Ophthalmology Department, Faculty of Medicine, Cukurova University, Seyhan Park Evleri, M blok, 2/3 Yuregir, 01370, Adana, Turkey.
Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey.
Jpn J Ophthalmol. 2011 Jul;55(4):389-395. doi: 10.1007/s10384-011-0029-z. Epub 2011 Jun 7.
To investigate the effects of full-time patching regimen on the treatment of amblyopia in children aged 10-16 years.
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.
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%).
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.
研究全天遮盖方案对 10-16 岁儿童弱视的治疗效果。
本研究纳入 47 例患者，平均年龄为 12.09±1.65 岁。所有患者在前 3 个月内全天遮盖眼睛，每周 6 天。第 3 个月时视力达到 0.00 logMAR 的患者接受额外的遮盖治疗（4-6 小时/天）。而第 3 个月时视力没有提高或提高幅度小于 0.00 logMAR 的患者则继续全天遮盖 3 个月，每周 6 天。
治疗前，弱视眼最佳平均视力为 0.48±0.25（范围为 1.00-0.15）logMAR。随访后，弱视眼的视力为 0.20±0.22（范围为 1.00-0.00）logMAR。因此，47 例患者中有 38 例（81%）弱视眼的视力提高了 0.2 个 log 单位或以上。
本研究结果表明，全天遮盖治疗大龄儿童弱视可提高视力，且无严重并发症。使用遮盖治疗儿童弱视具有广阔的前景。
