Title: Full Time Occlusion: Still a Good Option in Older Age Amblyopia
Authors: Sumera Zargar, Imran Mir, Rameez Ganai
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.89
Abstract
Materials and Methods: This was a retrospective consecutive case series analysis of children treated for amblyopia at a tertiary care center in squint clinic. All children were advised and received full time occlusion (FTO) for the dormant eye.
Results: Hundred children older than 6 years at the time of initiation of therapy were included. Age at initiation of ranged from 6 to 18 years (mean age 11yrs,SD 1.33)Forty-six children were between 6-10yr,32 between 10-14yrs and 22 between 14-18yrs of age .31%of children had severe amblyopia with BCVA ranging from counting fingers to 6\60 on Snellens chart,64% had moderate amblyopia and 5% had mild anisometropic amblyopia. After six months of occlusion therapy seventy nine (79%) patients had improvement in visual acuity (p=0.017). Out of 21 children older than 12 years, only 14 children (66.6%) had improvement in VA. Mean follow-up after complete stoppage of occlusion was 8.57 ± 1.76 months.
Conclusion: Occlusion therapy yields favorable results in anisometropic amblyopia, even when initiated for the first time after 6 years of age. After 12 years of age, some children may still respond to occlusion of the dominant eye.
Keywords: Amblyopia, occlusion.
