J Korean Ophthalmol Soc > Volume 52(5); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(5):550-556.
DOI: https://doi.org/10.3341/jkos.2011.52.5.550    Published online May 15, 2011.
Efficacy of Spectacles before Amblyopia Treatment in Anisometropic Amblyopia.
Duk Kyu Choi, Mi Young Choi
Department of Ophthalmology, Chungbuk National University College of Medicine, Chungbuk National University Medical Research Institute, Cheongju, Korea. mychoi@chungbuk.ac.kr
굴절부등약시에서 약시치료 전 안경착용의 효과
최덕규⋅최미영
Department of Ophthalmology, Chungbuk National University College of Medicine, Chungbuk National University Medical Research Institute, Cheongju, Korea
Abstract
PURPOSE
To identify the efficacy of spectacle wearing for 4 months before amblyopia treatment in children with anisometropic amblyopia. METHODS: The patients with anisometropic amblyopia without strabismus were selected for the present study. The patients were divided into 2 groups; patients who began amblyopia treatment while simultaneously wearing glasses (Group A, 16 patients) and patients who began amblyopia treatment after wearing spectacles for 4 months (Group B, 17 patients). Intermittent atropine penalization or part-time occlusion was provided for amblyopia treatment. Age and best-corrected visual acuity at the start and cessation of treatment, type of amblyopia, treatment method and duration of treatment were analyzed. RESULTS: There were no statistical differences among age, best-corrected visual acuity of the amblyopic and better eyes, type of amblyopia, or treatment method between the 2 groups. In Group B, visual acuity of the amblyopic and better eyes improved after 4 months of spectacle wearing. At the last visit, there were no statistical differences of visual acuity in the amblyopic eye between the 2 groups. In children with resolution of amblyopia, the treatment duration of Group A (15 patients) was 17.3 months, longer than the 4.7 months in Group B (13 patients) (p = 0.003). CONCLUSIONS: Wearing spectacles for 4 months prior to amblyopia treatment may be an effective method of shortening the treatment duration.
Key Words: Amblyopia treatment;Anisometropic amblyopia;Spectacles


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