The clinical efficacy of comprehensive therapy in 87 children with amblyopia
10.3760/cma.j.issn.1673-4904.2015.01.013
- VernacularTitle:儿童弱视综合治疗87例临床疗效观察
- Author:
Jue WANG
- Publication Type:Journal Article
- Keywords:
Amblyopia;
Child;
Treatment outcome;
Combined modality therapy
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(1):38-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical efficacy of comprehensive therapy in children with amblyopia.Methods A total of 137 eyes of 87 children were observed.They were given glasses,cover,fine training on the basics of their corrected visual acuity after mydriasis with atropine and optometry.According to amblyopic type,all subjects were divided into three groups,ametropic amblyopia group (96 eyes),anisometropic amblyopia group (28 eyes) and strabismic amblyopia group(13 eyes).According to treatment-starting age,they were divided into 3-6 years old group (95 eyes),7-9 years old group (25 eyes),and 10-12 years old group (17 eyes).According to amblyopic degree,they were divided into mild group(61 eyes),medium group (60 eyes) and serious group (16 eyes).According to fixation nature,they were divided into central fixation group (93 eyes),paracentral fixation group (44 eyes).Results All of subjects' eyes,87 eyes (63.50％,87/137) were basically cured,40 eyes (29.20％,40/137) were improved,and 10 eyes (7.30％,10/137) were unimproved.The total effect rate was 92.70％ (127/137).The efficacy of treatment was closely related to amblyopic type,treatment-starting age,amblyopic degree and fixation nature.Efficacy of the treatment on anisometropic amblyopia was the highest among all three types.The younger the treatment-starting age,the better the efficacy of the treatment.There was a positive correlation between the mildness of amblyopia and the efficacy of the treatment.Efficacy of central fixation group was better than that of paracentral fixation group.Differences between efficacies of treatment on each group were significant (P ＜ 0.01).Conclusion Comprehensive therapy in children with amblyopia can achieve satisfactory effects.
