Stručni rad
Occlusive Therapy for Monocular Anisometropic Amblyopia in Schoolchildren
Suzana Pavljašević
Dževdet Sarajlić
Sažetak
The aim of this study was to test the efficacy of home occlusive therapy under parents' supervision in schoolchildren without orthoptic-pleoptic treatment. Amblyopia is a symptom that occurs without organic disease but manifesting with reduced vision on one eye that is impossible to correct with eyeglasses or contact lenses. Being accompanied by cortical suppression, most amblyopia cases are caused by unequal refractive errors or strabismus. The treatment of amblyopia in older children (age over 8 years) has worse results as compared with younger children. Home therapy with eye patches and proper vision corrections (eyeglasses or contact lenses) should be one of therapeutic modalities as an attempt at monocular amblyopia treatment to reach better visual acuity. Fifty children, 21 (42%) boys and 29 (58%) girls aged 6-16 (mean age 12.7) years with correction differences on two eyes between 1 and 14 D were observed during a 5-year period (2001-2006). Right eye and left eye amblyopia was recorded in 28 and 22 patients, respectively. Spheric equivalent was used in cases with astigmatism. Instruction for home practice was to cover the eye with better vision twice a day for one hour under parents. supervision. The difference between the initial and final visual acuity was significant (Pearson's correlation 0.77; df=49; p<0.05-0.01). Student's t-test confirmed these results. The method can be accepted as therapeutic approach in children over 7 years of age.
Ključne riječi
Amblyopia; Eye occlusion; Schoolchildren
Hrčak ID:
22768
URI
Datum izdavanja:
1.4.2008.
Posjeta: 3.132 *