全天遮蓋——誤入歧途的弱視治療

In 2014, Dr. Robert Hess and his colleagues published a scientific study in Ophthalmic & Physiological Optics titled, Binocular Vision in Amblyopia: Structure Suppression and Plasticity in which they stated that binocular treatment approaches to amblyopia are now considered preferable to eye patching, and these methods can be more successful even into adulthood.

2014年，在《眼科光學與生理光學》上，羅伯特?赫斯醫生和他的同事們，發表了研究論文「弱視雙眼視功能：抑制與可塑性」。論文指出，雙眼治療方法優於單眼遮蓋，對成年患者效果更好。

Marta is a 10-year old girl who was born prematurely. She has amblyopia, with a difference of approximately 6 diopters of prescription. Marta had been patched constantly for two years (ages 6-8). When she came in for her examination she still did not see well with her amblyopic eye.

馬爾塔是個早產兒，現在已經10歲。她患有弱視，雙眼相差600度。雖然，她從6歲到8歲，經歷了連續兩年全天遮蓋。但她來診所時，弱視眼視力依然非常差。

LITTLE MARTHA TELLS US ABOUT HER EXPERIENCE:

馬爾塔的講述：

They were two horrible years. All of the children in my school made fun of me because I wore a patch. I did not understand why I had to wear that patch; I still don』t understand.

那兩年非常可怕，因為我戴著眼罩，學校里所有的孩子都取笑我。我不明白為什麼我需要戴眼罩，直到現在我都不明白。

If I took it off, my parents scolded me, and if I wore it, the children laughed at me, and it looked terrible. I couldn』t win and I suffered terribly either way.

要是我摘下眼罩，爸媽會責罵我，可是戴上眼罩，同學們就會嘲笑我。戴眼罩確實很難看，不管戴不戴，我都很痛苦。

After only three months of optometric vision therapy, Marta increased her visual acuity by 25% and she gained some degree of binocularity and stereopsis. These gains were achieved without any patching, except during some of the therapy activities she did at home! After 8 months of vision therapy, Marta recovered completely, with 20/20 visual acuity in the amblyopic eye and she even developed excellent stereopsis.

在僅3個月視覺訓練後，馬爾塔視力就提高了25%，並且建立了初步雙眼視和立體視。除了家裡訓練有時需要戴眼罩外，其它時間都不需要。8個月後，馬爾塔弱視眼視力提高到1.0，並建立了正常立體視。

Whether expressed by the patient or not, the psychological

trauma secondary to full-time patching can last a lifetime.

無論患者表達與否，

全天遮蓋帶來的心理創傷，將持續一生。