| 摘要: |
| 目的 探讨基于虚拟现实（VR）技术的脑视觉训练在青光眼患者视功能康复中的效果。方法 选取我院2021年3月～2023年2月就诊的青光眼患者98例，采用随机数字表法分为研究组（n=49）和常规组（n=49）。常规组给予常规视功能训练，研究组在常规组基础上给予基于VR技术的脑视觉训练，比较两组视力、眼压、视功能缺损情况、视网膜神经纤维层厚度（RNFL）、视盘容积（DV）、视觉质量[视功能调查问卷（NEI-VFQ-25）]、生活质量[青光眼生活质量调查问卷（GQL-15）]。结果 训练1个月、3个月后研究组视力高于常规组，眼压低于常规组（P＜0.05）；训练3个月后研究组抑制、知觉眼位、立体视、注视稳定、视觉噪声等视功能缺损率均低于常规组（P＜0.05）；训练1个月、3个月后研究组NEI-VFQ-25各维度评分及RNFL、DV高于常规组，GQL-15评分低于常规组（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、DV，降低患者眼压，提升患者视觉质量及生活质量。 |
| 关键词: 脑视觉训练 青光眼 视功能 生活质量 眼压 视网膜神经纤维层厚度 |
| DOI： |
| 分类号: |
| 基金项目:2021年四川科研课题计划：S21034 |
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| The impact of VR-based brain vision training on visual function defects and visual quality in glaucoma patients |
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zhouyu
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363 Hospitals
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| Abstract: |
| ur hospital from March 2021 to February 2023 were selected, and were divided into a study group (n=49) and a conventional group (n=49) using a random number table method. The conventional group was given routine visual function training, and the research group was given brain visual training based on virtual reality technology on the basis of the conventional group. The visual acuity, iOP, visual function impairment, retinal?nerve?fiberlayer?thickness (RNFL), Disc volume (DV), visual quality [25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25)], and quality of life [glaucoma quality of Life Questionnaire (GQL-15)] of the two groups were compared. Results After 1 month and 3 months of training, the visual acuity of the study group was higher than that of the conventional group, and the iOP was lower than that of the conventional group (P < 0.05). After 3 months of training, the rates of visual impairment such as inhibition, perceptual eye position, stereovision, fixation stability and visual noise in the study group were lower than those in the conventional group (P < 0.05). After 1 month and 3 months of training, the scores of each dimension of the NEI-VFQ-25, RNFL, and DV in the study group were higher than those in the conventional group, and the score of GQL-15 was lower than that of the conventional group (P < 0.05). Conclusion Brain vision training based on virtual reality technology can improve the visual acuity and visual function of patients with glaucoma, reduce the intraocular pressure of patients, and improve the visual quality and quality of life of patients. |
| Key words: brain visual training Glaucoma Visual function Quality of life Intraocular pressure Retinal?nerve?fiberlayer?thickness |
