Clinical analysis of comprehensive treatment for children with heterogeneous severe amblyopia / 中国医师进修杂志

ABSTRACT

Objective To observe the effect of comprehensive treatment in children with severe amblyopia.Methods One hundred and forty children(140 eyes)with severe amblyopia aged 5-14 were divided into two groups.The patients in both groups received cover method,drug suppression method, fine cross training.Patients in experimental group received the treatment of wearing rigid gas permeable contact len(RGPCL)combined with machine instrument training and patients in control group received the treatment of wearing suitable frame mirror. They were followed up for 18 months. Results After treatment of 18 months,the total effective rate in experimental group was significantly better than that in control group100.0%(68/68)vs. 80.6%(58/72),P < 0.01. Before treatment,the three-level visual function rate in two groups had no significant difference(P > 0.05). After 3 months'training with the visual machine,the three-level visual function rate in experimental group was significantly higher than that in control group 80.9%(55/68)vs. 63.9%(46/72),P < 0.05. Conclusions Active amblyopia treatment is effective and the two sides should cooperate effectively.The patients with severe amblyopia who receive wearing RGPCL combined with machine instrument training treatment is better than those of wearing frame mirror and the safety and efficacy is guaranteed.