引用本文:周 玉,李 满,冯 怡.基于VR技术的脑视觉训练对青光眼患者视功能缺损和视觉质量的影响[J].中国临床新医学,2024,17(6):656-660.
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基于VR技术的脑视觉训练对青光眼患者视功能缺损和视觉质量的影响
周 玉,李 满,冯 怡
三六三医院眼科,成都 610041
摘要:
[摘要] 目的 探讨基于虚拟现实(VR)技术的脑视觉训练对青光眼患者视功能缺损和视觉质量的影响。方法 选取2021年3月至2023年2月于三六三医院就诊的青光眼患者98例,按照随机数字表法将其分为观察组和对照组,每组49例。对照组给予常规视功能训练,观察组在对照组的基础上给予基于VR技术的脑视觉训练,两组均连续训练3个月。比较两组视力、眼压、视功能缺损情况、视网膜神经纤维层(RNFL)厚度、视盘容积(DV)、视功能调查问卷(NEI VFQ-25)评分和青光眼生活质量调查问卷(GQL-15)评分。结果 训练1个月、3个月后,观察组的视力、RNFL厚度、DV以及NEI VFQ-25评分高于对照组,眼压、GQL-15评分低于对照组,差异有统计学意义(P<0.05)。训练前、训练1个月后,两组抑制、知觉眼位、立体视、注视稳定、视觉噪声的缺损率比较差异无统计学意义(P>0.05)。训练3个月后,观察组抑制、知觉眼位、立体视、注视稳定、视觉噪声的缺损率显著低于对照组(P<0.05)。结论 基于VR技术的脑视觉训练可改善青光眼患者视力、视功能、RNFL厚度、DV,降低患者眼压,提升患者视觉质量及生活质量。
关键词:  虚拟现实技术  脑视觉训练  青光眼  视功能
DOI:10.3969/j.issn.1674-3806.2024.06.12
分类号:R 775
基金项目:2021年四川科研课题(编号:S21034)
Effects of VR technology-based brain visual training on visual function defects and visual quality in glaucoma patients
ZHOU Yu, LI Man, FENG Yi
Department of Ophthalmology, 363 Hospital, Chengdu 610041, China
Abstract:
[Abstract] Objective To explore the effects of virtual reality(VR) technology-based brain visual training on visual function defects and visual quality in glaucoma patients. Methods A total of 98 glaucoma patients treated in 363 Hospital from March 2021 to February 2023 were selected and divided into observation group and control group according to random number table method, with 49 cases in each group. The control group was given routine visual function training, and the observation group was given VR technology-based brain visual training on the basis of the control group. Both groups were continuously trained for 3 months. The visual acuity, intraocular pressure, visual function defects, retinal nerve fiber layer(RNFL) thickness, optic disc volume(DV), National Eye Institute Visual Functioning Questionnaire-25(NEI VFQ-25) score, Glaucoma Quality of Life-15(GQL-15) score were compared between the two groups. Results After 1 month and 3 months of training, the visual acuity, RNFL thickness, DV and NEI VFQ-25 scores in the observation group were higher than those in the control group, while the intraocular pressure and GQL-15 scores in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). Before training and 1 month after training, there were no statistically significant differences in the defect rates of inhibition, perceptual eye position, stereoscopic vision, fixation stability and visual noise between the two groups(P>0.05). After 3 months of training, the defect rates of inhibition, perceptual eye position, stereoscopic vision, fixation stability and visual noise in the observation group were significantly lower than those in the control group(P<0.05). Conclusion VR technology-based brain visual training can improve the visual acuity, visual function, RNFL thickness and DV of glaucoma patients, and reduce their intraocular pressure, and improve their visual quality and quality of life.
Key words:  Virtual reality(VR) technology  Brain visual training  Glaucoma  Visual function