Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia

Abstract To investigate the factors for treatment success in anisometropic amblyopia according to the spherical equivalent (SE) type of amblyopic eyes. Medical records of 397 children with anisometropic amblyopia aged 3 to 12 years who presented in a secondary referral eye hospital during 2010 ~ 201...

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Main Authors: Daye Diana Choi, Dae Hee Kim, Ungsoo Samuel Kim, Seung-Hee Baek
Format: Article
Language:English
Published: Nature Portfolio 2021-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-01377-1
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author Daye Diana Choi
Dae Hee Kim
Ungsoo Samuel Kim
Seung-Hee Baek
author_facet Daye Diana Choi
Dae Hee Kim
Ungsoo Samuel Kim
Seung-Hee Baek
author_sort Daye Diana Choi
collection DOAJ
description Abstract To investigate the factors for treatment success in anisometropic amblyopia according to the spherical equivalent (SE) type of amblyopic eyes. Medical records of 397 children with anisometropic amblyopia aged 3 to 12 years who presented in a secondary referral eye hospital during 2010 ~ 2016 were retrospectively reviewed. Anisometropia was defined as ≥ 1 diopter (D) difference in SE, or ≥ 1.5 D difference of cylindrical error between the eyes. According to the SE of amblyopic eyes, patients were categorized into hyperopia (SE ≥ 1D), emmetropia (− 1 < SE <  + 1) and myopia (SE ≤ − 1D) groups. Treatment success was defined as achieving interocular logMAR visual acuity difference < 0.2. Multivariate logistic regression was used to analyze the factors for treatment success. Significant factors for the amblyopia treatment success in hyperopia group (n = 270) were younger age [adjusted odds ratio (aOR) (95% confidence interval, CI) = 0.529 (0.353, 0.792)], better BCVA in amblyopic eyes at presentation [aOR (95% CI) 0.004 (0, 0.096)], longer follow-up period [aOR (95%CI) = 1.098 (1.036, 1.162)], and no previous amblyopia treatment history [aOR (95% CI) 0.059 (0.010, 0.364)]. In myopia group (n = 68), younger age [aOR (95% CI) 0.440 (0.208, 0.928)] and better BCVA in amblyopic eyes [aOR (95% CI) 0.034 (0.003, 0.469)] were associated with higher odds of treatment success. There was no significant factor for treatment success in emmetropia group (n = 59) in this population. The refractive error type of amblyopic eyes at presentation affects the factors for treatment success in anisometropic amblyopia.
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spelling doaj.art-09b19de0d7bc4d75aba738856764aee52022-12-21T20:01:36ZengNature PortfolioScientific Reports2045-23222021-11-011111810.1038/s41598-021-01377-1Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopiaDaye Diana Choi0Dae Hee Kim1Ungsoo Samuel Kim2Seung-Hee Baek3Department of Ophthalmology, Strabismus & Pediatric Ophthalmology Center, Kim’s Eye HospitalDepartment of Ophthalmology, Strabismus & Pediatric Ophthalmology Center, Kim’s Eye HospitalDepartment of Ophthalmology, Strabismus & Pediatric Ophthalmology Center, Kim’s Eye HospitalDepartment of Ophthalmology, Strabismus & Pediatric Ophthalmology Center, Kim’s Eye HospitalAbstract To investigate the factors for treatment success in anisometropic amblyopia according to the spherical equivalent (SE) type of amblyopic eyes. Medical records of 397 children with anisometropic amblyopia aged 3 to 12 years who presented in a secondary referral eye hospital during 2010 ~ 2016 were retrospectively reviewed. Anisometropia was defined as ≥ 1 diopter (D) difference in SE, or ≥ 1.5 D difference of cylindrical error between the eyes. According to the SE of amblyopic eyes, patients were categorized into hyperopia (SE ≥ 1D), emmetropia (− 1 < SE <  + 1) and myopia (SE ≤ − 1D) groups. Treatment success was defined as achieving interocular logMAR visual acuity difference < 0.2. Multivariate logistic regression was used to analyze the factors for treatment success. Significant factors for the amblyopia treatment success in hyperopia group (n = 270) were younger age [adjusted odds ratio (aOR) (95% confidence interval, CI) = 0.529 (0.353, 0.792)], better BCVA in amblyopic eyes at presentation [aOR (95% CI) 0.004 (0, 0.096)], longer follow-up period [aOR (95%CI) = 1.098 (1.036, 1.162)], and no previous amblyopia treatment history [aOR (95% CI) 0.059 (0.010, 0.364)]. In myopia group (n = 68), younger age [aOR (95% CI) 0.440 (0.208, 0.928)] and better BCVA in amblyopic eyes [aOR (95% CI) 0.034 (0.003, 0.469)] were associated with higher odds of treatment success. There was no significant factor for treatment success in emmetropia group (n = 59) in this population. The refractive error type of amblyopic eyes at presentation affects the factors for treatment success in anisometropic amblyopia.https://doi.org/10.1038/s41598-021-01377-1
spellingShingle Daye Diana Choi
Dae Hee Kim
Ungsoo Samuel Kim
Seung-Hee Baek
Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia
Scientific Reports
title Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia
title_full Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia
title_fullStr Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia
title_full_unstemmed Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia
title_short Effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia
title_sort effect of refractive error type in the amblyopic eyes on factors for treatment success in anisometropic amblyopia
url https://doi.org/10.1038/s41598-021-01377-1
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