Sensory Adaptations in Strabismus在斜视感觉适应.pptVIP

Occlusion and Optical Degradation Part-time occlusion, defined as occlusion for 1-6 hours per day, has been shown to achieve the same results as the prescription of full-time occlusion. The relative duration of patch-on and patch-off intervals should reflect the degree of amblyopia; for moderate to severe deficits, at least 6 hours per day is preferred. Compliance with occlusion therapy for amblyopia declines with increasing age. The effectiveness of more acceptable part-time patching regimens in older children is being actively investigated. Furthermore, studies in older children with amblyopia have shownthat treatment can still be beneficial beyond the first decade of life. This is especially true in children who have not previously undergone treatment. Other methods of amblyopia treatment involve optical degradation of the better eyes image to the point that it becomes inferior to the amblyopic eyes, an approach often called penalization. Use of the amblyopic eye is thus promoted within the context of binocular seeing. Studies have demonstrated that pharmacologic penalization can be used to successfully treat moderate levels of amblyopia. The improvement in vision has been shown to be similar to that obtained with the prescription of patching. Other methods of amblyopia treatment A cycloplegic agent (usually atropine 1% drops or homatropine 5% drops) is administered to the better-seeing eye so that it is unable to accommodate. As a result, the better eye experiences blur with near viewing and, if uncorrected hyperopia is present, with distance viewing. This form of treatment has been demonstrated to be as effective as patching for mild to moderate amblyopia (visual acuity of 20/100 or better in the amblyopic eye). Depending on the depth of amblyopia and the response to prior treatment, the hyperopic correction of the dominant eye can be reduced to enhance the effect. Regular follow-up of patients whose amblyopia is being treated with cycloplegia is important