Amblyopia treatment outcomes.
J AAPOS
; 9(2): 107-11, 2005 Apr.
Article
en En
| MEDLINE
| ID: mdl-15838435
ABSTRACT
PURPOSE:
To determine the effectiveness and side effects of full-time occlusion for the treatment of amblyopia.METHODS:
Patients with unilateral amblyopia secondary to strabismus, anisometropia, or a combination of the two were retrospective reviewed. All patients had full-time occlusion encompassing 24 hours per day or all waking hours, followed to a defined endpoint. Success was defined as 20/30 or better or equal visual acuity by fixation pattern between the two eyes. The ultimate goal was equal visual acuity.RESULTS:
Six hundred patients fit the inclusion criteria. Mean follow-up after the cessation of full-time patching was 7.2 years. Eighty-nine percent were followed for more than 1 year. Mean age at last follow-up visit was 10.82 years. Ninety-six percent of patients attained a successful visual result. Sixty percent attained equal visual acuity. Younger patients required less occlusion time to endpoint and had a better visual outcome ( P < 0.0001). Initial visual acuity was significantly related to best visual acuity attained ( P < 0.0001). The incidence of occlusion amblyopia was 25.8%.CONCLUSIONS:
Full-time occlusion produces excellent visual acuity results. It was shown to be effective with no long-term complications if patients proceed as directed.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Privación Sensorial
/
Agudeza Visual
/
Ambliopía
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
J AAPOS
Asunto de la revista:
OFTALMOLOGIA
/
PEDIATRIA
Año:
2005
Tipo del documento:
Article
País de afiliación:
Estados Unidos