Visual acuity deficits in the fellow eyes of children with unilateral amblyopia
Visual acuity deficits in the fellow eyes of children with unilateral amblyopia
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DOI：
10.1016/j.jaapos.2011.09.016
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发表时间：
2012-02-01
期刊：
影响因子：
1.6
通讯作者：
Hussaindeen, Jameel Rizwana
中科院分区：
文献类型：
--
作者：
Varadharajan, Srinivasa;Hussaindeen, Jameel Rizwana
目的研究单眼弱视儿童在接受遮盖治疗后对侧眼的视力缺陷和视力成熟情况。方法回顾性分析2003年1月至2007年12月间首次被诊断为单眼弱视的4-13岁三级眼保健中心就诊患者的病历。研究中纳入的受试者随访至2009年4月。将弱视受试者对侧眼的基线视力与年龄匹配的健康受试者进行比较。弱视和对侧眼视力的变化在随后的visits.Results共112名儿童弱视包括（斜视，14;屈光参差，51;联合机制，47）。基线视力在这些儿童的对侧眼睛的显着不同的年龄匹配的控制，直到8岁。对照组5岁时的平均logMAR视力达到0.0，而患者9岁时达到0.0。虽然在治疗过程中平均视力提高了，但21%的患者出现了暂时性遮盖性弱视。全职修补没有额外的好处相比，部分时间patching.CONCLUSIONS视力在对侧眼的单眼弱视儿童在基线和成熟更慢，比健康对照组患者。对侧眼暂时性遮盖性弱视的风险与先前报道的相似。（J AAPOS 2012;16：41-45）
PURPOSE To study the visual acuity deficits and maturation in the fellow eyes of children with unilateral amblyopia who were treated with patching.METHODS Medical records of patients aged 4-13 years visiting a tertiary eye care center between January 2003 and December 2007 who were diagnosed for the first time with unilateral amblyopia were reviewed. Subjects included in the study were followed through April 2009. The baseline visual acuity in the fellow eye of amblyopic subjects was compared with that of age-matched healthy subjects. Changes in visual acuity in the amblyopic and fellow eyes during subsequent visits were analyzed.RESULTS A total of 112 children with amblyopia were included (strabismic, 14; anisometropic, 51; combined mechanism, 47). Baseline visual acuity in the fellow eye of these children differed significantly from that of age-matched controls up to 8 years of age. Average logMAR acuity reached 0.0 at age 5 years in controls versus age 9 years in patients. Although the mean visual acuity of the fellow eves improved during treatment, 21% developed temporary occlusion amblyopia. Full-time patching had no additional benefit when compared with part-time patching.CONCLUSIONS Visual acuity in the fellow eye of children with unilateral amblyopia is reduced at baseline and matures more slowly than in healthy control patients. The risk for temporary occlusion amblyopia in the fellow eye is similar what has been previously reported. (J AAPOS 2012;16:41-45)