Doctor's Program of Medical Science, Kitasato University Graduate School, 1-15-1 Kitasato, Sagamihara 252-0374, Japan.
Department of Rehabilitation, Orthoptics and Visual Science Course, School of Allied Health Sciences, Kitasato University, 1-15-1 Kitasato, Sagamihara 252-0373, Japan.
Biomed Res Int. 2018 Feb 19;2018:2459696. doi: 10.1155/2018/2459696. eCollection 2018.
We evaluated amblyopia treatment, comparing training with glasses only and training with glasses and the Occlu-pad, a binocular open-type amblyopia training device. Forty-six children (4.8 ± 1.1 years) diagnosed with anisometropic amblyopia, all wearing complete correction glasses, were treated either with glasses only, or with glasses in combination with the Occlu-pad (training time: 2 days a week, 30 minutes per day). We compared visual acuity scores at 3 and 6 months after treatment had started, and examined the compliance rate for the Occlu-pad training. Three months as well as 6 months after amblyopia treatment started, the "Occlu-pad treatment group" showed significantly improved visual acuity, compared to the "Glasses treatment group" (at both 3 and 6 months: < 0.0001). The compliance rate for using the Occlu-pad was 88.4 ± 18.7% after 3 months and 69.6 ± 19.5%, after 6 months. There was no significant correlation between the training time using the Occlu-pad and improvement in visual acuity (3 months: = 0.97; 6 months: = 0.55). The compliance rate for months 4 to 6 was significantly lower than that for months 1 to 3 ( = 0.003). Amblyopia treatment using the Occlu-pad device in combination with glasses led to a better effect than treatment with glasses alone.
我们评估了弱视治疗,比较了仅戴眼镜训练和戴眼镜加 Occlu-pad(一种双眼开放式弱视训练设备)训练的效果。46 名(4.8±1.1 岁)被诊断为屈光不正性弱视的儿童,均佩戴完全矫正眼镜,分别接受仅戴眼镜或戴眼镜加 Occlu-pad(训练时间:每周 2 天,每天 30 分钟)治疗。我们比较了治疗开始后 3 个月和 6 个月时的视力评分,并检查了 Occlu-pad 训练的依从率。弱视治疗开始后 3 个月和 6 个月,“Occlu-pad 治疗组”的视力明显优于“眼镜治疗组”(均为 < 0.0001)。治疗 3 个月后,Occlu-pad 的依从率为 88.4±18.7%,6 个月后为 69.6±19.5%。使用 Occlu-pad 的训练时间与视力改善之间无显著相关性(3 个月: = 0.97;6 个月: = 0.55)。治疗 4 至 6 个月的依从率明显低于治疗 1 至 3 个月( = 0.003)。与单独戴眼镜治疗相比,使用 Occlu-pad 联合眼镜治疗弱视的效果更好。