|LETTER TO EDITOR
|Year : 2007 | Volume
| Issue : 2 | Page : 166
Efficiency of amblyopia treatment in older children
Neela A Patwardhan
Sion Eye Clinic and Microsurgery Centre, Laxmi Niwas, 3B/18, Sion (W), Mumbai - 400 022, India
Neela A Patwardhan
Sion Eye Clinic and Microsurgery Centre, Laxmi Niwas, 3B/18, Sion (W), Mumbai - 400 022
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Patwardhan NA. Efficiency of amblyopia treatment in older children. Indian J Ophthalmol 2007;55:166
Brar et al . in the article "Efficiency of occlusion therapy for the management of amblyopia in older children", have shown significant improvement in patients older than 12 years at the time of initiation of treatment. Though most studies suggest that 12 years of age is the upper limit as far as response to amblyopia therapy is concerned, there are also studies that prove just the opposite!, In fact, as far back as in 1982, Sen had suggested that every effort should be made to treat children even beyond 12 years of age. However, there is paucity of literature of results of amblyopia treatment after 12 years of age. In my prospective amblyopia study of 14 years, all patients of anisometropic amblyopia were treated irrespective of age, the oldest successfully treated patient being 47 years of age. A comparative analysis of success rates of treatment of pure anisometropic amblyopia in patients less than 12 years to those more than 12 years of age, shows the difference to be statistically insignificant ( P =0.07).
Brar et al . have successfully driven home the point that "age" should not be a criterion for denial of treatment to patients of anisometropic and/ strabismic amblyopia.
This is truly the need of the hour, as there is often a misconception that amblyopia cannot be treated beyond a particular age!
| References|| |
Brar GS, Bandyopadhyay S, Kaushik S, Raj S. Efficiency of occlusion therapy for management of amblyopia in older children. Indian J Ophthalmol
Scheiman MM, Hertle RW, Beck RW, Edwards AR, Birch E, Cotter SA, et al
. Randomized trial of treatment of amblyopia in children aged 7 to 17 years. Arch Ophthalmol
Mohan K, Saroha V, Sharma A. Successful occlusion therapy in amblyopia in 11 to 15 year old children. J Pediatr Ophthalmol Strabismus
Sen DK. Results of treatment of anisohypermetropic amblyopia without strabismus. Br J Ophthalmol
Patwardhan NA. Is age relevant for the success of treatment of anisometropic amblyopia? Indian J Ophthalmol
(accepted for publication).