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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-02
Management of Refractive Amblyopia in all Age Group by Triple Technique Therapy
Arvind Kumar Morya, Fauzia Rehman Khan
Published: April 25, 2015 | 82 59
DOI: 10.36347/sjams.2015.v03i02.005
Pages: 555-557
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Abstract
The objective of the study was to evaluate outcome of Triple Technique Therapy (TTT) for the management of refractive Amblyopia (anisometropia + isometropia) in age group of 5 to > 40 years old. It was a prospective study. It included 253 patients visiting the regular OPD out of which 27 left the study group so final study group was 216 over a period of 3 years. They were all cases of untreated refractive amblyopic patient’s ranging from 6/12p to 1/60. It was performed by Triple Technique Therapy: a) Optimal refractive correction, b) Occlusion therapy, c) Vitamin b-12 doses. Main outcome measures – optimum improvement in best corrected visual acuity in the amblyopic eye and proportion of patient’s where amblyopia resolved by TTT. Final visual outcome was not related to age but was related to better baseline visual acuity, lesser amount of refractive error and how religiously “TTT” was followed. “TTT” Improved visual acuity in 94% of the cases and results in complete resolution of amblyopia in 10.6% of the patients with untreated refractive amblyopia. Complete improvement in refractive amblyopia occurs with moderate degree amblyopia and there was an average 2- line improvement in distance visual acuity from “TTT” even in denser levels of refractive – amblyopia.