Current Recommendations for Amblyopia Treatment

Abstract

Introduction

In spite of convincing scientific studies proving the efficacy of patching therapy, many researchers continue to devise and test alternatives to patching. Patching is unpopular with parents and children, and, as a result, compliance is poor. Poor compliance leads to patching failure.

Methods

A review of the literature published since 2000 in peer-reviewed medical journals on the management of amblyopia was done and the results compiled and summarized.

Results

Research has suggested that the key to successful amblyopia therapy is not necessarily what treatment method is prescribed, but when it is prescribed, and how strongly the clinician emphasizes compliance at the initial visit. Younger children tend to have a better outcome; however, even older children, teenagers, and prior patching failures can achieve meaningful and lasting improvements in vision, if compliance with therapy is improved.

Conclusion

The critical step in the management process may be taking time to convince the parents of the necessity and urgency of the treatment, that the treatment is effective, and that they are capable of carrying out the treatment plan.

• amblyopia
• compliance
• occlusion
• atropine