THE PRINCIPLES OF ANISOMETROPIC AMBLYOPIA TREATMENT

Abstract

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.