28歲弱視患者，通過視覺訓練，圓夢飛行員

專業人士可以從理論上探討，斜視和弱視的本質是什麼，如何影響患者生活，什麼是最好的治療方法。但是，沒有什麼比現實中患者的真實故事，更感人、更準確、更有力量。

維森特的故事(28歲，來自西班牙馬德里)

WHAT VICENTE SAYS:

維森特的講述：

I am now 38 years old and working as an airline pilot. Thanks to the vision therapy that I received ten years ago, I am now able to devote myself to the profession that I love.

我今年38歲，是一名飛行員。多虧我十年前接受了視覺訓練，現在才能從事喜愛的職業。

When I was five years old, I was found to have hyperopia and astigmatism in both eyes with strabismus and amblyopia in the left eye. At that time, my parents had not heard of visual training, so I followed the advice of ophthalmologists and I was prescribed glasses and full-time patching.

我五歲時，雙眼發現遠視和散光，左眼有斜視和弱視。那時，我父母還沒聽說過視覺訓練，所以聽從了眼科醫生建議，驗配了眼鏡，並開始全天遮蓋。

I grew up thinking that, except from the discomfort of wearing glasses, my visual problems would not prevent me from leading a normal life. This proved not to be true. Since childhood, I always wanted to dedicate myself to the profession of flying, and, at the age of 28, I had my first aviation medical examination. Until then I had not been aware that my visual defects could be a problem. I was crushed when I was told that because of my strabismus, amblyopia, and lack of binocular vision that I was declared unfit to fly a plane.

我從小就以為，除了戴眼鏡不舒服，我的視覺問題，並不會妨礙正常生活，但事實證明並非如此。我一直想當飛行員，28歲時，接受第一次航空體檢。在那之前，我一直沒意識到，我的視覺缺陷會成為問題。當我被告知，由於斜視、弱視和雙眼視缺乏，無法駕駛飛機，我深受打擊。

Even though I was disappointed, I decided I was not going to give up my dream of being a pilot. I decided to go to different eye doctors to get second and third opinions. One of the ophthalmologists I visited, a specialist in aeronautical vision, worked in an ophthalmology center with an optometrist. She said that there was possibility that my vision problems could possibly be improved, and she referred me for an evaluation with a behavioral optometrist, Gloria Hermida Salamanca.

雖然很失望，但我還是不想放棄。我去看了很多眼科醫生，其中一位醫生，是航空視覺專家。她說我的視力問題，也許可以得到改善，推薦我去找眼視光醫生，凱萊?薩拉曼做進一步檢查。

Gloria explained to me that it would have been ideal to have visual training as a child. Although, even at 28 years old, it could be possible to correct visual defects, provided that I work hard in the therapy program. I came to her clinic for more than one year, and I practiced between 20-60 minutes per day at home.

薩拉曼醫生對我說，在兒童時期進行視覺訓練，效果會很理想。但即使是28歲的年齡，只要我努力進行治療，也有可能糾正視力缺陷。我在她診所治療了一年多，並且每天在家練習20-60分鐘。

The results have been incredible. At the conclusion of my vision therapy program, I passed the aviation medical examination successfully! Not only was I able to enter the profession I love, but my visual acuity improved significantly, as did my overall quality of life.

結果令人難以置信，視覺訓練結束時，我順利通過了航空醫學體檢！不僅如此，我進入了自己喜歡的職業，而且我的視力得到了顯著改善，我的整體生活質量也大幅提高。

In conclusion, I can only say wonderful things about my experience with vision therapy. I cannot stop recommending it, not just to those who have similar problems to mine, but for all those who want to improve their quality of vision, either on a professional or personal level.

總之，視覺訓練太好了。我要極力推薦它，不僅是給那些有類似問題的患者，也包括所有想提高視覺質量的人。

OPTOMETRIC DATA AND OPTOMETRIST』S COMMENTS:

驗光數據與醫生的講述：

Vicente was 28 years old when he came to my office. He has worn glasses full time since the age of five and was patched full-time. he reported that his visual acuity improve after wearing the patch, but that his visual acuity decreased each time after removing the patch. The cycle occurred over and over again until the patching was finally stopped. At my initial vision evaluation, I found amblyopia and esotropia, combined with a vertical deviation, a best corrected visual acuity of 20/40 in the amblyopic eye, and no stereopsis.

維森特來診所時28歲，他從5歲開始戴眼鏡，全天遮蓋。維森特報告，遮蓋後視力會改善，但停止遮蓋，視力又下降。這種情況多次反覆，最後遮蓋停止。維森特第一次來診所檢查，發現弱視和內斜，並伴有垂直偏斜。弱視眼矯正視力0.5，沒有立體視。

OPTOMETRIC TREATMENT:

治療方案：

?Contact lenses

?Optometric vision therapy

1）隱形眼鏡

2）視覺訓練

Motivation is crucial in any rehabilitation process, and Vicente was highly motivated. The vision therapy program lasted for approximately 18 months. At the conclusion of his therapy, Vicente had 20/20 visual acuity in each eye and he developed good stereopsis. Best of all, he was able to achieve his dream to be a pilot!

任何康復過程，積極主動都至關重要，而維森特非常積極。視覺訓練持續18個月，治療結束時，視力恢復到1.0，立體視建立。最重要的是，維森特終於可以當飛行員了！

This case is a good example of what is possible with hard work and the guidance of a skilled behavioral optometrist. Success can be obtained in patients with amblyopia and strabismus, and good visual acuity and stereopsis can be achieved, even in adult patients.

這是一個很好的案例，說明即使成人斜弱視患者，只要努力訓練，加上眼視光醫生的正確指導，也可以成功提高視力，建立立體視。

Gloria Hermida, DOO, FCOVD

Centro de Optometría Comportamental San Francisco, Aranjuez, Madrid, Spain

凱萊?薩拉曼醫生，COVD資深會員

康姆帕眼視光診所

馬德里，西班牙

*（文章摘自: CROSSED & LAZY EYES MYTHS,MISCONCEPTIONS AND TRUTHS）

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