Abstract:AIM:To explore the treatment methods and curative effect of amblyopia in children, and to analyze the effect of compliance on the treatment process.
METHODS:The children with amblyopia treatment since January 1st 2010 in General Hospital of Jinan Military Area, were selected and completed follow-up for a total of 129 eyes of 78 patients, including 53 eyes of male in 31 cases and 76 eyes of female in 47 cases, the initial age of 3 to 12 years, the treatment were performed with accurate optometry, reasonable glasses and appropriate to cover the dominant eye based comprehensive therapy and compliance training of the parents and children. The treatment time was 12-36mo, followed up for 3a. The final therapeutic effect was observed and the difference of the stage curative effect between the children with different grade of compliance(good, moderate and poor grade)was compared.
RESULTS:In the treatment of 36mo, 106 eyes were cured, 21 eyes were essentially recovered and the total cure rate was 98.4%, which was improved in 2 eyes(1.6%)and was ineffective in 0 eyes(0%); the total effective rate were 100%. The total cure rate was 69% in the treatment of 6mo and there was a significant difference in the cure rate among children with different compliance(overall comparison P<0.001, each comparison P<0.017). In the treatment of 12mo, the total cure rate was 89.1% and the cure rate were significantly different between children with the moderate compliance and the children with good compliance(P<0.05).
CONCLUSION:Comprehensive treatment of children with amblyopia can achieve an ideal clinical efficacy. Compliance is an important factor influencing the treatment effect and the treatment process. The parents and children's compliance training can shorten the course of treatment and improve the curative effect.
