Risk Factors in Recurrence of Amblyopia after Successful Occlusion Therapy
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
Context: Recurrence after successful treatment of amblyopia is known and understanding the risk factors could help effective management. Aim: To measure incidence of recurrence in successfully treated cases of anisometropic amblyopia. Settings and Design: It is a cohort Study at a tertiary level institution. Materials and Methods: Successfully treated anisometropic amblyopes aged 5−16 years were followed up for 1 year after stopping therapy. Each patients best corrected visual acuity (BCVA) and refractive error if, any were tested at baseline and follow-up. Statistical Analysis: Chi-square test and paired t-test. Results: One hundred children attending opd with mean age at diagnosis 7.06 years were followed-up for a mean duration of 1.0 to 1.5years. The mean pre-treatment BCVA (Log MAR score) at diagnosis was 0.73 to 0.36 units which improved to 0.20 to 0.00 with treatment and after 1 year of stopping treatment was 0.22 to 0.07. Twelve (12%) patients showed amblyopia recurrence during follow-up. Risk of recurrence was higher with older age of onset of treatment (more than 12years P = 0.0014). Good intial results in improvement of visual acuity (p=0.048) were associated with higher recurrence rate. Conclusions: Amblyopia can recurrer in children after intial successful occlusion therapy. The most important risk factors noted were older age at presentation and good improvement in visual acuity. All patients therefore should be carefully followed up even after successful occlusion therapy to prevent recurrence of amblyoipia.
Authors and Affiliations
Z. Sumera
Keywords
Related Articles
- EP ID EP529654
- DOI -
- Views 95
- Downloads 0
To Compare the Indications, Procedures, Efficacy and Complications of Endoscopic over Conventional Septoplasty in cases of Pathological Nasal Septum at Tertiary Care Centre of Central India
The present study was carried out in Tertiary Care Centre of Central India and total of 100 patients with clinical evidence of nasal obstruction were evaluated with CT scan PNS (coronal view) and by nasal endoscopy manag...
Group A Beta Hemolytic Streptococcal Sore Throat in Children – A Descriptive Epidemiological Study
Background: Sore throat is one among the common complaints in any pediatric healthcare, viruses being the major causative organism. Nevertheless, Group A streptococcal pharyngitis accounts for up to 37% cases in children...
Magnitude and characteristics of Road Traffic Accidents in Kashmir Valley
An alarming increase in morbidity and mortality owing to road traffic accidents over the past few decades is becoming a routine and matter of great concern globally. Road traffic crashes account for one fourth of the tot...
Metabolic Encephalopathy in Elderly with a Special Focus on Thyroid Function and Hashimotos Encephalopathy
Objective: Metabolic encephalopathy is a common cause for morbidity and mortality in elderly. Metabolic disturbances are frequent causes of impaired consciousness and their presence must always be considered when there a...
A Clinicopathological Study and Management of Diabetes Skin Ulcers – An Institutional Experience
Background: Diabetes is a worldwide problem. A good number of diabetic patients develop wound in one point of time or other during the course of their illness. The etiopathogenesis of diabetic lesions are multifactorial....