Abstract：
:Optical penalization for distance is a useful alternative to occlusion for treating amblyopia, and as maintenance therapy following occlusion. It is particularly useful in cases of patching noncompliance. The major key to patient acceptance is choosing the minimal amount of penalization necessary, while still ensuring that the patient actually switches fixation to the amblyopic eye. We have found the vectographic letter slide reliable for identifying the fixing eye for distance vision. Thirty-four patients were treated for anisometropic or strabismic amblyopia with distance optical penalization without the use of cycloplegic agents. Twenty-two patients had improvement of their visual acuity, and 10 patients remained the same during an average follow-up period of 22.5 months. The average visual acuity improved from 20/40 to 20/32. The dominant eye required an average of only +1.25 diopters of fogging for the patient to switch fixation to the amblyopic eye, significantly less than the arbitrary +3.00 diopters advocated by some clinicians.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Repka MX,Gallin PF,Scholz RT,Guyton DLdoi
10.1016/s0161-6420(85)33821-6subject
Has Abstractpub_date
1985-11-01 00:00:00pages
1584-6issue
11eissn
0161-6420issn
1549-4713pii
S0161-6420(85)33821-6journal_volume
92pub_type
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