CAJ | 학술논문

视疲劳的临床表现复杂,因其症状的非特异性给临床诊断和病因治疗带来一定的困难.随着对该病的认识深入,发现其病因甚为复杂,并且往往是多因素混合导致发病.如果只是单纯的对症治疗效果并不理想,探寻病因进行对因治疗才是根本的治疗策略.目前已经明确多种因素可导致视疲劳,通过必要的眼科及视光学检查可确保明确且全面的病因诊断.目前针对视疲劳的病因治疗难易不同.一些病因只要去除和矫正就能避免视疲劳,而另一些就显得相对困难,调节和辐辏因素导致的视疲劳即属于后者.另一方面由于调节和辐辏检查的专科性,使得它们在视疲劳中的诊断和治疗具有一定的难度和特殊性.我们对目前调节和辐辏在视疲劳中的诊断和治疗现状进行总结,以期为临床诊治带来帮助.
시피로적림상표현복잡,인기증상적비특이성급림상진단화병인치료대래일정적곤난.수착대해병적인식심입,발현기병인심위복잡,병차왕왕시다인소혼합도치발병.여과지시단순적대증치료효과병불이상,탐심병인진행대인치료재시근본적치료책략.목전이경명학다충인소가도치시피로,통과필요적안과급시광학검사가학보명학차전면적병인진단.목전침대시피로적병인치료난역불동.일사병인지요거제화교정취능피면시피로,이령일사취현득상대곤난,조절화복주인소도치적시피로즉속우후자.령일방면유우조절화복주검사적전과성,사득타문재시피로중적진단화치료구유일정적난도화특수성.아문대목전조절화복주재시피로중적진단화치료현상진행총결,이기위림상진치대래방조.
Complicated and nonspecific clinical manifestations of asthenopia bring certain difficulties to clinical diagnosis and etiolo gical treatment of it.With the in-depth understanding of the disease,its etiology is very complex and often multifactorial.Therapeutic effect is not ideal if only symptomatic treatment was delivered.Exploring the causes of the disase and treating them is the basic therapeutic strategy.It has become clear that many factors can lead to asthenopia.Some necessary ophthalmologic and optometry examinations can ensure etiological diagnosis.Different etiological treatments for asthenopia are with different difficulties.Only simply removal or correction of some causes can avoid symptoms,while others are relatively difficult,such as accommodation and convergence.On the other hand,the poor popularity of the examination of accommodation and convergence makes it difficult to find their effect on asthenopia and to treat them.We summarized the status quo of the diagnosis and therapy of accommodative insufficiency and convergence insufficiency in asthenopia,in order to contribute to the clinical work.