| The clinical outcomes of Occlusion for Monocular Amblyopia in Children More than 8 years. |
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Hae Ran Chang, Sung Ho Hong, Dal Woong Huh |
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Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. hrch@samsung.co.kr |
| 8세 이상 단안 약시환자의 가림치료 효과 |
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장혜란 ( Hae Ran Chang ) , 홍성호 ( Sung Ho Hong ) , 허달웅 ( Dal Woong Huh ) |
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| Abstract |
PURPOSE
We schemed to help the therapeutic plan in amblyopic children of old age group by analyzing the clinical outcomes of occlusion therapy in amblyopic children more than 8 years old. METHODS: In 104 unilateral amblyopic children whose occlusion therapy had been finished, the retrospective study was performed. The average age at the beginning of treatment was 5.9 years (1.2~15.2 years). We divide the patients into three groups on the basis of age at the beginning of treatment: below 4 years (group 1, N=41), 5~7 years (group 2, N=44), more than 8 years (group 3, N=19). The success rate of occlusion therapy in group 3 was compared with the success rate of other groups, and the clinical features of group 3 were analyzed. RESULTS: The success rate of occlusion therapy in group 3 (68.4%) was significantly low compared with other groups (p<0.05). In group 3, the success rate of anisometropic amblyopia (90.0%) was significnatly higher compared with the success rate of strabismic amblyopia (44.4%)(P<0.05), and it was similar to the success rate of anisometropic amblyopia of other groups. CONCLUSIONS: The success rate of occlusion therapy in amblyopic children more than 8 years old was significantly lower compared with other groups. But the clinical outcomes were fair, especially in anisometropic amblyopia. We suggest to enforce occlusion therapy in amblyopic children more than 8 years old. |
| Key Words:
Amblyopia;Occlusion therapy;Older than 8 years of age |
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