Abstract
Purpose:
To evaluate visual outcomes of patients treated for anisometropic or strabismic amblyopia in children aged 7 to 17 years, treated in our clinic from 2008 to 2014, and compare the visual acuities from these groups.<br />
Methods:
Retrospective, longitudinal, and observational study. Were included patients in our clinic with diagnosis of anisometropic or strabismic amblyopia without any other eye disease, which have at least 6 months follow up visit. All patients with anisometropic amblyopia were provided with optical correction and depending on visual acuity were treated with patching 2, 4 or 6 hours. The patients with strabismic amblyopia were treated with patching depending their visual acuities and with optical correction if was needed, and surgery. Analysis of variance and analytical observation were used to compare visual outcomes presented through time.<br />
Results:
The visual acuity at the diagnosis was .88logMar (20/150) in anisometropic patients and for the strabismic was .56logMar. (20/70). The visual acuity mean after 6 months of treatment was .34logMar. (20/42) for anisometropic patients and for strabismic patients was .28logMar (20/38). After analysis of variance it was found a statistically significant difference in visual acuity (P <.05) in both groups at 3 months and 6 months of treatment, nevertheless comparatively both groups gained visual acuity without any statistically significant variation,which means there was not founded any significant distinction in visual acuity improvement related to an ocular condition, but there is improvement during treatment.<br />
Conclusions:
According to the results of this analysis treatment of amblyopia in patients older than 7 years is effective, and the outcomes in visual acuities are similar in both strabismic and anisometropic patients. To date, there are few studies on this subject and to our knowledge the are no studies comparing the result of treating strabismic vs anisometric amblyopia in this group age.<br />