Clinical Evaluation of Arnblyopic Eyes with Eccentric Fixation.

Kim, Ji Won; Lee, Kyung Hee; Park, Sang Chul

Original Article

Journal of the Korean Ophthalmological Society 1993;34(3):239-245.
Published online March 1, 1993.

Clinical Evaluation of Arnblyopic Eyes with Eccentric Fixation.

Ji Won Kim, Kyung Hee Lee, Sang Chul Park

Department of Ophthalmology, Catholic University Medical College, St. Paul's Hopital, Seoul, Korea.

중심외주시 환자의 임상적 고찰

김지원(Ji Won Kim),이경희(Kyung Hee Lee),박상철(Sang Chul Park)

Abstract

We retrospectively reviewed 212 patients with strabismic amblyopia from March 1986 to Apirl 1990, and then analyzed 26 patients with eccentric fixation by the way of visuscope and fixation photograph. Eccentric fixation was divided into three groups. Fixation was parafoveolar (adjacent to the foveolar reflex), parafoveal (outside but close to the foveal wall) or peripherally eccentic (somewhere between the edge of the fovea and the disc and occasionally even beyond the disc). The treatment was the occlusion therapy of sound eye. Among 26 patients, 12 patients were treated with occlusion therapy, but 14 patients were not. The visual acuity was improved at least two lines on visual acuity chart in 6 patients (50%) and the fixation pattern improvement was observed in 8 patients (66.7%). We concluded that the improvement of visual acuity was closely related to the improvement of fixation pattern (p

Key Words: Amblyopia;Eccentric Fixation;Occlusion Therapy