Strabismic amblyopia, The Avoidable Problem

Suchda Songcharoen M.D.*,
Dhaivadee Dulayajinda M.D.*
*Faculty of Medicine, Siriraj Hospital, Mahidol University

  Abstract During the period of 5 years (Jan 1981-Dec 1985) 1,77 strabismic patients were seen at the muscle clinic, Department of Ophthalmology Faculty of Medicine, Siriraj Hospital. 761 of these patients were under 15 years of age, 416 were older. 70 amblyopic cases (9.2%) were found among the younger than 15 age group and 87 amblyopic cases (20.9%) were found among the older age group. 68.8 per cent of amblyopic patients in these two groups had esotropia. Amblyopic condition was found to have no correlation with angle of deviation.

  The treatment given in the younger age group (new born 15 years) was occlusion of the sound eye which yielded a good result only in patients who were younger than 9 years old. The result of any kind of treatment in older age group (> 15 years) was unsatisfactory, any injuries or diseases sustaining to the normal eye might result in bilateral blindness in these amblyopic patients. To obtain earliest diagnosis such as screening of vision in pre-school children was the best mean to reduce morbidity in this condition.

Thai J Ophthalmol 1987 June; 1(1):3740.