国际眼科杂志2020，Vol.20Issue(11)：1858-1865,8.DOI:10.3980/j.issn.1672-5123.2020.11.04
弱视儿童的临床概况和遮盖治疗结果
Clinical profile of amblyopia and outcome of occlusion therapy in pediatric populations attending a referral hospital
Raju Kaiti 1Pabita Dhungel 2Asik Pradhan 3Monica Chaudhry4
作者信息
- 1. 44600 尼泊尔加德满都,尼泊尔眼科医院
- 2. 97116 美国俄勒冈州,太平洋大学验光学院
- 3. 4059 澳大利亚昆士兰,昆士兰科技大学
- 4. 422011 印度古鲁格拉姆, Ansal 大学验光与视光科学系
- 折叠
摘要
Abstract
AIM: To study clinical profile of amblyopia and also the outcomes of occlusion therapy among the amblyopes.? METHODS: This was a hospital - based longitudinal study by design. Data were collected from April 2015 to April 2016 in Ophthalmology Department of Dhulikhel Hospital. Presenting visual acuity, chief complaint at presentation, age at presentation, refractive status, binocularity and fixation patterns were assessed in all the children with amblyopia. Improvement in visual acuity was also noted in all the subjects after occlusion therapy, which is a most commonly used modality of treatment for amblyopia.?RESULTS: Among 1092 children examined during the study period, 60 (5.49％) were amblyopic. Among them, 35 (58.30％) were females and 25 (41.70％) were males. The mean age at presentation was 8. 87 ± 3. 29 years. Meridional amblyopia was the most prevalent subtype seen in 43. 3％ ( n = 26 ) of children followed by anisohypermetropic amblyopia ( 20％, n = 12). The most common refractive error was astigmatism accounting for 58. 30％ of the total cases followed by hypermetropia ( 22. 50％) and myopia ( 7. 50％). Compliance with spectacle wear combined with occlusion therapy and active vision therapy was 73. 30％ ( n = 44). There was a statistically significant improvement in visual acuity of the amblyopic eyes after the different treatment strategies after 3mo (P= 0.002).?CONCLUSION: Prevalence of amblyopia and associated visual impairment is still a public health issue in developing countries like Nepal. Lack of awareness and lack of community or preschool vision screening for children lead to late presentation and significant visual impairment associated with the condition. The burden can easily be reduced with screening camps, timely referrals and proper interventions.关键词
弱视/遮盖治疗/视力损害/屈光不正/斜视Key words
amblyopia/occlusion therapy/visual impairment/refractive error/strabismus引用本文复制引用
Raju Kaiti,Pabita Dhungel,Asik Pradhan,Monica Chaudhry..弱视儿童的临床概况和遮盖治疗结果[J].国际眼科杂志,2020,20(11):1858-1865,8.
