Effectiveness of atropine combined partial occlusion therapy in anisometropic amblyopia of older children

Objective To explore the therapeutic effect of joint part of atropine covering method for older children with anisometropic amblyopia. Methods Thirty-nine cases of 10-16 years anisometropic amblyopia in children, including 23 male cases and 16 female cases. In a suitable refractive correction, apply atropine on the basis of the healthy eye and cover completely part of the time combined with with the amblyopic eye fine eyesight training. Monthly follow up visual changes. Stop applying atropine after the amblyopic vision stops increasing for 3 consecutive months. Shorten the time to completely cover. Results All 39 cases of visual acuity weie improved significantly. Before treatment, the average amblyopia eyesight was 0.21±0.19, after treatment 0.62±0.32, so the difference was statistically significant (P 0.01). the average covering time was (9.1±4.4) months. 6 months after the start of treatment, the visual acuity was improved most quickly. The difference was statistically significant between the age groups of 10-12 years old and 15-16 years old (P 0.05), while not statistically significant between 10-12 years old and 13-14 years old (P 0.05). The degree of moderate amblyopia vision improvement was higher than that of the severe amblyopia vision. Hence the difference between them was statistically significant (P 0.05). Conclusion Older children with anisometropic amblyopia are still potentially curable. Atropine combined with partial covering method improved treatment compliance, and therefore, the effect is good.