But the current technical effect is related to age, and the older the age, the worse the effect. The classic amblyopia treatment window period is before 12 years old (some doctors think it is before 6 years old). By designing a reasonable treatment scheme for amblyopia, the most effective age of patients I have treated in outpatient department is 3 1 year. There are two valid definitions:

1. Visual acuity is improved by more than two lines (logarithmic visual acuity chart).

2. The effectiveness of vision improvement is maintained for more than one year.

The classic amblyopia treatment is mainly covering therapy, refractive correction and intensive training. Over the years, amblyopia treatment technology has made progress, but many treatment measures have not been widely recognized in the industry, because many methods are effective, but they have not been supported by systematic literature. Personally, I am more radical and like to try new things. I have personally participated in and tried many different fresh amblyopia treatments, some of which are really effective. But many also have exaggerated propaganda and even false propaganda in it.

Now, I will summarize my approved and used treatment schemes for professional or non-professional friends' reference and correction:

① exercise. No matter what form of exercise, the final effect is blushing, that is, promoting microcirculation and increasing blood supply to the eyes, especially the retina and choroid. Literature shows that athletes can achieve super vision through proper training. 2.0)。 In addition to increasing blood supply, exercise can also enhance the efficiency of the nervous system in processing visual signals. Exercise is also the most commonly used treatment for amblyopia. Of course, this requires the active cooperation of patients. If self-control is not strong, it will be slack in a few days, and the effect will definitely be bad. The general course of treatment is three months. The recommended exercise methods include jogging. If you don't have high myopia (above 600 degrees), you can try squatting and antagonistic ball games (that is, play with others, not yourself).

② Massage and roll your eyes. Besides massaging the periorbital tissue, you can also massage both sides of the neck, rotate the head, and promote the internal carotid artery to supply blood to the brain. It is forbidden to directly press the eyeball during massage, even if pressing the eyeball will bring temporary vision improvement. All direct pressing on the eyeball may bring about fluctuations in intraocular pressure, which may lead to aggravation of myopia and the possibility of keratoconus. Rotating the eyeball may also increase the blood supply around the muscles through the activity of extraocular muscles. Eye rolling is a method that can relieve myopia in many online amblyopia treatments or publicity treatments, but its effectiveness needs to be studied.

③ Acupuncture and pain manipulation. How to explain the eyesight-improving effect of acupuncture? First of all, many people don't recognize the effectiveness of acupuncture. Including some colleagues who participated in acupuncture experiments in my original laboratory, it is undeniable that the eyesight of some patients has indeed improved after acupuncture. The principle has not been clear until a recent experiment showed that acupuncture can increase the retraction function of the pupil, making some friends' pupil diameter smaller under normal light, and myopia patients can see more clearly under small pupils, similar to the principle when squinting at things. Any other operation that causes physical pain can also achieve the same effect, that is, vigorous massage, acupuncture at any part, and all operations that can make us feel pain may promote the opening and closing function of the pupils. Exercise can achieve a similar goal.

④ Ciliary muscle exercise. Exercise the ciliary muscles by fast training of seeing far and near. For example, you can stretch out your index finger and put it at the near point of 10 cm in front of your eyes, and straighten your arm at the far point. The frequency is once per second, training for 2 minutes each time, 3-5 times a day. A similar operation can also be done in reverse shooting. Taobao sells them, and they are very cheap. In addition, pseudomyopia can also be relieved by relieving the contraction of ciliary muscles or relieving visual fatigue, that is to say, using low-concentration mydriatic eye water before going to bed for several days can relieve pseudomyopia. Now low concentration atropine can be used for a long time, which can effectively delay the development of myopia, which is the research result of academic circles in recent years. Strictly speaking, this method does not belong to amblyopia treatment, but only solves pseudomyopia. )

⑤ Image stimulation. This technology has developed rapidly in recent years, and the effect is not bad. It is also the part that I am most interested in and deeply studied. Its specific mechanism needs to be further revealed. Image stimulation is mainly through specific color matching, graphic matching, light stimulation and other measures, so that the retina and optic nerve can be properly stimulated to increase their sensitivity and work efficiency. However, visual stimulation also faces many problems, such as inappropriate stimulation, including too close gaze distance and improper color matching, which may accelerate the development of myopia. It should be noted here that many designers of graphic stimulation software or machines have no involvement of ophthalmologists at all, which may bring some unexpected side effects because of unprofessional stimulation module design.

⑥ Covering therapy and refined surgery. These two are classic amblyopia treatment measures. It has been used by ophthalmologists for a long time in the past and has been widely recognized by the industry. It can be predicted that it will be widely used in the future.

⑦ Electrical stimulation. There is no clinical license in China. Our team has tried to treat eye trauma patients in the laboratory and achieved surprising results. However, due to the small sample size, there are only a few patients, so there is no guarantee that all patients can have the same good effect. Some foreign countries are also conducting similar experiments and even clinical treatment, and have achieved some results.

None of the above measures will happen overnight, and it will take weeks, months or even longer to see the effect.