Combined passive and active treatment in strabismic amblyopia with accommodative component
Ainhoa Molina-Martín1, Santiago Martín-González2, Igor Illarramendi-Mendicute3
1Department of Optics, Anatomy and Pharmacology, University of Alicante, Alicante, Spain.
Clinical & Experimental Optometry
|September 30, 2020
Summary
This study introduces a new treatment protocol for amblyopia in esotropic patients, improving both visual acuity and binocular vision. The intervention tailors therapy based on the type of esotropia, offering a more effective approach.
Area of Science:
- Ophthalmology
- Pediatric Optometry
Background:
- Conventional treatment for amblyopia with accommodative esotropia (optical correction and patching) improves visual acuity but not binocular vision.
- A novel intervention protocol is presented to enhance outcomes in these patients.
Purpose of the Study:
- To evaluate an intervention protocol for amblyopia in esotropic subjects with an accommodative component.
- To assess improvements in visual acuity and binocular vision.
Main Methods:
- A retrospective study included 26 subjects (ages 6-13) with amblyopia and accommodative esotropia.
- Subjects received optical correction and patching (passive therapy). Partially accommodative esotropia cases also underwent active therapy (prisms, vergence therapy, or surgery).
Main Results:
- Significant improvement in best-corrected visual acuity (logMAR) in the amblyopic eye (0.40 to 0.06, p < 0.001).
- All subjects achieved excellent stereoacuity (≤ 800'') post-treatment.
- The study included hyperopic subjects with a median detection age of three years.
Conclusions:
- The proposed treatment protocol effectively manages amblyopia in esotropic patients with an accommodative component.
- The protocol guides treatment decisions, differentiating between fully accommodative (passive therapy) and partially accommodative (combined therapy) esotropia.
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