Children referred for pleoptic treatment. A survey on aspects considering referral for examination, role of screening programmes, previous therapy and compliance.

The patient histories of 53 unselected children referred for pleoptic treatment were evaluated. The age of the patients ranged from 7 to 12 years, and the mean age was 8.8 years. Information concerning the history was obtained from a questionnaire answered by the parents. The data concerning the ocular conditions were available in the case records. In 83% of the children the diagnosis of functional amblyopia had already been made before school age. During the first 3 years of life altogether 38% were diagnosed outside of routine screening programmes. When the children caught by screening were added, the proportion of those diagnosed before the age of four was 45%. The practice of referring patients from the child health center to the ophthalmological examination was unsatisfactory in some children (19%). Poor compliance was noted still more often (at least in 58%). Occlusion therapy had been used by 92% of the children, and in 42% alternating complete occlusion had been prescribed.