Publication: Treatment of Anisometropic Amblyopia in children with refractive correction
Files
Date
2009
Authors
Article Type
Original Article
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 14 - 18
Publisher
Institute of Medicine
Abstract
Abstract
Background: The main purpose of the study is to determine the effectiveness of spectacles alone in the treatment of anisometropia in paediatric population.
Methods: A hospital based prospective study was conducted on twenty children (involving twentysix eyes) with freshly diagnosed anisometropic amblyopia of mild to moderate grade. Optimal refractive correction was provided with spectacles alone and was followed at every 3 weeks until amblyopia resolved.
Results: The mean line of improvement in visual acuity in 3 weeks was 0.85 ± 0.65 snellen lines. The mean line improvement in second follow up was 0.80 ± 0.70 lines. There was statistically significant (p=0.04) decrease in inter-ocular acuity (IOD) for anisometropia of 1 to 2.0D. The IOD improvement was associated with age (1.53 snellen lines in more than 8 years) in first follow up (p=0.001). IOD also decreased in children of more than 8 yrs.
Conclusions: As in nearly half of the participants, especially who has minimal interocular acuity difference, anisometropic amblyopia resolved to normal acuity within first three weeks, we can conclud that the early improvement of visual acuity is related to lesser amount of anisometropia, age and sex.
Keywords: Anisometropic amblyopia, amblyopia resolution, inter-ocular difference (IOD), refractive correction
Description
D. Kaphle
Department of Ophthalmology, Tribhuvan University Institute of Medicine, B. P. Koirala Lions Centre for Ophthalmic Studies
J.B. Shrestha
Department of Ophthalmology, Tribhuvan University Institute of Medicine, B. P. Koirala Lions Centre for Ophthalmic Studies
P. Paudel
Department of Ophthalmology, Tribhuvan University Institute of Medicine, B. P. Koirala Lions Centre for Ophthalmic Studies
Keywords
Anisometropic amblyopia, amblyopia resolution, inter-ocular difference (IOD), refractive correction
Identifier
https://doi.org/10.59779/jiomnepal.384