Therapy of Strabismic Amblyopia less than 0.1 Vision

Kim, In Sook; Cho, Yoonae A

Abstract

In amblyopes with visual acuity less than 0.1, it is very hard to obtain visual improvement by antiamblyopia treatment. They show very poor compliance with patching of good eye due to severely blurted vision of amblyopic eye. We experienced 29 children who showed strabismic amblyopia with vision less than 0.1. The treatment includes glasses, patching or patching combined with atropine penalization of good eye, and surgery for strabismus in some cases. The average improvement of visual acuity in 29 children was 4 lines on viusal acuity chart. Twenty three out of 29 patients(79%) obtained visual acuity of 0.3 or more. Among 6 patients who could not show good visual outcome, 5 patients had been lazy in patching therapy. The improvement of visual acuity was not influenced by age of the patients, severity of refractive error and angle of deviation, but compliance with patching. This study reveals that the vigorous and steady patching could considerably improve visual acuity in severe amblyopia, and also needs full understanding and effort of patients, parents and physicians to gain satisfactory result.