Treatment of Ametropic Amblyopia and the Significance of Cycloplegia in Childhood.

AIMS: This retrospective study evaluates the effect of full cycloplegic spectacle correction on best corrected visual acuity (BCVA), interocular difference in BCVA, and the presence of stereopsis in children previously treated for ametropic amblyopia (isoametropic or anisometropic type).

MATERIAL AND

METHODS

We analyzed data from 43 children aged 4-12 years (mean 6.42 ±2.06 years) who had been previously diagnosed and treated for amblyopia. All underwent a complete ophthalmologic examination including cycloplegic refraction, BCVA, and stereopsis testing. The primary intervention was full correction of the refractive error based on cycloplegic refraction. The patients were monitored at 3-month intervals, and the effect of treatment was assessed after 12 months. The statistical analysis included a Shapiro-Wilk test, paired t-test or Wilcoxon test, and linear regression for evaluating the impact of age and prior occlusion therapy.

RESULTS

Average BCVA improved significantly from 0.41 to 0.65 (p.