Mona Raghavendra Deshmukh1, Ashok Hukumchand Madan2, Karuna Radhakishan Painjane3, Ravi R. Dekate4
The aim of the study is to-
1. Diagnose strabismic, anisometropic and mixed amblyopia in age group 5-15 years.
2. Analyse these patients for age, sex, type of refractive error, type of squint, type of fixation pattern and classify them
3. Study effectiveness of different amblyopia treatments in this age group.
MATERIALS AND METHODS
Patients in 5-15 years of age in a period of two years were selected and assessed for amblyopia, which included a detailed
history, visual acuity, retinoscopy, ocular movements and alignment, slit lamp examination, fundus examination. Patients were
given amblyopia treatment and assessed for improvement.
Settings and Design- Hospital-based descriptive study in a period of two years.
In 32 amblyopic patients, maximum patients were of age group between 5-7 years. 53.12% of patients were females. Amblyopia
was predominant among anisometropic patients (75%) with maximum of refractive error difference between 2.00 D to 4.00 D.
Amongst them, maximum amblyopes were having hypermetropia with astigmatism (37.50%). In the strabismic type, esotropia
was more common. Patients showing more than 2 Snellen’s line improvements after patching for 2 hrs. were 77.27% and for 6
hrs. were 22.72%. After part-time patching, maximum improvement in BCVA (best corrected visual acuity) was seen in
anisometropes (P<0.0001) followed by strabismic (P=0.025) and least with mixed (P=0.026) amblyopes.
Amblyopia is treatable if detected earlier. Lack of community or preschool vision screening was the main cause for late pickup
of amblyopic children for timely management and hence significant visual impairment associated with the condition.