Sumaira Aamir, Aamir Asrar, Mubashir Jalis, Sadaf Ishtiaq, Bisma Ikram.
Comparison of Patching for Strabismic and Anisometropic Amblyopia.
Pak J Ophthalmol Jan ;33(1):51-5.

Purpose: To compare the effectiveness of patching for the treatment of strabismic and anisometropic amblyopia among 4-10 years old children. Study Design: Prospective case series. Place and Duration of study: Amanat Eye Hospital from May 2014 to November 2014. Material and Methods: Prospective case series was conducted in 100 children among the age group 4 – 10 years. Cycloplegic refraction was done by the use of cyclopentolate eye drops 1.0% in every child. After best-corrected refraction in the amblyopic eye, patients were instructed to use glasses strictly along with patching of the good eye. Patching was done for the time period of 2 hours, 3 hours and 6 hours according to the severity of amblyopia. Results: The mean age and SD of the patients was 7.09 years±1.821SD. There were 56% male and 44% female. There was an insignificant difference in bestcorrected visual acuity for strabismic and anisometropic amblyopia among three and six months patching result. Vision improvement was seen in 75% patients while 25% did not improve after three months of the patching treatment. After further three months of patching treatment and at the end of 6 months, further vision improvement was observed in 51% patients while 49% did not improve. Vision improvement at six months after 3 months of further patching treatment was comparatively less than the initial three months of patching treatment. Conclusion: Improvement of vision in first three months of patching treatment was comparatively greater than further 3 months of patching (at the end of six months) among patients with strabismic and anisometropic amblyopia.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com