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[Does amblyopia therapy make sense in eyes with severe organic defects?]
D Lengyel1, G Klainguti, D S Mojon
1Augenklinik, Kantonsspital St. Gallen, Schweiz.
Background:
In eyes with severe organic defects the question arises if amblyopia therapy makes sense.
Patients And Methods:
Three children are presented in whom despite severe organic eye diseases amblyopia therapy was tried. The first child had a unilateral large macular scar secondary to retinoblastoma treatment, the second a unilateral severe optic nerve atrophy secondary to an orbital hemangioma, and the third a unilateral large optic nerve coloboma.
Results:
In the first case a reading visual acuity of 0.9 was achieved by occlusion therapy and in the second a reading visual acuity of 0.5. In the third case occlusion lead to alternation of the divergent strabismus (child too strongly retarded for reliable visual acuity measurements).
Conclusions:
During the sensitive phase, amblyopia therapy is also indicated in eyes with severe organic defects since good visual acuities can be achieved.