Amblyopia Therapy in Older Children

Abstract

Amblyopia (lazy eye) is a common problem affecting 1-5% of children, it is a unilateral or bilateral reduction of best corrected visual acuity that cannot be attributed directly to any structural abnormality of the eye or the posterior visual pathway. A prospective study of tow years done on thirty child all of them older than seven years age presented with uni or bilateral amlyopia; visual acuity, ocular motility, Hurshberg taste, slit lump biomicroscopy, fundoscopy, and cycloplegic refraction, treatment with correction of the refractive error, full time occlusion, part time occlusion, and penalization according to the severity.Most of children gets an improvement in there visual acuity Most of new studies in amblyopia in agreement with our results, while the old opinion limiting the critical period at 6-7 years old. So we should try for treatment of amblyopia in older children while giving a full explanation to the child's family about the poorer results of treatment, for medico legal purposes.