Treatment of strabismic amblyopia with refractive correction

Am J Ophthalmol. 2007 Jun;143(6):1060-3. doi: 10.1016/j.ajo.2007.02.029.

Abstract

Purpose: To report data on the response of previously untreated strabismic amblyopia to spectacle correction.

Design: Prospective, interventional case series.

Methods: Twelve patients with previously untreated strabismic amblyopia were prescribed spectacles and examined at five-week intervals until visual acuity was not improved from the prior visit.

Results: Amblyopic eye acuity improved by 2 lines or more from spectacle-corrected baseline acuity in nine of the 12 patients (75%), resolving in three (interocular difference <or=1 line). Mean change from baseline to maximum improvement was 2.2 +/- 1.8 lines. Improvement continued for up to 25 weeks.

Conclusions: These results support the suggestion from a prior study that strabismic amblyopia can improve and even resolve with spectacle correction alone. Larger studies with concurrent controls are needed to confirm or refute these findings.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Amblyopia / therapy*
  • Child
  • Child, Preschool
  • Eyeglasses*
  • Female
  • Humans
  • Male
  • Prospective Studies
  • Strabismus / therapy*
  • Vision, Binocular
  • Visual Acuity