1.Visual outcomes of Amblyopia Therapy
Melissa Anne M. Santos ; Marissa N. Valbuena ; Andrea Kristina F. Monzon-Pajarillo
Philippine Journal of Ophthalmology 2012;37(1):33-38
Objective:
To determine the visual outcome of amblyopia treatment and describe the relationship between age of
onset and consult, compliance as measured by a patch diary, amblyopia subtype, and severity with the final visual
outcome.
Methods:
Thirty-two consecutive, newly-diagnosed cases of amblyopia, aged 3-8 years on initial consult, with no
history of prior amblyopia treatment, were included. Patching was done based on current AAO recommendations
and patients were followed up monthly for 6 months. Treatment success was defined as best corrected visual acuity
(BCVA) better than 20/30 (0.17LogMAR), or a 3-line improvement from baseline, or stable isoacuity for at least
3 months. Treatment failure was defined as no improvement of BCVA after 3 months of occlusion therapy or a
regression of 2 lines. Descriptive and correlation statistics were performed comparing age of onset and consult,
amblyopia subtype, severity, and compliance with the main outcome measure of BCVA at 6 months.
Results:
Sixteen (50%) attained treatment success. Patients seen earlier (age 2-5 years) had higher rates of success
(75%) than those seen later (age 6-8 years) (35%). A moderately strong negative correlation (r=-0.48, p=0.01)
existed between severity of amblyopia and final BCVA at 6 months. overall compliance to patching was 88±18%,
with good compliance in the success group (92%) compared to fair compliance in the failure group (84%) and a
moderate correlation between compliance and BCVA (r=0.37, p=0.05).
Conclusion
Treatment success was related to severity, compliance, and younger age of treatment. In the presence
of good compliance, severity was a strong prognostic variable.
Amblyopia
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Compliance
;
Sensory Deprivation
;
Anisometropia
2.Translation and validation of a Filipino version of the children’s visual function questionnaire
James Abraham B. Lee ; Andrea Kristina F. Monzon-Pajarillo ; Alvina Pauline D. Santiago
Philippine Journal of Ophthalmology 2018;43(2):72-76
Objective:
The objectives of this study were to translate into Filipino the Children’s Visual Function Questionnaire
for children 3 years and above (CVFQ3plus), and to validate the translated CVFQ3plus to be used locally to assess
the quality of life (QoL) of Filipino children aged 3 to 7 years old with visual impairment.
Methods:
Study Design: The study was a single-center, non-randomized translation and validation study.
Translation: The CVFQ3plus translation into Filipino involved translation, reconciliation, pretesting, and small
group discussion, based on the KIDSCREEN Group Translation and Validation procedures. Participants and
Sampling: Convenience sampling was done to select the participants of the study. Participants were included in
the study if they were parents or primary caregivers of children aged 3-7 years old who were noncompliant with
treatment and/or those with non-treatable visual impairment defined as mild, moderate, severe unilateral, and
severe bilateral. Procedure: All patients underwent complete ophthalmologic examination, including determination
of the visual acuity using either the LEA chart or HOTV chart, prior to the administration of both the Filipino and
English versions of the CVFQ3plus to their parents or caregivers. Participants were also asked to do a self-rating
of their English proficiency, and their preferred version of the CVFQ. Statistical Analysis: Chronbach’s Alpha with
a 95% confidence interval was used to determine the validity and internal consistency of the Filipino version of
the CVFQ3plus questionnaire.
Results:
A total of 122 participants were included in the study. Chronbach’s Alpha score (α=0.86, CI=95%) for
the translated Filipino version of the CVFQ3plus suggests high reliability and internal consistency, comparable to
the original English version of the questionnaire.
Conclusion
This study was able to produce a highly reliable and internally consistent Filipino version of the
CVFQ3plus.
Surveys and Questionnaires
;
Quality of Life