Treatment of strabismic amblyopia with refractive correction.

Abstract

PURPOSE:

To report data on the response of previously untreated strabismic amblyopia to spectacle correction.

DESIGN:

Prospective, interventional case series.

METHODS:

Twelve patients with previously untreated strabismic amblyopia were prescribed spectacles and examined at five-week intervals until visual acuity was not improved from the prior visit.

RESULTS:

Amblyopic eye acuity improved by 2 lines or more from spectacle-corrected baseline acuity in nine of the 12 patients (75%), resolving in three (interocular difference <or=1 line). Mean change from baseline to maximum improvement was 2.2 +/- 1.8 lines. Improvement continued for up to 25 weeks.

CONCLUSIONS:

These results support the suggestion from a prior study that strabismic amblyopia can improve and even resolve with spectacle correction alone. Larger studies with concurrent controls are needed to confirm or refute these findings.

• Authors: Susan A Cotter, Allison R Edwards, Robert W Arnold, William F Astle, Carmen N Barnhardt, Roy W Beck, Eileen E Birch, Sean P Donahue, Donald F Everett, Joost Felius, Jonathan M Holmes, Raymond T Kraker, B Michele Melia, Michael X Repka, David K Wallace, Katherine K Weise, Pediatric Eye Disease Investigator Group
• Journal: American journal of ophthalmology (Am J Ophthalmol) Vol. 143 Issue 6 Pg. 1060-3 (Jun 2007) ISSN: 0002-9394 [Print] United States
• PMID: 17524783 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)

Topics

• Amblyopia (therapy)
• Child
• Child, Preschool
• Eyeglasses
• Female
• Humans
• Male
• Prospective Studies
• Strabismus (therapy)
• Vision, Binocular
• Visual Acuity