蘇國禎;鄭靜瑩Kuo-Chen Su;Ching-Ying Cheng盧方駿Fang-Chun Lu視光學系2026-03-242021/7/1220212021/7/9https://handle.ncl.edu.tw/11296/4744h3https://scholars.csmu.edu.tw/handle/123456789/6499研究目的隨著醫學技術的發達，臺灣逐漸從老齡化社會轉變為超齡化社會，根據之前研究指出60歲以上患有輕度認知障礙盛行率為15~20%，因此本研究將針對臺灣60歲以上之族群評估認知、雙眼視覺、視覺知覺之功能，並探討之間的相關性。研究方法本研究招募60歲以上之健康成年人，分別進行認知評估（ACE-III）、雙眼視覺功能及視覺知覺檢查，研究將所有研究對象之檢測結果，以SPSS軟體進行統計分析，本研究符合《赫爾辛基宣言》並通過中山醫學大學人體試驗委員會CSMUH IRB之審查（案號：CS19110）。研究結果評估結果顯示臺灣60歲以上樂齡族群之ACE-III得分、視覺知覺（MVPT-4和週邊意識）與教育程度與年齡均有顯著相關。同樣的，受試者的認知功能也與雙眼視覺、視覺知覺達顯著相關，其中雙眼視覺之眼動發展水平調整時間和視覺知覺之MVPT-4用以預測認知功能的解釋力較高，且在雙眼視覺與視覺知覺之間的交互作用下，分別又對認知功能總分、語言流利、語言、視覺空間產生不一樣的影響。討論本研究結果顯示出臺灣樂齡族群在認知功能、雙眼視覺、視覺知覺的相關性和影響性，因此在效率與經費的考量下，評估視覺功能與視知覺能力，可以有效的預測輕微認知障礙的發生；同時身為醫事人員的驗光師亦可提供自我專業知識來幫助辨別，是否可進一步透過雙眼視覺及視知覺能力的訓練，進而延緩認知障礙發生的時程。PurposeWith the benefit of advanced medical technology, Taiwan has gradually changed from an aged society to a super-aged society. According to previous studies, the prevalence rate of mild cognitive impairment（MCI）over the age of 60s is 15, to 20%. Therefore, the purpose of this study is to evaluate the cognitive functions, binocular vision, and visual perception of Taiwanese population over 60 years of age, and to explore their correlations.MethodsIn this study, the researchers recruited healthy adults over 60 years of age who are not taking psychiatric medications and have not been diagnosed with any other retinal or optic nerve related diseases. The Addenbrooke's cognitive examination III (ACE-III), binocular visual functions and visual perception were performed and examined in subjects recruited from Chung Shan Medical University. The test results of all subjects were analyzed by statistical software of SPSS. This study complied with the Declaration of Helsinki and had reviewed by CSMUH IRB (CS19110).ResultThe results showed that the ACE-III score and visual perception (MVPT-4, Peripheral awareness) were significantly positively correlated with the educational level of the population over 60 years old in Taiwan, but negatively correlated with age while binocular vision (Developmental eye movement test, Peripheral awareness) was suterest significantly negatively correlated with education level, but that positively correlated with age. Moreover, cognitive function, binocular vision, and visual perception were significantly correlated. Among all the tests, the horizontal adjustment time of binocular vision's eye movement development and the MVPT-4 had a higher explanatory power in predicting cognitive function. In addition, the interaction binocular vision and visual perception were more significant in ACE total score,and specific items of ACE-III（language fluency, language, and visual space）.DiscussionThis study showed the correlation and influence of cognitive function, binocular vision and visual perception result among senior citizens in Taiwan. It is possible to use these correlations to predict mild cognitive impairment with less efforts economics burden. Optometrists can provide expertise to help identify MCI and further investigate whether visual training to delay the onset of cognitive impairment.認知功能雙眼視覺視覺知覺眼動發展週邊意識Cognitive functionBinocular visionVisual perceptionDevelopmental eye movementPeripheral awareness.thesis