Treatment of Anisometropic Amblyopia

Abstract

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