Tan J H Y, Thompson J R, Gottlob I
Department of Ophthalmology, University Hospitals of Leicester, Leicester, UK.
Br J Ophthalmol. 2003 Mar;87(3):291-6. doi: 10.1136/bjo.87.3.291.
Amblyopia treatment is not standardised and differences between centres and countries have not been systematically investigated. This survey compares the different patterns of orthoptic treatment of amblyopia in the United Kingdom (UK) and three German speaking countries (GSC).
Questionnaires were sent to orthoptists in the UK and the GSC asking for their preferred choices of treatment of amblyopia between the ages of 6 months to 10 years.
The following significant differences in management of amblyopia were found: (1) the number of hours of occlusion per week was higher in the GSC, p<0.0001, (2) orthoptists in the GSC treat amblyopia up to an older age. Orthoptists in the GSC and in the UK predicted similar treatment outcomes.
Orthoptists in the GSC usually treat patients more intensively and for longer, while the prediction of visual outcome does not differ significantly between countries. These results highlight the lack of standardisation in the treatment of the various types of amblyopia.
弱视治疗尚未标准化,不同中心和国家之间的差异也未得到系统研究。本调查比较了英国(UK)和三个讲德语国家(GSC)弱视的不同斜视治疗模式。
向英国和GSC的斜视矫正师发送问卷,询问他们对6个月至10岁弱视治疗的首选方法。
发现弱视管理存在以下显著差异:(1)GSC每周遮盖小时数更多,p<0.0001,(2)GSC的斜视矫正师治疗弱视的年龄更大。GSC和英国的斜视矫正师预测的治疗结果相似。
GSC的斜视矫正师通常治疗更密集、时间更长,而各国之间视觉结果的预测没有显著差异。这些结果凸显了各类弱视治疗缺乏标准化。