Elif Erdem1, Gül Yılmaz Çınar2, Deniz Somer2, Necati Demir2, Ayse Burcu2, Firdevs Örnek2. 1. Ophthalmology Department, Faculty of Medicine, Cukurova University, Seyhan Park Evleri, M blok, 2/3 Yuregir, 01370, Adana, Turkey. elif.erdem.1979@gmail.com. 2. Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey.
Abstract
PURPOSE: To investigate the effects of full-time patching regimen on the treatment of amblyopia in children aged 10-16 years. METHODS: Forty-seven patients with a mean age of 12.09 ± 1.65 years were included in this study. All of the patients received eye patching for the entire day, 6 days a week, during the first 3 months. The patients who achieved visual acuity of 0.00 logMAR at the third month were provided with additional patching treatment (4-6 h/day). On the other hand, the patients who showed no change in their visual acuity or an increase of less than 0.00 logMAR at the third month had 3 more months of eye patching for the entire day, 6 days a week. RESULTS: Prior to treatment, the best mean visual acuity of the amblyopic eyes was 0.48 ± 0.25 (range 1.00-0.15) logMAR. After follow-up, the visual acuity of the amblyopic eyes was 0.20 ± 0.22 (range 1.00-0.00) logMAR. Thus, visual acuity in the amblyopic eyes improved by 0.2 log unit or more in 38 of 47 patients (81%). CONCLUSIONS: The present results show that patching in older children with amblyopia improves visual acuity with no serious complications. The use of patching in children to improve amblyopia seems promising.
PURPOSE: To investigate the effects of full-time patching regimen on the treatment of amblyopia in children aged 10-16 years. METHODS: Forty-seven patients with a mean age of 12.09 ± 1.65 years were included in this study. All of the patients received eye patching for the entire day, 6 days a week, during the first 3 months. The patients who achieved visual acuity of 0.00 logMAR at the third month were provided with additional patching treatment (4-6 h/day). On the other hand, the patients who showed no change in their visual acuity or an increase of less than 0.00 logMAR at the third month had 3 more months of eye patching for the entire day, 6 days a week. RESULTS: Prior to treatment, the best mean visual acuity of the amblyopic eyes was 0.48 ± 0.25 (range 1.00-0.15) logMAR. After follow-up, the visual acuity of the amblyopic eyes was 0.20 ± 0.22 (range 1.00-0.00) logMAR. Thus, visual acuity in the amblyopic eyes improved by 0.2 log unit or more in 38 of 47 patients (81%). CONCLUSIONS: The present results show that patching in older children with amblyopia improves visual acuity with no serious complications. The use of patching in children to improve amblyopia seems promising.
Authors: Indu Vedamurthy; Mor Nahum; Samuel J Huang; Frank Zheng; Jessica Bayliss; Daphne Bavelier; Dennis M Levi Journal: Vision Res Date: 2015-04-24 Impact factor: 1.886