Ophthalmology in China ›› 2013, Vol. 22 ›› Issue (5): 295-298.

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Several problems in treatment of amblyopia in children

 WANG  Hong-Feng, WANG  En-Rong   

  1. Department of Ophthalmology, Songyuan Central Hospital, Songyuan Jilin 138000, China
  • Received:2013-05-27 Online:2013-09-25 Published:2013-09-29
  • Contact: WANG En-rong, Email: enrongwang@163.com

Abstract: In the clinical treatment of amblyopia in children, many standards need to be defined. This article discussed the following problems in children amblyopia treatment. (1) Indicators of taking off the glasses  are thought to be as follow: (a) uncorrected visual acuity ≥1.0 remained more than half a year, (b) normal position of eyes or residual angle <5° for strabismic amblyopia, (c) the refraction ≤+1.00 DS for hyperopia, (d) the refraction ≤+0.50 DC for hyperopic astigmatism. (2)The recurrence standard of amblyopia is that visual acuity reduces and cycloplegic refractive error increases obviously after corrected visual acuity≥0.9 or uncorrected visual acuity ≥1.0 through treatment of amblyopia. According to different stages of the treatment, the recurrence of amblyopia should be divided into 3 types: recurrence after basically cured, recurrence after wholly cured and recurrence after taking off the glasses. (3)The age for treatment. Treatment of amblyopia can begin as early as two and a half years old. The best time for treatment is from 2 to 6 years old with the highest rate of recovery. The appropriate age for treatment of amblyopia is from 7 to 12 years old. The treatment for children aged 13~18 should not be given up easily. (4)Treatment period. Patients should be followed up for 3 years after amblyopia basically cured. Finishing treatment after taking off the glasses would be the safest with the lowest rate of visual acuity reduction. (Ophthalmol CHN, 2013, 22: 295-298)

Key words: amblyopia, indicators of taking off the glasses, recurrence of amblyopia