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Treatment of strabismic amblyopia with refractive correction. 2007
Susan A Cotter, and
Allison R Edwards, and
Robert W Arnold, and
William F Astle, and
Carmen N Barnhardt, and
Roy W Beck, and
Eileen E Birch, and
Sean P Donahue, and
Donald F Everett, and
Joost Felius, and
Jonathan M Holmes, and
Raymond T Kraker, and
B Michele Melia, and
Michael X Repka, and
David K Wallace, and
Katherine K Weise, and
Jaeb Center for Health Research, 15310 Amberly Drive, Suite 350, Tampa, FL 33647, USA. pedig@jaeb.org
OBJECTIVE To report data on the response of previously untreated strabismic amblyopia to spectacle correction. METHODS Prospective, interventional case series. METHODS Twelve patients with previously untreated strabismic amblyopia were prescribed spectacles and examined at five-week intervals until visual acuity was not improved from the prior visit. RESULTS Amblyopic eye acuity improved by 2 lines or more from spectacle-corrected baseline acuity in nine of the 12 patients (75%), resolving in three (interocular difference <or=1 line). Mean change from baseline to maximum improvement was 2.2 +/- 1.8 lines. Improvement continued for up to 25 weeks. CONCLUSIONS These results support the suggestion from a prior study that strabismic amblyopia can improve and even resolve with spectacle correction alone. Larger studies with concurrent controls are needed to confirm or refute these findings.
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