Abstract
Objective
To test the effects of corrective spectacles in hyperopic amblyopic children with heterophoria.
Methods
Visual acuity, refraction and the amount of heterophoria on near (33 cm) fixation were measured before and after 3 weeks of spectacle-wearing in 30 hyperopic amblyopic children with heterophoria. The control group consisted of 20 emmetropic children age-matched to the patients.
Results
Uncorrected eyes displayed hyperopic amblyopia accompanied by heterophoria. Corrective spectacles not only attenuated the hyperopia and amblyopia, but also changed the heterophoria to orthophoria. The amount of heterophoria before wearing spectacles was significantly different from that in emmetropic children; but after correction with spectacles, it was the same as that in the emmetropic controls.
Conclusion
Correction with spectacles is effective for the treatment of heterophoria in hyperopic children with amblyopia.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Campbell, F.W., Green, D.G., 1965. Monocular versus binocular visual acuity. Nature, 208:191–192. [doi:10.1038/208191a0]
Duke-Elder, S., Wybar, K., 1973. Ocular motility and Strabismus. In: Duke-Elder, S. (Ed.), System of Ophthalmology. Henry Kimpton, London, p.543, 547.
Hasebe, S., Nonaka, F., Ohtsuki, H., 2005. Accuracy of accommodation in heterophoric patients: testing an interaction model in a large clinical sample. Ophthalmic Physiol. Opt., 25(6):582–591. [doi:10.1111/j.1475-1313.2005.00331.x]
Heravian, J.S., Jenkins, T.C., Douthwaite, W.A., 1990. Binocular summation in visually evoked responses and visual acuity. Ophthalmic Physiol. Opt., 10(3):257–261. [doi:10.1016/0275-5408(90)90008-M]
Ingram, R.M., 1977. Refraction as a basis for screening children for squint and amblyopia. Br. J. Ophthalmol., 61(1):8–15.
Ingram, R.M., Walker, C., Wilson, J.M., Arnold, P.E., Dally, S., 1986. Prediction of amblyopia and squint by means of refraction at age 1 year. Br. J. Ophthalmol., 70(1):12–15.
Ingram, R.M., Arnold, P.E., Dally, S., Lucas, J., 1990. Results of a randomised trial of treating abnormal hypermetropia from the age of 6 months. Br. J. Ophthalmol., 74(3):158–159.
Lepard, C.W., 1975. Comparative changes in the error of refraction between fixing and amblyopic eyes during growth and development. Am. J. Ophthalmol., 80(3 Pt 2):485–490.
Mittelman, D., 2003. Amblyopia. Pediatr. Clin. North Am., 50(1):189–196. [doi:10.1016/S0031-3955(02)00107-4]
Nastri, G., Perugini, G.C., Svastano, S., Polzella, A., Sbordone, G., 1984. The evolution of refraction in the fixing and the amblyopic eye. Doc. Ophthalmol., 56(3):265–274. [doi:10.1007/BF00159077]
Schor, C., 1999. The influence of interactions between accommodation and convergence on the lag of accommodation. Ophthalmic Physiol. Opt., 19(2):134–150. [doi:10.1046/j.1475-1313.1999.00409.x]
Sheedy, J.E., Saladin, J.J., 1978. Association of symptoms with measures of oculomotor deficiencies. Am. J. Optom. Physiol. Opt., 55(10):670–676.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liu, X., Li, Ym. & Li, Y. Spectacle correction of heterophoria in hyperopic amblyopic children. J. Zhejiang Univ. - Sci. B 7, 884–886 (2006). https://doi.org/10.1631/jzus.2006.B0884
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1631/jzus.2006.B0884