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Authors
Angela M. Chen, OD, MS*, Susan A. Cotter, OD, MS

The Amblyopia Treatment Studies: Implications for Clinical Practice

publication date
August 2016
Category
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Abstract/Introduction

Amblyopia is the most common cause of monocular vision loss in children [1],

with an estimated prevalence of approximately 2% in the United States [2–4].

A developmental disorder of spatial vision, amblyopia is clinically defined as

decreased best-corrected visual acuity (VA) in 1 or, less frequently, both

eyes, in the absence of any obvious structural anomalies or ocular disease.


Conclusion/Results

The mainstay of amblyopia treatment is optimal refractive correction; significant

gains in visual acuity, beyond the immediate gains from simply eliminating optical blur, often occur with continued wear of the optical correction.

When patching is prescribed, it is reasonable to initially prescribe 2 hours of

daily patching for moderate amblyopia and 6 hours of daily patching for severe

amblyopia.

Atropine penalization of the sound eye or full-time wear of a Bangerter filter can

be prescribed for first-line amblyopia treatment or for patients who do not comply

with patching.

The upper age limit for amblyopia treatment is not established, albeit there are

generally greater gains in visual acuity if treatment occurs before 7 years of age.


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Such a nice optician. My grandson is only 4 and needs glasses. We were so sad, but he explained the issues, and we will follow up as he suggested.


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I had such a good experience with the clinic. Very friendly staff and doctor, did not have to wait for long to be called, and was treated respectfully. Thanks, American Family.


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Dr. Zurcher has gone above and beyond what any other eye doctor has ever done to figure out what is going on with my eyes. Very happy with American Family Vision.


Christine R.

Family Vision Clinic changed our lives! My daughter was frequently car sick, and she was getting headaches every day, often painful enough that they brought her to tears. We saw a string of doctors and therapists, but we made no progress. Finally, we found Dr. Levi Zurcher and his eye therapist Rain. After ten weeks of eye therapy my daughter no longer gets headaches, and she no longer gets car sick. Daily tears are a thing of the past. I really can’t say enough about this clinic. It was fascinating to watch Dr. Zurcher work. For the first time, someone who knew what they were doing was intently studying my daughter, really trying to figure out all of her eye issues, and his therapist Rain is one of the most patient and lovely people that I’ve ever had the good fortune to meet. We’re finished with eye therapy—yay!—and I have switched to American Family Vision Clinic for all of my family’s other eye health needs.


Lars Wulff

Very professional, yet kind and helpful. They do what they can to make the appointment comfortable. I was running a bit late, I made sure ti call. They were able to switch me with a patient who was already there, they treated me with respect, and helped my son have confidence by getting him the eye care he needed that day. Thank you so much! Would recommend to anyone. It's a blessing that they care enough to work with people who have all different types of insurance from work to state coverage.


Justin E.

The staff is friendly. The Doc is very knowledgeable. The office is family friendly and everyone is so patient with the little ones.


Amy Fagerness
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