Certain aspects of amblyopia treatment in children

Purpose: to identify treatment efficiency factors in various forms of amblyopia. Material and methods. Histories of 31945 amblyopic children aged 17 or under over a 5-year period were analyzed retrospectively. The analysis showed that 30 % of patients (9587 children, 14431 eyes) were diagnosed with amblyopia during this period. The treatment methods included a laser ophthalmotherapeutic device “Speckle-M”, an Ambliokor-0 complex, and a Vizotronik eye muscle training device and relaxer. Results. Of the 14431 eyes with amblyopia, 4101 eyes (28.4%) received no treatment or irregular treatment. In treated patients with low amblyopia, had pre-treatment visual acuity of 0.62 ± 0.02, which increased to reach 0.88 ± 0.08 after the fifth course of treatment. Conclusion. Amblyopia was diagnosed for the first time at an age over 6 years in more than 30 % of children, which is an unfavorable factor affecting the prognosis of amblyopia treatment. Despite the absence or irregularity of instrumental treatment, patients with refractive amblyopia showed an increase in visual acuity over the 5-year period. Instrumental treatment is necessary for patients with anisometropic, dysbinocular and obscuration amblyopia. For citation: Chuprov A.D., Borshchuk E.L., Voronina A.E. Certain aspects of amblyopia treatment in children. Russian ophthalmological journal. 2018; 11 (1): 24-9. doi: 10.21516/2072-0076-2018-11-1-24-29 (In Russian)