Efficacy of Spectacles before Amblyopia Treatment in Anisometropic Amblyopia.
10.3341/jkos.2011.52.5.550
- Author:
Duk Kyu CHOI
1
;
Mi Young CHOI
Author Information
1. Department of Ophthalmology, Chungbuk National University College of Medicine, Chungbuk National University Medical Research Institute, Cheongju, Korea. mychoi@chungbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Amblyopia treatment;
Anisometropic amblyopia;
Spectacles
- MeSH:
Amblyopia;
Atropine;
Child;
Eye;
Eyeglasses;
Glass;
Humans;
Strabismus;
Visual Acuity;
Withholding Treatment
- From:Journal of the Korean Ophthalmological Society
2011;52(5):550-556
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To identify the efficacy of spectacle wearing for 4 months before amblyopia treatment in children with anisometropic amblyopia. METHODS: The patients with anisometropic amblyopia without strabismus were selected for the present study. The patients were divided into 2 groups; patients who began amblyopia treatment while simultaneously wearing glasses (Group A, 16 patients) and patients who began amblyopia treatment after wearing spectacles for 4 months (Group B, 17 patients). Intermittent atropine penalization or part-time occlusion was provided for amblyopia treatment. Age and best-corrected visual acuity at the start and cessation of treatment, type of amblyopia, treatment method and duration of treatment were analyzed. RESULTS: There were no statistical differences among age, best-corrected visual acuity of the amblyopic and better eyes, type of amblyopia, or treatment method between the 2 groups. In Group B, visual acuity of the amblyopic and better eyes improved after 4 months of spectacle wearing. At the last visit, there were no statistical differences of visual acuity in the amblyopic eye between the 2 groups. In children with resolution of amblyopia, the treatment duration of Group A (15 patients) was 17.3 months, longer than the 4.7 months in Group B (13 patients) (p = 0.003). CONCLUSIONS: Wearing spectacles for 4 months prior to amblyopia treatment may be an effective method of shortening the treatment duration.
