[Pleoptic therapy in anisometropic and strabismic amblyopia]

The study aims at describing the current trends in pleoptic treatment with a special attention paid to the practised exercises. On the basis of literature a short review of the pathogenesis of amblyopia with or without strabismus is presented. The need for careful choice of the treatment according to specific conditions in each subject is emphasised. The importance of active pleoptic therapy in cases with or without strabismus is particularly pointed out. In anisometropia contrast sensitivity is decreased, differentiation of optotypes put in line and shape differentiation are worsened, ability to discern figures and to accommodation are impaired. Amblyopia with strabismus leads to decrease in space orientation ability, impairment in following movement, prolongation of saccadic movement and of eye-hand coordination time. The types of visual dysfunction mentioned above determine the exercises which should be recommended in a given case. Examples of exercises are presented and the range of improvement possible to achieve is documented.