Efficiency of occlusion therapy for management of amblyopia in older children.

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dc.contributor.authorBrar, Gagandeep Sen_US
dc.contributor.authorBandyopadhyay, Supratiken_US
dc.contributor.authorKaushik, Sushmitaen_US
dc.contributor.authorRaj, Surishtien_US
dc.date.accessioned2006-12-09en_US
dc.date.accessioned2009-05-29T08:15:01Z
dc.date.available2006-12-09en_US
dc.date.available2009-05-29T08:15:01Z
dc.date.issued2006-12-09en_US
dc.description.abstractPURPOSE: To analyse results of full time occlusion therapy for amblyopia in children older than 6 years. MATERIALS AND METHODS: This was a retrospective consecutive case series analysis of children treated for amblyopia at a tertiary care center. All children received full time occlusion (FTO) for the dominant eye. RESULTS: Eighty-eight children older than 6 years at the time of initiation of therapy were included. Age at initiation of therapy ranged from 6 to 20 years (9.45 +/- 3.11 years). Forty-two children (47.7%) had strabismic amblyopia, 37 (42.0%) had anisometropic amblyopia and 9 (10.2%) had a combination of strabismic and anisometropic amblyopia. Eighty out of 88 eyes (90.0%) had improvement in visual acuity following FTO. Visual acuity (VA) improved from 0.82 +/- 0.34 at presentation to 0.42 +/- 0.34 (P < 0.001) after FTO. In children with strabismic amblyopia, VA improved from 0.81 +/- 0.42 to 0.42 +/- 0.39 (P <0.001). In children with anisometropic amblyopia, visual acuity of the amblyopic eye improved fron 0.82 +/- 0.24 to 0.36 +/- 0.29 (P< 0.001) following FTO. Out of 13 children older than 12 years, only 6 children (46.1%) had improvement in VA. Mean follow-up after complete stoppage of occlusion was 8.37 +/- 1.78 months. CONCLUSION: Occlusion therapy yields favorable results in strabismic and/or anisometropic amblyopia, even when initiated for the first time after 6 years of age. After 12 years of age, some children may still respond to occlusion of the dominant eye.en_US
dc.description.affiliationDepartment of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India. eyepgi@sify.comen_US
dc.identifier.citationBrar GS, Bandyopadhyay S, Kaushik S, Raj S. Efficiency of occlusion therapy for management of amblyopia in older children. Indian Journal of Ophthalmology. 2006 Dec; 54(4): 257-60en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/70261
dc.language.isoengen_US
dc.source.urihttps://www.ijo.inen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAmblyopia --complicationsen_US
dc.subject.meshChilden_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSensory Deprivationen_US
dc.subject.meshStrabismus --complicationsen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshVisual Acuityen_US
dc.titleEfficiency of occlusion therapy for management of amblyopia in older children.en_US
dc.typeJournal Articleen_US
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