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    Amblyopia Treatment
    (2006)
    ;
    Ivanovska M
    ;
    Antova Velevska M.
    Purpose: to compare patching and atropine as treatments for moderate amblyopia in children 3 to < 7 years old Material and methods: prospective study of two groups of patients treated with patching or atropine (each group of 30 patients). The patients were from 3 to 7 years old and the visual acuity was measured with E test. The groups consisted of patients with strabismic and /or anisometropic amblyopia. The visual acuity of the amblyopic eye was -20/40 to 20/100. The visual acuity of sound eye was ->- 20/40. Inter eye acuity difference >- 3 lines. The visit schedule for the first 6 months was on 5 weeks, 17 weeks, 26 weeks, and afterwards on every 6 months. Results: Patient characteristics: 47% female. Cause of amblyopia: strabismus 38%, anisometropia 37% and combine –mechanism 24%. 26% received previous treatment for amblyopia. The other results of the study will be discussed further in the paper. Conclusions: both patching and atropine are effective treatments for moderate amblyopia in children 3 to 7 years of age. Patching produces more rapid improvement and possibly slightly better outcome. Atropine has easier administration. Both treatments were well tolerated.
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    Treatment of Anisometropic Amblyopia
    (2017)
    Treatment of Anisometropic Amblyopia V.Cheleva Markovska Book of abstracts, Congress of Macedonian Ophthalmologiest with international participation, Ohrid, 2017, 96 Aim: Prospective examination of the methods of treatment of anisometropic amblyopia without strabismus with spectacles in the beginning and after refraction with occlusion of the second eye. Material and method:52 patients (from 6 to 11 years old) with anisometropic amblyopia without strabismus were included in this study. After the prescription of spectacles on the second visit, if there was no improvement of the visual acuity of the amblyopic eye and if there is still deference of two or more lines on the vision chart between the eyes, occlusion was prescribed et list 6 hours a day of the sound eye. Results: 28 patients from all 52, (53%) were female, and 24 patients (47%) were male. The age of the patients was mean 9,2 years. Mean visual acuity on the amblyopic eye at baseline was approximately 0,33 with correction before the patching treatment. There were 7 patients (13,7%) which resolve the amblyopia only with spectacles without patching. Mean time for resolution of amblyopia was 8,2 months (range 3 to 16 months). The visual acuity of 20/20 achieved 43% patients with hypermetropic anisometropic amblyopic eye and 3,8% patients with astigmatic anisometropic amblyopia. Conclusion: Early screening of preschool children for detection of anisometropic and other types of amblyopia is important for the on time treatment of the amblyopic eye. Key words: amblyopia, anisometropic, therapy, patching and occlusion, recurrence
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    THE PRINCIPLES OF ANISOMETROPIC AMBLYOPIA TREATMENT
    (Medical faculty, Ss Cyril and Methodius University in Skopje, 2017)
    Aim: Postoperative examination of the methods of treatment of anisometropic amblyopia without strabismus. Material and method:52 patients (from 6-11 years old) with anisometropic amblyopia without strabismus were included in this study .After the prescription of spectacles on the second visit, if there was no improvement of the visual acuity of the amblyopic eye and if there was no improvement of the visual acuity of the amblyopic eye and if there is still difference of two or more lines on the vision chart between the eyes, occlusion was prescribed for at least 6 hours a day of the sound eye. Resultats:28 patients from all 52,(53%) wee female and 24 patients (47%) were male. The age of the patients was average 9,2 years. Average visual acuity on the amblyopic eye at baseline was approximately 0,33 with correction before the patching treatment. There were 7 patients (13,7%) which resolved the amblyopia only with spectacles without patching. Average time for resolution of amblyopia was 8,2 months (range 3 to 16 months)The visual acuity of 20/20 achieved 43% patients with hypermetropy anisometropic amblyopic eye and 3,8% patients with astigmatic anisometropic amblyopia. Conclusion: Early screening of preschool children for detection of anisometropic and other types of amblyopia is important for the on time treatment of the amblyopic eye.