Tayyab Ali, Kausar Ayisha, Masrur Amena, Naseem Kamran
Department of Ophthalmology, Shifa College of Medicine, Islamabad, Pakistan.
J Pak Med Assoc. 2013 Feb;63(2):260-2.
Amblyopia is characterised by decrease in vision in one or both eyes as a result of processing defect in the visual pathways of the brain. It is considered an irreversible process if detected in the adult age group. This study was conducted from July 1 to December 31, 2010, at Shifa Foundation Community Health Centre, Islamabad, to determine if anisometropic amblyopia detected in adults can be reversed. A total of 15 adults, 11 (73.33%) males and 4 (26.66%) females, were managed for anisometropic amblyopia. All the patients were prescribed full cycloplegic correction in the anisometropic eye simultaneously with part-time occlusion therapy. Success was defined as visual acuity of 6/18 or better at the end of the therapy. All patients were required to complete a structured questionnaire regarding their experiences with the therapy. Reversal of amblyopia was observed in 11 (73.33%) patients who felt more confident about performing tasks for which they had earlier considered themselves unsuitable. Poor compliance was responsible for not producing the desired outcome in 4 (26.66%) patients. Anisometropic amblyopia in adults is reversible with dedicated efforts on behalf of both the ophthalmologist and the patient.
弱视的特征是由于大脑视觉通路的处理缺陷导致一只或两只眼睛的视力下降。如果在成人年龄组中检测到，这被认为是一个不可逆的过程。本研究于2010年7月1日至12月31日在伊斯兰堡的希法基金会社区健康中心进行，以确定成人中检测到的屈光参差性弱视是否可以逆转。共有15名成人接受了屈光参差性弱视治疗，其中11名（73.33%）男性和4名（26.66%）女性。所有患者均被处方在屈光参差性眼睛中同时进行充分的睫状肌麻痹矫正和部分时间遮盖疗法。成功的定义是治疗结束时视力达到6/18或更好。所有患者都被要求完成一份关于他们治疗经历的结构化问卷。11名（73.33%）患者的弱视得到了逆转，他们对执行以前认为自己不适合的任务更有信心。4名（26.66%）患者因依从性差而未产生预期结果。成人屈光参差性弱视通过眼科医生和患者双方的共同努力是可以逆转的。
