Reduction of Deviation Angle During Occlusion Therapy: In Partially Accommodative Esotropia with Moderate Amblyopia.
10.3341/kjo.2007.21.3.159
- Author:
Bo Young CHUN
1
;
Soon Jae KWON
;
Sun Hwa CHAE
;
Jung Yoon KWON
Author Information
1. Department of Ophthalmology, Kyungpook National University, School of Medicine, Daegu, Korea. jykwon@mail.knu.ac.kr
- Publication Type:Original Article
- Keywords:
Amblyopia;
Occlusion therapy;
Ocular alignment;
Partially accommodative esotropia;
Visual acuity ratio
- MeSH:
*Accommodation, Ocular;
Adult;
Aged;
Amblyopia/*etiology/*physiopathology;
Esotropia/*physiopathology/*therapy;
Female;
Humans;
Male;
Middle Aged;
Occlusive Dressings/adverse effects;
Retrospective Studies;
*Sensory Deprivation;
Treatment Outcome
- From:Korean Journal of Ophthalmology
2007;21(3):159-162
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To evaluate changes in ocular alignment in partially accommodative esotropic children age ranged from 3 to 8 years during occlusion therapy for amblyopia. METHODS: Angle measurements of twenty-two partially accommodative esotropic patients with moderate amblyopia were evaluated before and at 2 years after occlusion therapy. RESULTS: Mean deviation angle with glasses at the start of occlusion treatment was 19.45+/-5.97 PD and decreased to 12.14+/-12.96 PD at 2 years after occlusion therapy (p<0.01). After occlusion therapy, 9 (41%) cases were indications of surgery for residual deviation but if we had planned surgery before occlusion treatment, 18 (82%) of patients would have had surgery. There was a statistical relationship between increase of visual acuity ratio and decrease of deviation angle (r=-0.479, p=0.024). CONCLUSIONS: There was a significant reduction of deviation angle of partially accommodative esotropic patients at 2 years after occlusion therapy. Our results suggest that occlusion therapy has an influence on ocular alignment in partially accommodative esotropic patients with amblyopia.
