近视相关视觉功能损伤及视觉训练效果的研究进展
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吴峥峥,女,硕士,主任医师。 中国医师协会 眼科分会委员,中华医学会眼科视光学组及防盲与流行病学组委 员,中国医疗保健国际交流促进会视觉健康分会常务委员,中国 医药教育协会眼科装备发展促进分会副主任委员,海峡两岸医药 卫生交流协会眼科学专业委员会眼屈光及视功能疾患学组副组 长,四川省医学会白内障学组组长,四川省医学会眼科专委会候 任主任委员,四川省医师协会眼科医师分会会长。 主要研究方 向:白内障手术,近视手术。

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四川省科技厅科研基金资助项目(编号: 2026JDKP0062);四川省人民医院科研基金资助项目(编号: 2024HX024,2023HX022);成都市科技局科研基金资助项目(编 号:2024-YF05-01741-SN)


Research progress on myopia related visual impairment and efficacy of visual training
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    摘要:

    近视已成为全球性的重大公共卫生问题。 传统研究多聚焦于眼球屈光系统与结构的改变,而近年来,越来越多 的证据表明近视与一系列视觉功能损伤密切相关。 本综述系统梳理了近视在立体视觉、调节功能、对比敏感度及注视稳定性 等领域的视觉功能异常表现及其神经机制。 临床研究发现,近视者,尤其是高度近视者,在这些功能上普遍存在缺陷。 神经 影像学证据进一步揭示,这些行为缺陷与从初级视觉皮层到高级认知与眼动控制脑网络的功能与连接异常有关。 这提示近 视相关的视觉功能障碍不仅源于眼球的光学状态,也涉及中枢视觉系统的适应性重塑。 此外,综述探讨了针对近视人群的视 觉训练的应用与效果,现有研究表明这些干预可在一定程度上改善部分视觉功能并诱发中枢神经系统的可塑性改变。 最后, 本文强调了将视觉功能评估与干预整合到近视临床诊疗及屈光手术个性化方案中的重要性。 理解并干预近视相关的“眼- 脑”整体功能异常,是未来提升近视人群视觉质量的重要方向。

    Abstract:

    Myopia has become a major global public health issue. Traditional research often focuses on changes in the refractive system and structure of the eye. In recent years, however, more and more evidence has shown that myopia is closely relatedto a series of visual function impairments. This review systematically summarizes the visual functional abnormalities and their neuralmechanisms of myopia in the fields of stereoscopic vision, accommodation function, contrast sensitivity and fixation stability. Clinicalstudies have found that myopic individuals, especially those with high myopia, generally have deficiencies in these functions. Neuroimaging evidence further reveals that these behavioral defects are related to abnormal functions and connections of brain networks ranging from primary visual cortex to advanced cognition and eye movement control. This suggests that visual impairments related to myopia are not only caused by the optical state of the eye, but also involve adaptive remodeling of the central visual system. Furthermore, this review discusses the application and efficacy of visual training for the myopic population. Current research indicates thatthese interventions can, to some extent, improve the certain visual functions and induce the plasticity within the central nervous system. Finally, this article emphasizes the importance of integrating visual function assessment and intervention into the clinical diagnosis and treatment of myopia and personalized refractive surgery plans. Understanding and intervening in the overall functional abnormalities of the " eye-brain" related to myopia is an important direction for improving the visual quality of myopic populations in thefuture.

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黄健华,隗 菱,李 炫,舒昱文,马子琰,李政霖,龚 波,吴峥峥,邓铂林.近视相关视觉功能损伤及视觉训练效果的研究进展[J].实用医院临床杂志,2026,23(2):48-52

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  • 收稿日期:2026-02-14
  • 最后修改日期:2026-02-26
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  • 在线发布日期: 2026-04-14
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