, I summarize the policies and practices applied in different countries and for different age ranges. Fourth, I address and discuss the merits of visual neuroscience in art education and of visual perception theories (e.g., those concerned with perceptual organization with respect to space and time) in reading education. I consider how vision-deprived students could benefit from current knowledge of brain plasticity and visual rehabilitation methods involving compensation from other sensory systems. I also consider the potential educational value of instructional methods based on statistical learning in the visual domain. Finally, I outline the accepted translational framework for applying findings from educational neuroscience to pedagogical theory.
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  • 文章类型: Journal Article
    Microperimetry (MP) is a technology that allows the study of retinal sensitivity at different foveal and parafoveal areas as well as eye fixation. It is a technique of functional evaluation, providing a direct correlation between anatomical and functional outcomes. There are a great variety of studies which evaluate the repeatability or reliability of measurements obtained with this technology and also describe and explore different clinical applications. MP has been shown to be useful in the characterization of sensory and motor conditions, such as amblyopia or nystagmus. Concerning ocular pathology, several studies have confirmed the usefulness of MP for evaluating and analyzing different retinal pathological conditions, such as age-related macular degeneration or glaucoma, and for analyzing the effect of different medical or surgical treatments for these conditions. MP has also been shown to be useful for visual training or rehabilitation in some specific cases.
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  • 文章类型: Journal Article
    痴呆和眼部病理学的患病率随着年龄的增长而增加,并且许多受此类疾病影响的老年人正在被制度化。本系统评价的目的是描述向老年机构个人提供的眼部护理服务的水平,介绍了痴呆症患者视力障碍的患病率,并描述为患有痴呆症的视力受损居民提供的干预措施。
    在四个相关数据库中进行了文献综述,仅限于以英语和法语出版的同行评审期刊,在1984年和2014年之间。该审查针对65岁或以上的个人,居住在长期护理设施/疗养院并受痴呆症影响。本次审查只保留了涉及三个目标中至少一个目标的相关文章。
    文献检索确定了440篇由每位作者阅读的摘要。达成共识后,92篇文章被确定为潜在相关并阅读。最后,发现28个目标至少涉及三个目标之一,并保留供审查。结果表明,老年人的眼科护理服务是次优的,该人群中视力障碍的患病率仍然很高,以及诸如优化眼屈光等干预措施,进行白内障手术,提供低视力康复和适应环境可能对居民有利。
    这项系统评价证明了为长期护理机构/疗养院居民提供定期眼部护理的好处,包括所有级别的痴呆症患者。此外,它记录了各种治疗方式的好处,如白内障手术,员工培训,环境适应和视觉康复,以提高居民生活质量的几个方面。这次审查,然而,强调了一个事实,即需要更多的研究来加强迄今为止报告的发现,而且重要的是,评估本文所述的各种治疗方式,用于痴呆症最晚期的居民。
    The prevalence of dementia and ocular pathology increases with age and many older individuals affected by such diseases are being institutionalised. The objectives of this systematic review are to describe the level of eye care services being offered to older institutionalised individuals, present the prevalence of visual impairment in those with dementia, and describe the interventions offered to visually impaired residents with dementia.
    A literature review was performed in four relevant databases, limited to peer-reviewed journals published in English and French, between the years 1984 and 2014. The review targeted individuals 65 years of age or older, residing in long-term care facilities/nursing homes and affected by dementia. Only relevant articles addressing at least one of the three objectives were retained for this review.
    The literature search identified 440 abstracts that were all read by each of the authors. After consensus, 92 articles were identified as potentially relevant and read. In the end, 28 were found to address at least one of the three objectives and were kept for the review. The results indicated that eye care services for older institutionalised individuals are sub-optimal, that the prevalence of visual impairment remains high in that population, and that interventions such as optimising the ocular refraction, performing cataract surgery, providing low vision rehabilitation and adapting the environment can be beneficial to residents.
    This systematic review demonstrated the benefits of providing regular eye care to long-term care facility/nursing home residents, including those at all levels of dementia. Additionally, it documented the benefits of various treatment modalities such as cataract surgery, staff training, environmental adaptations and visual rehabilitation for improving several aspects of the residents\' quality of life. This review, however, has highlighted the fact that additional studies are required to strengthen the findings reported so far, and importantly, to evaluate the various treatment modalities described herein for residents in the most advanced stages of dementia.
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