alexa Factors Affecting Compliance to Two-Hour Versus Six-Hour Occlusion Therapy Regimens for Treatment of Strabismic Amblyopia
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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Case Report

Factors Affecting Compliance to Two-Hour Versus Six-Hour Occlusion Therapy Regimens for Treatment of Strabismic Amblyopia

Attiat M. Mostafa1, Rehab R. Kassem2* and Asser A.E. Abdel-Meguid3
1Professor of Ophthalmology, Ophthalmology Department, Al-Azhar University for Boys in Cairo, Egypt
2Assistant Professor of Ophthalmology, Ophthalmology Department, Cairo University, Egypt
3Professor of Ophthalmology, Ophthalmology Department, Cairo University, Egypt
Corresponding Author : Rehab R. Kassem
Assistant Professor of Ophthalmology
Ophthalmology Department, Cairo University, Egypt
Tel: 002-012-2153231
E-mail: [email protected]
Received September 17, 2010; Accepted November 02, 2010; Published November 04, 2010
Citation: Mostafa AM, Kassem RR, Abdel-Meguid AAE (2010) Factors Affecting Compliance to Two-Hour Versus Six-Hour Occlusion Therapy Regimens for Treatment of Strabismic Amblyopia. J Clinic Experiment Ophthalmol 1:110. doi:10.4172/2155-9570.1000110
Copyright: © 2010 Mostafa AM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Purpose: To compare the effect of daily occlusion of the sound eye for two hours, without and with near vision exercises, versus six hours without near vision exercises, for the management of strabismic amblyopia and to determine the different factors affecting compliance to each treatment regimen. Methods: Forty five children having unilateral strabismic amblyopia were divided equally into 3 groups. Group A received 2-hour daily occlusion. Group B received 2-hour occlusion combined with near vision exercises. Group C received 6-hour occlusion therapy. Patients were followed up for 6 months. Results: The mean logMAR improvement was -1.03+/-0.57, -0.63+/-0.66 and -0.65+/-0.66, for groups A, B and C, respectively. The difference in mean logMAR improvement was significant (P < .001) in groups A versus B and A versus C, but was insignificant (P =.748) in group B versus C. Factors affecting compliance to each occlusion regimen were related to age, socioeconomic status, life pattern and season of the year. Conclusion: The best outcome was achieved when 2-hour daily patching was combined with near vision activities. Higher compliance to two-hour occlusion with near vision exercises was attained in older, educated children. Six-hour occlusion was more suitable in younger and in uneducated children.

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