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Published on: September 20, 2024
Amblyopia therapy in children with penetrating corneal injuries
Khyati Jain1, Amit Jain1, Jayesh Patil1
1Department of Pediatric Ophthalmology and Strabismus, Shri Ganapati Netralaya, Jalna, Maharashtra, India.
Insights
Part-time occlusion therapy shows promising results for improving vision in children with penetrating ocular trauma. This amblyopia treatment, following surgery, significantly enhances visual outcomes in pediatric patients.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Part-time occlusion therapy's role in pediatric penetrating ocular injuries remains unexamined.
- Investigating part-time occlusion therapy for children with penetrating ocular trauma post-surgery.
Purpose of the Study:
- To analyze the efficacy of part-time occlusion therapy in children with penetrating ocular trauma.
Main Methods:
- Retrospective case series with a median follow-up of 17 months.
- Included consecutive pediatric patients with penetrating corneal tear injuries undergoing surgical intervention.
- Patients received part-time occlusion therapy; those with good compliance were analyzed.
Main Results:
- 26 children (23 male, 3 female; median age 5 years) were included.
- Initial visual acuity at 6 weeks was 0.85 logMAR; final visual acuity improved to 0.48 logMAR.
- Improvement in visual outcome before and after amblyopia therapy was statistically significant (P = 0.007).
Conclusions:
- Amblyopia therapy demonstrates positive outcomes for pediatric penetrating intraocular injury patients with corneal scars.
- Further research with larger populations is recommended to validate these findings.
Background:
The role of part-time occlusion therapy in children with penetrating ocular injuries has not been studied. The aim of the study is to analyze the role of part-time occlusion therapy in children with penetrating ocular trauma following surgical intervention.
Materials And Methods:
This is a retrospective case series with a median follow-up of 17 months (range: 3-105 months). The study was carried out at a tertiary referral center. Consecutive children with penetrating corneal tear injury who underwent surgical intervention were included in the study. These patients were subjected to part-time occlusion, and those with good compliance and follow-up were included in the study. The role of part-time occlusion therapy in children with ocular trauma is studied.
Results:
There were 26 patients included in the study of which 23 were male and 3 were female, with a median age at presentation of 5 years (range: 1-11 years). The vision following surgical intervention at 6 weeks was 0.85 logMAR units (range: 0.3-2.8). Final median visual acuity was 0.48 logMAR units (range: 0-2). Paired t-test done for improvement in visual outcome before and after amblyopia therapy was statistically significant (P = 0.007).
Conclusion:
Amblyopia therapy shows promising results for patients following penetrating intraocular injury despite corneal scar in the visual axis in our group. A study on larger population is indicated.
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