소아의 단안 고도 근시성 부등시 눈에서 콘택트렌즈 착용과 약시 치료

• 영문명: Contact Lens and Amblyopia Treatment in Children With Unilateral High Myopic Anisometropia
• 발행기관: 대한안과학회
• 저자명: 이병주 김정훈 유영석,Byung Joo Lee, MD, Jeong Hun Kim, MD, PhD,, Young Suk Yu, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number1, 88~94쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.01.15

영문 초록

Purpose: To report the clinical outcome of children with unilateral high myopic anisometropic amblyopia who were treated with contact lenses (CL). Methods: Patients who had myopic anisometropia greater than -7 diopters and was treated with contact lenses combined with occlusion therapy during the period between 1998 and 2007 were retrospectively reviewed. Twenty-seven patients who were followed up for more than 1 year after treatment were included in the study. Initial and final best corrected visual acuities (BCVA) were compared and factors which influence the visual outcome were analyzed. Results: A total of 10 out of 27 patients (37%) acquired visual improvement of more than 2 lines. At the final examination, 6 patients (22.2%) had BCVA better than logMAR 0.3 and 10 patients (37.0%) had BCVA better than logMAR 0.7. Medullated nerve fiber and strabismus were the most commonly associated ocular pathologies among the patients. Patients without strabismus or medullated nerve fiber acquired greater visual improvement than patients with these comorbidities. Patients with lower initial refractive error (spherical equivalent) in the amblyopic eye acquired a better final vision. Poor compliance to CL wearing or occlusion therapy adversely affected the final vision. Conclusions: In the present study of children with unilateral severe myopic anisometropic amblyopia treated with CL combined with occlusion therapy, a third of the patients acquired visual improvement of more than 2 lines. The absence of medullated nerve fiber or strabismus was determined to be a good prognostic factor. J Korean Ophthalmol Soc 2010;51(1):88-94

키워드

Amblyopia treatment, Anisometropic amblyopia, Contact lens, Pediatric ophthalmology