Skip to main content
Top
Published in: Japanese Journal of Ophthalmology 4/2011

01-07-2011 | Clinical Investigation

Eye patching as a treatment for amblyopia in children aged 10–16 years

Authors: Elif Erdem, Gül Yılmaz Çınar, Deniz Somer, Necati Demir, Ayse Burcu, Firdevs Örnek

Published in: Japanese Journal of Ophthalmology | Issue 4/2011

Login to get access

Abstract

Purpose

To investigate the effects of full-time patching regimen on the treatment of amblyopia in children aged 10–16 years.

Methods

Forty-seven patients with a mean age of 12.09 ± 1.65 years were included in this study. All of the patients received eye patching for the entire day, 6 days a week, during the first 3 months. The patients who achieved visual acuity of 0.00 logMAR at the third month were provided with additional patching treatment (4–6 h/day). On the other hand, the patients who showed no change in their visual acuity or an increase of less than 0.00 logMAR at the third month had 3 more months of eye patching for the entire day, 6 days a week.

Results

Prior to treatment, the best mean visual acuity of the amblyopic eyes was 0.48 ± 0.25 (range 1.00–0.15) logMAR. After follow-up, the visual acuity of the amblyopic eyes was 0.20 ± 0.22 (range 1.00–0.00) logMAR. Thus, visual acuity in the amblyopic eyes improved by 0.2 log unit or more in 38 of 47 patients (81%).

Conclusions

The present results show that patching in older children with amblyopia improves visual acuity with no serious complications. The use of patching in children to improve amblyopia seems promising.
Literature
2.
go back to reference Epelbaum M, Milleret C, Buisseret P, Dufier JL. The sensitive period for strabismic amblyopia in humans. Ophthalmology. 1993;100:323–7.CrossRefPubMed Epelbaum M, Milleret C, Buisseret P, Dufier JL. The sensitive period for strabismic amblyopia in humans. Ophthalmology. 1993;100:323–7.CrossRefPubMed
3.
go back to reference Vereecken EP, Brabant P. Prognosis for vision in amblyopia after the loss of the good eye. Arch Ophthalmol. 1984;102:220–4.CrossRefPubMed Vereecken EP, Brabant P. Prognosis for vision in amblyopia after the loss of the good eye. Arch Ophthalmol. 1984;102:220–4.CrossRefPubMed
4.
go back to reference Simmers AJ, Gray LS. Improvement of visual function in an adult amblyope. Optom Vis Sci. 1999;76:82–7.CrossRefPubMed Simmers AJ, Gray LS. Improvement of visual function in an adult amblyope. Optom Vis Sci. 1999;76:82–7.CrossRefPubMed
5.
go back to reference Pediatric Eye Disease Investigator Group. A prospective, pilot study of treatment of amblyopia in children 10 to <18 years old. Am J Ophthalmol. 2004;137:581–3.CrossRef Pediatric Eye Disease Investigator Group. A prospective, pilot study of treatment of amblyopia in children 10 to <18 years old. Am J Ophthalmol. 2004;137:581–3.CrossRef
6.
go back to reference Mohan K, Saroha V, Sharma A. Successful occlusion therapy for amblyopia in 11- to 15-year-old children. J Pediatr Ophthalmol Strabismus. 2004;41:89–95.PubMed Mohan K, Saroha V, Sharma A. Successful occlusion therapy for amblyopia in 11- to 15-year-old children. J Pediatr Ophthalmol Strabismus. 2004;41:89–95.PubMed
7.
go back to reference Oliver M, Neumann R, Chaimovitch Y, Gotesman N, Shimshoni M. Compliance and results of treatment for amblyopia in children more than 8 years old. Am J Ophthalmol. 1986;102:340–5.CrossRefPubMed Oliver M, Neumann R, Chaimovitch Y, Gotesman N, Shimshoni M. Compliance and results of treatment for amblyopia in children more than 8 years old. Am J Ophthalmol. 1986;102:340–5.CrossRefPubMed
8.
go back to reference Mintz-Hittner HA, Fernandez KM. Successful amblyopia therapy initiated after age 7 years: compliance cures. Arch Ophthalmol. 2000;118:1535–41.CrossRefPubMed Mintz-Hittner HA, Fernandez KM. Successful amblyopia therapy initiated after age 7 years: compliance cures. Arch Ophthalmol. 2000;118:1535–41.CrossRefPubMed
9.
go back to reference Wick B, Wingard M, Cotter S, Scheiman M. Anisometropic amblyopia: is the patient ever too old to treat? Optom Vis Sci. 1992;69:866–78.CrossRefPubMed Wick B, Wingard M, Cotter S, Scheiman M. Anisometropic amblyopia: is the patient ever too old to treat? Optom Vis Sci. 1992;69:866–78.CrossRefPubMed
10.
go back to reference Park KH, Hwang J-M, Ahn JK. Efficacy of amblyopia therapy initiated after 9 years of age. Eye (Lond). 2004;18:571–4.CrossRef Park KH, Hwang J-M, Ahn JK. Efficacy of amblyopia therapy initiated after 9 years of age. Eye (Lond). 2004;18:571–4.CrossRef
11.
go back to reference Pediatric Eye Disease Investigator Group. Randomized trial of treatment of amblyopia in children aged 7 to 17 years. Arch Ophthalmol. 2005;123:437–47.CrossRef Pediatric Eye Disease Investigator Group. Randomized trial of treatment of amblyopia in children aged 7 to 17 years. Arch Ophthalmol. 2005;123:437–47.CrossRef
12.
13.
go back to reference Wright KW, Edelman PM, Walonker F, Yiu S. Reliability of fixation preference testing in diagnosing amblyopia. Arch Ophthalmol. 1986;104:549–53.CrossRefPubMed Wright KW, Edelman PM, Walonker F, Yiu S. Reliability of fixation preference testing in diagnosing amblyopia. Arch Ophthalmol. 1986;104:549–53.CrossRefPubMed
14.
go back to reference Gallaway M, Scheiman M. Assessment of accommodative facility using MEM retinoscopy. J Am Optom Assoc. 1990;61(1):36–9.PubMed Gallaway M, Scheiman M. Assessment of accommodative facility using MEM retinoscopy. J Am Optom Assoc. 1990;61(1):36–9.PubMed
15.
go back to reference Oliver M, Nawratzki I. Screening of pre-school children for ocular anomalies. II. Amblyopia. Prevalence and therapeutic results at different ages. Br J Ophthalmol. 1971;55:467–71.CrossRefPubMedPubMedCentral Oliver M, Nawratzki I. Screening of pre-school children for ocular anomalies. II. Amblyopia. Prevalence and therapeutic results at different ages. Br J Ophthalmol. 1971;55:467–71.CrossRefPubMedPubMedCentral
16.
go back to reference Repka MX, Kraker RT, Beck RW, Birch E, Cotter SA, Holmes JM et al. Treatment of severe amblyopia with atropine: results from 2 randomized clinical trials. J AAPOS. 2009;13(5):529.CrossRefPubMedPubMedCentral Repka MX, Kraker RT, Beck RW, Birch E, Cotter SA, Holmes JM et al. Treatment of severe amblyopia with atropine: results from 2 randomized clinical trials. J AAPOS. 2009;13(5):529.CrossRefPubMedPubMedCentral
17.
go back to reference Pediatric Eye Disease Investigator Group. Two-year follow-up of a 6-month randomized trial of atropine vs patching for treatment of moderate amblyopia in children. Arch Ophthalmol. 2005;123:149–57.CrossRef Pediatric Eye Disease Investigator Group. Two-year follow-up of a 6-month randomized trial of atropine vs patching for treatment of moderate amblyopia in children. Arch Ophthalmol. 2005;123:149–57.CrossRef
18.
go back to reference Pediatric Eye Disease Investigator Group. Impact of patching and atropine treatment on the child and family in the amblyopia treatment study. Arch Ophthalmol. 2003;121:1625–32.CrossRef Pediatric Eye Disease Investigator Group. Impact of patching and atropine treatment on the child and family in the amblyopia treatment study. Arch Ophthalmol. 2003;121:1625–32.CrossRef
19.
go back to reference Lithander J, Sjöstrand J. Anisometropic and strabismic amblyopia in the age group 2 years and above: a prospective study of the results of treatment. Br J Ophthalmol. 1991;75:111–6.CrossRefPubMedPubMedCentral Lithander J, Sjöstrand J. Anisometropic and strabismic amblyopia in the age group 2 years and above: a prospective study of the results of treatment. Br J Ophthalmol. 1991;75:111–6.CrossRefPubMedPubMedCentral
20.
go back to reference Loudon SE, Polling JR, Simonsz HJ. A preliminary report about the relation between visual acuity increase and compliance in patching therapy for amblyopia. Strabismus. 2002;10:79–82.CrossRefPubMed Loudon SE, Polling JR, Simonsz HJ. A preliminary report about the relation between visual acuity increase and compliance in patching therapy for amblyopia. Strabismus. 2002;10:79–82.CrossRefPubMed
22.
go back to reference Moseley MJ, Neufeld M, McCarry B, Charnock A, McNamara R, Rice T, et al. Remediation of refractive amblyopia by optical correction alone. Ophthalmic Physiol Opt. 2002;22:296–9.CrossRefPubMed Moseley MJ, Neufeld M, McCarry B, Charnock A, McNamara R, Rice T, et al. Remediation of refractive amblyopia by optical correction alone. Ophthalmic Physiol Opt. 2002;22:296–9.CrossRefPubMed
23.
go back to reference Stewart CE, Moseley MJ, Fielder AR, Stephens DA; MOTAS Cooperative. Refractive adaptation in amblyopia: quantification of effect and implications for practice. Br J Ophthalmol. 2004;88:1552–6.CrossRefPubMedPubMedCentral Stewart CE, Moseley MJ, Fielder AR, Stephens DA; MOTAS Cooperative. Refractive adaptation in amblyopia: quantification of effect and implications for practice. Br J Ophthalmol. 2004;88:1552–6.CrossRefPubMedPubMedCentral
Metadata
Title
Eye patching as a treatment for amblyopia in children aged 10–16 years
Authors
Elif Erdem
Gül Yılmaz Çınar
Deniz Somer
Necati Demir
Ayse Burcu
Firdevs Örnek
Publication date
01-07-2011
Publisher
Springer Japan
Published in
Japanese Journal of Ophthalmology / Issue 4/2011
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-011-0029-z

Other articles of this Issue 4/2011

Japanese Journal of Ophthalmology 4/2011 Go to the issue