Journal of the Korean Ophthalmological Society 2003;44(9):2091-2098.
Published online September 1, 2003.
Clinical Approach for the Treatment of Amblyopia in School Children.
Young Kil Park, Kyung Chul Yoon, Yeoung Geol Park
Department of Ophthalmology, Chonnam National University College of Medicine Gwangju, Korea. ygpark@chonnam.ac.kr
학동기 아동에서 약시치료의 임상적 고찰
박영길 ( Park Yeong Gil ) , 윤경철 ( Kyung Chul Yoon ) , 박영걸 ( Park Yeong Geol )
Abstract
PURPOSE
To analyze the clinical aspects of amblyopia and the factors affecting the outcome of treatment of amblyopia in school children. METHODS: We retrospectively analyzed 100 patients, who had not been treated previously for amblyopia and been followed for more than 6 months after initiating the treatment of amblyopia. They were divided into two groups, one of which was 4~7 years old (50 patients)and the other was 8~12 years old (50 patients). The evaluation included causes of amblyopia, age and visual acuity at the initial treatment, degree of anisometropia, amount of deviation, and duration of treatment. RESULTS: Strabismus was the most common cause of amblyopia, followed by anisometropia and visual deprivation in that order. The causes of amblyopia did not affect the visual outcome either in the 8~12 years old children or in the 4~7 years old children (p=0.10). The factors not affecting visual outcome were visual acuity at the initial treatment (p=0.23), amount of deviation in strabismic amblyopia (p=0.16), degree of anisometropia in anisometropic amblyopia (p=0.49). Compared with the 4~7 years old children, the 8~12 years old chiliren did not show the significant difference in the final visual outcome (p=0.23). CONCLUSIONS: The treatment of amblyopia in school children was as effective as in pre-school children.
Key Words: Amblyopia;Anisometropia;Strabismus;School children


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