成人弱视的治愈案例（一）

卡罗莱的故事 // 37岁，西班牙马德里

WHAT CAROLINA SAYs:

卡罗莱的讲述：

When I was 7 years old I was first diagnosed with amblyopia, and now I am 37 years old.

When I was a child the optometrist told me that I coudn’t wear glasses because there was too much difference in prescription between my eyes, and I was going to feel very bad, so he prescribed hard contact lenses.

我7岁时，被诊断出弱视，现在我37岁。

发现弱视时，医生说我双眼度数差别太大，不能戴框架眼镜，否则会很不舒服。所以，给我配了硬性隐形眼镜。

It was terrible; the hard contact lenses were very uncomfortable, and I also had to wear a patch at school. I was the strange girl at the school who had to write at a higher table because of my bad vision, and I also had learning problems. The patch did not make life easy at school because of the patch, so I made the decision to remove the patch at school and to wear it only at home.

硬性隐形眼镜戴起来难受极了，上学时我还得戴眼罩，感觉糟透了。在学校里，我看起来就像个怪女孩。因为视力不好，我的桌子比别人都高，学习对我来说，是一件很吃力的事情。眼罩也让我的学校生活，变得很不开心。因此，我决定只在家里戴眼罩，到学校就摘下来。

I suffered with my amblyopia until l moved to Madrid and found a new optometrist. This optometrist told me about the possibility of an optometric vision therapy program to improve my vision.

弱视一直折磨着我，直到搬到马德里后，找到一位新医生。他告诉我，视觉训练应该会对我的病情有帮助。

Sooner than I expected I began to see better; everything in the world became brighter, deeper, and more defined. Now I can perceive when things are far or near without any difficulty. In the past, l saw the world without depth like in a photograph, now I see in 3D, and I enjoy going to see 3D movies. It's amazing!

很快，我的视力就有改善，比我想象快很多。眼前的世界变得明亮、深远、条理分明。现在，看远、看近都很清楚。而过去，我眼前的世界，就像一张照片，没有深度。现在我能看出立体效果，我喜欢看3D电影，太神奇了！

Now that I have good vision and see in 3D, l cannot understand why doctors say that it is impossible to cure amblyopia as an adult; I am proof that it is simply not true.

我的视力已经正常，立体视也没问题。我非常不理解，为什么有的医生说，成年后弱视就不能治愈，我自己不就是证明吗！

OPTOMETRIC DATA AND OPTOMETRIST’S COMMENTS:

验光数据和医生的讲诉：

Carolina came to our office just to get new contact lenses. During our evaluation we found high myopia, a deep amblyopia with 10 diopters of difference between her eyes, and a micro strabismus. Carolina’s best visual acuity in her amblyopic eye was 20/200, and she had no stereopsis. As a child, Carolina occluded an eye with a patch for many years without success.

卡罗莱第一次来诊所，是因为要更换隐形眼镜。经过检查，发现她患有高度近视和重度弱视，两眼相差1000度，有轻度斜视，弱视眼视力0.1，没有立体视。在儿童时期曾进行过长期遮盖，没有改善。

We suggested that she try a program of optometric vision therapy without needing to do any patching at all. Carolina decided to try, even though she was told by other doctors that with her age there was no possibility of recovering her vision.

我建议进行视觉训练，无需遮盖。尽管之前有医生告诉卡罗莱，她年龄太大，弱视已无法治愈，不过她决定尝试。

OPTOMETRIC TREATMENT:

治疗方案：

◇ Gas permeable contact lenses

◇ Syntonic phototherapy

◇ Optometric vision therapy

1）透气性角膜接触镜

2）看近时佩戴双光镜

3）视觉训练

We changed the type of contact lenses from soft to gas permeable. We also prescribed a bifocal to wear over the contact lenses to improve Carolina’s visual performance when she was working at near. We started Carolina’s vision therapy program with syntonics and afterwards, we continued with optometric vision therapy procedures for 6 months consisting of one office visit each week and 20 minutes of home therapy procedures every day.

我把她的软性隐形眼镜，换成了透气性角膜接触镜。为了方便她工作时看近处，我让她在佩戴透气性角膜接触镜的基础上，佩戴双光镜。然后，给她安排了视觉训练，训练共6个月，每周来诊所训练1次，在家每天训练20分钟。

The final results are amazing. Carolina’s final visual acuity is 20/20. In additional, she is now using her eyes together all the time, and she has developed good stereopsis. All of Carolina’s visual symptoms have disappeared, and her performance and happiness in life have improved a lot. For sure, there is no upper age limit to successfully curing amblyopia!

治疗效果很理想，视力提高到1.0，双眼可以协同工作，立体视正常。之前所有症状消失，幸福感大幅提升。毫无疑问，弱视治疗没有年龄上限。

Laura Franco, DOO; Elena Hernández, DOO

劳拉佛朗哥医生；埃琳娜埃尔南医生

Sonia de Andrés, DOO; Marival Casero, DOO

索尼娅安德烈医生；马瑞瓦卡斯特医生

Centro de Optometría y Terapia Visual SALUD Y VISION, Madrid, Spain

萨鲁德眼视光诊所，马德里，西班牙

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