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LETTER TO EDITOR
Year : 2007  |  Volume : 55  |  Issue : 2  |  Page : 166

Efficiency of amblyopia treatment in older children


Sion Eye Clinic and Microsurgery Centre, Laxmi Niwas, 3B/18, Sion (W), Mumbai - 400 022, India

Correspondence Address:
Neela A Patwardhan
Sion Eye Clinic and Microsurgery Centre, Laxmi Niwas, 3B/18, Sion (W), Mumbai - 400 022
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.30728

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How to cite this article:
Patwardhan NA. Efficiency of amblyopia treatment in older children. Indian J Ophthalmol 2007;55:166

How to cite this URL:
Patwardhan NA. Efficiency of amblyopia treatment in older children. Indian J Ophthalmol [serial online] 2007 [cited 2019 Aug 26];55:166. Available from: http://www.ijo.in/text.asp?2007/55/2/166/30728

Dear Editor,

Brar et al . in the article "Efficiency of occlusion therapy for the management of amblyopia in older children",[1] 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,[1] there are also studies that prove just the opposite![2],[3] In fact, as far back as in 1982, Sen[4] 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.[1] 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).[5]

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 Top

1.
Brar GS, Bandyopadhyay S, Kaushik S, Raj S. Efficiency of occlusion therapy for management of amblyopia in older children. Indian J Ophthalmol 2006;54:257-60.  Back to cited text no. 1
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2.
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 2005;123:437-47.  Back to cited text no. 2
    
3.
Mohan K, Saroha V, Sharma A. Successful occlusion therapy in amblyopia in 11 to 15 year old children. J Pediatr Ophthalmol Strabismus 2004;41:89-95.  Back to cited text no. 3
[PUBMED]    
4.
Sen DK. Results of treatment of anisohypermetropic amblyopia without strabismus. Br J Ophthalmol 1982;66:680-4.  Back to cited text no. 4
[PUBMED]    
5.
Patwardhan NA. Is age relevant for the success of treatment of anisometropic amblyopia? Indian J Ophthalmol (accepted for publication).  Back to cited text no. 5
    




 

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