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目的：本研究通过使用光学助视器，对老年性黄斑变性（ＡＲＭＤ） 低视力患者进行视觉功能训练的再教育，研究教育对低视力患者视觉康复的重要程度，同时评价低视力康复的各项指标和助视器的作用。方法：对１３９ 位ＡＲＭＤ低视力患者的最佳视力眼进行该项目的研究和跟踪，平均年龄７９ 岁（５６ ～９５ 岁） ，各患者根据个人需要，分别使用单眼望远镜、放大眼镜、显微镜、视屏放大器等；再教育训练项目：①视动刺激练习、空间定位练习、手眼协调练习；②各种阅读方法识别和训练；③认知功能，如视觉记忆或逻辑推理等诱发训练；结果：教育和训练后，９５ 例视力增加了一行以上（６７．６％ ） ，６７ 例（４８．２ ％） 能借助助视器进行有效的阅读工作；训练前的平均单字视力为１．５０／１０，训练后平均为２．１４／１０；对比敏感度视力曲线发生了改善性变化；５０ ％ 阅读速度增加，３５．６％ 保持不变，１４．４％ 有所下降，平均阅读速度为４７．０８ 字／分（ 训练前为３６．５１ 字／ 分）；生活自理能力评分显著性增加；５８％ 能书写帐单和信件。结论：可以通过开发低视力患者周边的视觉视功能进行视觉功能康复；使用助视器同时结合患者教育和训练在视功能康复中起至关重要作用；ＡＲＭＤ
OBJECTIVE: To study the importance of education in visual rehabilitation of low-vision patients through the use of optical vision aids to re-educate visually functional patients with low-vision patients with age-related macular dedecrosis (ARMD) and to evaluate various items of low-vision rehabilitation Indicators and the role of aids. Methods: The best visual acuity of 139 patients with ARMD low vision was studied and followed up. The mean age was 79 years (range, 56-95 years). According to individual needs, each patient used monocular telescope, magnifying glasses, microscope, Amplifiers, etc .; re-education and training programs: ① visual stimulation exercises, spatial positioning exercises, hand-eye coordination exercises; ② various reading methods to identify and train; ③ cognitive function, such as visual memory or logical reasoning induced training; Results: After training, 95 cases of visual acuity increased by more than one line (67.6%), 67 cases (48.2%) with visual aid for effective reading work; average single vision before training was 1.50 / 10, training Average 2.14 / 10; contrast sensitivity of visual acuity curve improved; 50% reading speed increased, 35.6% remained unchanged, 14.4% declined, the average reading speed of 47.08 words / Min (36.51 words / min before training); self-care ability score Significant increase; 58% can write bills and letters. CONCLUSIONS: Visual functional rehabilitation can be achieved through the development of visual visual functions around the low-vision patients; the use of visual aids in conjunction with patient education and training plays a crucial role in visual rehabilitation; and the ARMD