Purpose: To evaluate the improvement in visual acuity (VA) in children 3 to 7 years old with hypermetropic amblyopia after full or partial hypermetropic correction.
Design: Retrospective interventional case series.
Methods: Medical records of 182 children with hypermetropic amblyopia treated with partial or full hypermetropic correction from January 1, 2001 to July 31, 2007 were evaluated. Improvement in the VA of the amblyopic eye, changes in the power of glasses, and the reduction in hypermetropia were assessed.
Results: Ninety-three children underwent full hypermetropic correction and the mean VA of their amblyopic eyes improved by 0.46 logarithm of minimal angle of resolution (logMAR). Eighty-one children underwent partial hypermetropic correction and the mean VA of their amblyopic eyes improved by 0.48 logMAR. The reduction in hypermetropia was 0.44 diopters (D)/year and 0.43 D/year, respectively. Changes in glasses at four to eight weeks of follow-up were noted in 11 children receiving full correction, all of whom were older than 5 years. Ten children, aged 3 to 5 years, with hypermetropia of more than 3 D and receiving partial correction, required a change of glasses and most (seven children) had underdiagnosed accommodative esotropia.
Conclusions: Both full correction and partial correction of hypermetropic errors improved the VA of 3 to 7-year-old children with hypermetropic amblyopia. The reduction in hypermetropia was similar after full and partial hypermetropic correction. However, for children older than 5 years, full correction should be undertaken with care because the accompanying blur at distance can hinder compliance. For younger children, especially with a high degree of hypermetropia, full correction might be required to avoid strabismus, which would cancel the effects of spectacle correction.
My eight year old daughter was terrified to go to the eye doctor for fear of her eyes being dilated. The doctor was SO KID friendly! He immediately made her comfortable by engaging her in conversation. It was a geat experience.
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I have been coming to Family Vision Center for almost 20 years. Dr. Garbus has been able to help my vision when other doctors could not. Now my kids see him as well. I highly recommend this office!
The Doctor is very good. I felt on this visit he seemed rushed. I had questions to ask him but he was already with another patient. I still do not know if my eyes are the same , worse, or better.
All the staff is friendly, helpful and knowledgeable, and has been for all the years I have been going there.
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