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S. Quick, R. Keech; Visual Outcome in Aggressively Patched Eyes in Cases of Unilateral Infantile Cataract or Unilateral PHPV . Invest. Ophthalmol. Vis. Sci. 2003;44(13):4813.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To determine if the normal eye of patients with unilateralinfantile cataract or PHPV has more myopic progression comparedto age-matched controls or has evidence of occlusion amblyopiaafter aggressive patching.Methods: A retrospective chart reviewwas done of patients with unilateral PHPV or congenital cataract.Exclusions included other sight-limiting eye diseases or surgeries,patients never able to give a visual acuity from a chart, inadequatefollow-up, or patients with poor patching compliance. Percentof full-time versus part-time occlusion was tracked. Compliancewas categorized as good (>75% of prescribed hours) or fair(50-75% of prescribed hours). Age at start of patching, durationof patching, duration of follow-up, final visual acuity of botheyes, and final refraction of the good eye were all tracked.Results: 23 patients fit the study (13 female and 10 male).15 patients had congenital cataract, 8 had PHPV. 65% documentedgood compliance with patching and 35% documented fair. 43% dida majority of full-time occlusion and 57% did a majority ofpart-time. Average age at the start of patching was 1.35 years.Duration of patching was an average of 4.9 years. Duration offollow-up was 12.6 years. Average spherical equivalent of thegood eye at the end of follow-up was -0.67 D. Final visual acuityof the good eye ranged from 20/15-20/25. Final visual acuityof the bad eye ranged from 20/20-worse than 20/200. Results - Bad Eye View OriginalDownload SlideView OriginalDownload Slide Refractive Status by Age - Boys View OriginalDownload SlideView OriginalDownload Slide
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