Department of Pediatric Ophthalmology, Wills Eye Institute, Philadelphia, PA 19107, USA.
Pediatrics. 2013 Mar;131(3):540-7. doi: 10.1542/peds.2012-1622. Epub 2013 Feb 4.
Amblyopia is the most common cause of preventable visual loss in children. This article reviews treatment options, durations, and efficacy in randomized multicentered trials conducted by the Pediatric Eye Disease and Investigator Group in the last decade. Parents and patients should be counseled that many forms of treatment are efficacious, allowing the option of choice of best-tolerated treatment method. Compliance is key to successful treatment. The course of treatment is likely at least 6-12 months, with yearly follow-up suggested once amblyopia has been treated to monitor for regression.
弱视是儿童中最常见的可预防的视力丧失原因。本文回顾了过去十年中由儿科眼病和研究者小组在多中心随机试验中进行的治疗选择、持续时间和疗效。应该告知家长和患者,许多形式的治疗都是有效的,因此可以选择最耐受的治疗方法。依从性是成功治疗的关键。治疗过程可能至少需要 6-12 个月,建议在治疗弱视后每年进行随访,以监测是否有复发。