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Choroidal Thickness in Strabismus and Amblyopia Cases.

Leyla Niyaz1, Ozlem Eski Yücel1, Nurşen Arıtürk1

  • 1a Department of Ophthalmology , Ondokuz Mayis University Hospital , Samsun , Turkey.

Strabismus
|May 3, 2017
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Summary

Children with anisometropic amblyopia have thicker choroids. However, choroidal thickness did not significantly differ in esotropic or exotropic amblyopic eyes compared to their fellow eyes.

Keywords:
amblyopiaanisometropiachoroidal thicknessesotropiaexotropia

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Retinal Imaging

Background:

  • Amblyopia, a condition of reduced vision, can arise from various factors including refractive errors and eye misalignment.
  • Choroidal thickness is a key indicator of ocular health and can be affected by underlying ocular conditions.
  • Understanding choroidal changes in different types of amblyopia is crucial for diagnosis and management.

Purpose of the Study:

  • To investigate the impact of hypermetropia and different types of amblyopia (anisometropic, exotropic, esotropic) on choroidal thickness in children.
  • To compare choroidal thickness between amblyopic eyes, fellow eyes, and healthy controls.

Main Methods:

  • A prospective, cross-sectional study involving 120 children under 16 years old.
  • Measurement of choroidal thickness in participants with hypermetropia, anisometropia, esotropia, exotropia, and in control groups.
  • Comparative analysis of choroidal thickness across different study groups.

Main Results:

  • Mean subfoveal choroidal thickness was 323.9±69.0 µm in controls and 348.9±64.5 µm in hypermetropia.
  • Amblyopic eyes in the anisometropic group were significantly thicker than fellow (P=0.004) and control (P=0.03) eyes.
  • No significant differences in choroidal thickness were found between amblyopic and fellow eyes in the esotropic or exotropic groups, or when compared to controls.

Conclusions:

  • Anisometropic amblyopic eyes exhibit significantly thicker choroids compared to fellow and control eyes.
  • Choroidal thickness does not significantly differ between amblyopic and fellow eyes in patients with esotropic or exotropic amblyopia.
  • These findings highlight a specific association between anisometropia and choroidal thickening in pediatric amblyopia.