弱視(Amblyopia)

 

弱視臨床診斷一般以矯正度數後之最佳視力仍未達正常,同時沒有發現其他眼科疾患。原因多由屈光不正(即度數)、斜視、或其他原因引起。

近年有研究報導指"針灸配合戴眼鏡方法治療兒童弱視,較傳統的戴眼鏡方法更佳。

若屬於屈光性弱視就必須配戴適當度數眼鏡,因該兒童弱視是由於未矯正度數導致視網膜未能接收清晰影像,以致視覺系統發育遲緩視力不清,故此必須用眼鏡將清晰影像再次投射於視網膜上,使視覺系統受到適當外界刺激,配戴眼鏡為最基本及首要治療,而針灸可加速及改善度數未能改善之弱視。

一般認為弱視患者未能於9歲前改善視力,視力則有可能永久不能恢復,但有部份大於9歲之患者接受針灸治療都有良好進展。

 

中醫眼科之診療:

我們診療時,視光師必先進行詳細屈光檢查及眼睛健康檢查,以排除其它度數或眼睛疾患等問題,才作出診斷,並得知弱視嚴重程度,再制定治療方案。

弱視患者常伴有屈光不正(遠視、近視、散光)或斜視,制定治療方案時要一併考慮。例如,我們會建議屈光不正之患者根據我們所發出之度數處方配戴合適眼鏡,以糾正影像清晰地投射於視網膜上,腦部視覺系統才能有適當刺激,加上針灸治療就可以事半功倍。

一般治療弱視,我們都利用針灸治療,部份患者亦需要口服中藥治療以提高療效。

 

 

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