가림치료에 실패한 한눈 약시환자의 임상양상과 대안

• 영문명: Clinical Features and Counterplans of Monocular Amblyopia Failed to Occlusion Therapy
• 발행기관: 대한안과학회
• 저자명: 구희찬 이세엽 이영춘,Hee-Chan Ku, M.D., Se-Youp Lee, M.D., Young-Chun Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number7, 1158~1166쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.07.31

영문 초록

Purpose: To investigate the clinical features of monocular amblyopia which failed to respond to occlusion therapy. Methods: We retrospectively reviewed the records of 57 children who failed to respond to occlusion therapy. Treatment failure was defined in two ways: visual improvement failure indicating less than two lines of visual acuity improvement, and functional failure indicating a final visual acuity in the amblyopic eye worse than 20/40 after more than 3 months of occlusion therapy. We investigated the clinical features of the patients and also classified and analyzed the factors related to prognosis into fixed factors and adjustable factors according to the adjustability during treatment. Results: The visual acuity of the amblyopic and sound eyes was and average of 0.20±0.12 (0.02~0.5) and 0.80±0.18 (0.5~1.0), respectively. Forty-one patients (71.9%) had strabismus and esotropia was most frequent (65.9%). According to the age distribution, the 5~6-year-old group was most frequent (21 patients, 36.8%). Four adjustable factors, the interval from diagnosis to treatment, good compliance, full term occlusion, and sufficient occlusion, were insufficiently applied to the visual improvement failure group and the functional failure group as 60% and 53.1%, respectively. Conclusions: Clinical features of monocular amblyopia which failed to respond to occlusion therapy were moderate amblyopia with strabismus and relatively younger children. There was room for improvement to additional treatment of 50～60%.

키워드

Adjustable factors, Amblyopia, Occlusion therapy, Treatment failure