J Korean Ophthalmol Soc > Volume 61(2); 2020 > Article
Journal of the Korean Ophthalmological Society 2020;61(2):190-199.
DOI: https://doi.org/10.3341/jkos.2020.61.2.190    Published online February 15, 2020.
Clinical Perceptions and Practice Patterns for Amblyopia in Korea.
Jeong Woo Kang, Seon Ha Bae, Nam Ju Moon
Department of Ophthalmology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. njmoon@cau.ac.kr
국내 약시진료 현황 및 치료 인식 조사
강정우 · 배선하 · 문남주
중앙대학교 의과대학 중앙대학교병원 안과학교실
Correspondence:  Nam Ju Moon,
Email: njmoon@cau.ac.kr
Received: 2 August 2019   • Revised: 4 November 2019   • Accepted: 22 January 2020
Abstract
PURPOSE
We used a questionnaire to explore perceptions and clinical practice patterns of Korean pediatric ophthalmologists in terms of amblyopia. METHODS: From September to November 2018, we conducted a web-based questionnaire survey of 99 specialists of the Korean Association for Pediatric Ophthalmology and Strabismus who operated ophthalmology clinics in Korea. We received 56 responses (56.57%) and retrospectively analyzed the data. RESULTS: The average specialist age was 44.0 ± 9.7 years. The mean age of treated amblyopia patients was 3 to 5 years (69.6%); the most common amblyopia was refractive anisometropic amblyopia (75.0%). On average, treatment commenced at 4 years of age (53.6%); child and parent co-operation most significantly influenced treatment success (46.4%). The preferred test was cycloplegic refraction (96.4%) and the preferred treatment occlusion therapy (100%) with glasses correction (98.2%). Occlusion therapy was most commonly performed for 2 hours/day (69.6%); the minimum age for eyeglasses prescription was 2.10 ± 1.18 years. Only three respondents (5.36%) prescribed contact lenses and only one (1.79%) performed refractive surgery. CONCLUSIONS: In Korea, amblyopia treatment is based on occlusion therapy and glasses correction. However, the time of treatment commencement, the duration of occlusion therapy, and the glasses used for correction varied. It is necessary to develop guidelines for amblyopia treatment; these should reflect current medical conditions.
Key Words: Amblyopia;Clinical practice patterns;Survey study


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