ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Efficacy Of Occlusion Treatment In Amblyopia And Risk Factors Affecting The Results Of Treatment
Dr.Gül ARIKAN,a Dr.Aylin YAMAN,a Dr.A. Tülin BERK,a Dr.Hayal BOYACIOĞLUb
aGöz Hastalıkları AD, Dokuz Eylül Üniversitesi Tıp Fakültesibİstatistik Bölümü, Ege Üniversitesi Fen Fakültesi, İZMİR
Objective: To evaluate the factors influencing visual outcome in strabismic, strabismic-anisometropic and anisometropic amblyopes following occlusion treatment.Material and Methods: Records of 128 pediatric patients who had been treated for unilateral amblyopia by occlusion of the fellow eye between March 1992 and March 2003 were retrospectively reviewed. Age and level of visual acuity at the beginning of treatment, occlusion period, type of amblyopia and compliance were analysed for the efficacy on visual outcome. Results: Mean visual acuity improvements were similar for the groups (strabismic amblyopia 0.38±0.29 logMAR, strabismic-anisometropic amblyopia 0.46±0.40 logMAR, anisometropic amblyopia 0.35±0.24 logMAR). Level of initial visual acuity, age at start of treatment and type of occlusion correlated with final visual acuity (p=0.000, p=0.035, p=0.012, respectively). When the analysis was performed according to the subtypes of amblyopia initial visual acuity was the only factor associated with the final visual acuity in all types of amblyopia (p < 0.05).Conclusion: Level of initial visual acuity is the most significant factor determining the success of treatment in amblyopia.Keywords: Amblyopia, occlusion treatment, visual acuityTurkiye Klinikleri J Ophthalmol 2004, 13:150-158
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