弱视治疗,分三个阶段

上期的推送文章,用双胞胎兄弟和妈妈的关系,来形容弱视眼和大脑的关系,告诉我们,弱视的根本病因——双眼竞争,大脑视觉抑制。那么如何解除弱视的病因,有效的治疗弱视呢?答案就在下面的文章中。


If we want the two brothers to work together and both communicate effectively with mom, what do we have to do?
为了让两兄弟,都能和妈妈有效地沟通,我们该怎么做?

First, we separate them, then bring the less assertive brother to the gym to help him to become physically stronger and robust. This is referred to as the monocular enhancement phase of vision therapy.
首先,把他们分开,然后把弱小的弟弟带到健身房,弟弟通过锻炼变得强壮。这个过程,称之为视觉训练的单眼增强阶段。
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20. Strengthening the amblyopic eye: The monocular phase in treatment.
图20 增强弱视眼:单眼治疗阶段

Then, the real key to truly effective and long-lasting improvement begins. When the weaker brother is strong and has voice, we then put the two brothers back in the same room, but slightly separated. We help them to learn to live together, allowing them to get closer together, until finally they are next to each other; both near and speaking to the mother. This crucial phase to the vision therapy process is called the monocular fixation in a binocular field (MFBF) phase of therapy.
然后,开始真正有效的治疗阶段,这个阶段需要持续比较长的时间,这是治疗的关键。当弱小的弟弟变得强壮,敢于说话时,我们把两个兄弟放回同一个房间,但是稍微分开一些。我们帮助他们,学会一起生活,让他们更亲近,直到最后他们可以一起生活。这一阶段的视觉训练至关重要,称之为双眼视野下的单眼精细训练(MFBF)。
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21. The brothers in the same room, learning to work together. The monocular fixation in binocular (MFBF) phase of therapy.
 图21 两兄弟在同一个房间,学习一起工作。双眼视野下的单眼精细训练(MFBF)阶段。

Finally, the binocular phase begins when both brothers work together as a team. This phase builds binocularity and stereopsis and cements the gains so that they last over time. This analogy reflects exactly what we do in a behavioral optometric vision therapy program.
最后,当两兄弟可以像团队一样,一起工作时,双眼训练阶段就开始了。这个阶段建立了双眼视功能和立体视,并加以巩固,让治疗效果得以持久。兄弟俩的类比,准确反映了行为视光学的视觉训练系统。
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22. Brothers working together like a true team. 
   The phase of therapy where we build binocularity and stereopsis.
22兄弟俩像真正的团队一样合作。
建立双眼视功能和立体视的治疗阶段。