Okluzivna terapija monokularne anizometropne ambliopije kod školske djece
| Autor: | Suzana Pavljašević, Dževdet Sarajlić |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: | |
| Zdroj: | Acta clinica Croatica Volume 47 Issue Supplement 1 |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | Cilj studije bio je ispitati učinkovitost okluzivne terapije pod roditeljskim nadzorom kod školske djece bez ortoptičnog¬pleoptičnog liječenja. Ambliopija je simptom koji se javlja bez organskog uzroka, a očituje se smanjenjem vida na jednom oku koje nije moguće ispraviti naočalama ili kontaktnim lećama. Ovaj simptom je praćen kortikalnom supresijom. U većini slučajeva ambliopija je uzrokovana nejednakim refrakcijskim greškama ili strabizmom. Liječenje ambliopije ima lošije rezultate kod starije djece (u dobi iznad 8 godina) u usporedbi s mlađom djecom. Jedan od načina liječenja ambliopije je kućno liječenje pokrivanjem oka i primjerenim ispravljanjem vida (naočalama ili kontaktnim lećama) radi postizanja bolje vidne oštrine. U ovoj studiji je 50 djece, 21 (42%) dječak i 29 (48%) djevojčica, u dobi od 6 do 16 godina (srednje dobi 12,7 godina) promatrano tijekom 5 godina (2001.-2006.) uz razlike korekcije na oba oka od 1-14 D. Amblopija desnog oka zabilježena je u 28 bolesnika, a lijevog oka u 22 bolesnika. U slučajevima s astigmatizmom primijenili smo sferični ekvivalent. Upute za kućnu terapiju obuhvaćale su pokrivanje oka s boljim vidom dvaput na dan kroz jedan sat pod roditeljskim nadzorom. Zabilježena je značajna razlika između početne i završne vidne oštrine (Pearsonov koeficijent korelacije 0,77; df=49; p The aim of this study was to test the efficacy of home occlusive therapy under parents' supervision in schoolchildren without orthoptic-pleoptic treatment. Amblyopia is a symptom that occurs without organic disease but manifesting with reduced vision on one eye that is impossible to correct with eyeglasses or contact lenses. Being accompanied by cortical suppression, most amblyopia cases are caused by unequal refractive errors or strabismus. The treatment of amblyopia in older children (age over 8 years) has worse results as compared with younger children. Home therapy with eye patches and proper vision corrections (eyeglasses or contact lenses) should be one of therapeutic modalities as an attempt at monocular amblyopia treatment to reach better visual acuity. Fifty children, 21 (42%) boys and 29 (58%) girls aged 6-16 (mean age 12.7) years with correction differences on two eyes between 1 and 14 D were observed during a 5-year period (2001-2006). Right eye and left eye amblyopia was recorded in 28 and 22 patients, respectively. Spheric equivalent was used in cases with astigmatism. Instruction for home practice was to cover the eye with better vision twice a day for one hour under parents. supervision. The difference between the initial and final visual acuity was significant (Pearson's correlation 0.77; df=49; p |
| Databáze: | OpenAIRE |
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