Treatment for Amblyopia after Surgery for Cataract and Vitreoretina in Pediatric Ocular Trauma

Purpose:We investigated the value of occlusion therapy assisted by wearing spectacles or implanting an intraocular lens following surgeries for cataract and vitreoretina in pediatric patients. Methods: Fifty-one children with ocular trauma, aged from 3 to 12 years, were enrolled in this study, including 39 cases of open global injuries and 12 ocular blunt injuries.The patients underwent a series of surgeries, including suture of the cornea or sclera wound, cataract extraction, vitrectomy, and repair of retinal detachment in some cases.Occlusion therapy was prescribed for 29 eyes wearing spectacles and 22 eyes with implanted intraocular lenses (IOLs) for 6 to 12 months. All the children were followed up for 12 to 60 months (mean 41.5 months) after the final operations. Results: Best corrected visual acuity was improved in 32 eyes (62.7%) and not improved in 19 eyes (37.3%), including 6 eyes with a leucoma involving the central cornea, 5 eyes with a retina scar involving the macula,and 2 eyes with unsatisfactory overall patching time.Occlusion therapy assisted by wearing spectacles (65.5%) and implanting IOLs (59.1%) showed similar improvements in the visual acuity of the injured eyes. Conclusion: Occlusion therapy, combined with wearing spectacles and implanting IOLs, is valuable in treating deprivation amblyopia due to ocular trauma and series surgeries in pediatric patients. Spectacles may be dependable during occlusion therapy in the early post-surgery stage.

The analysis of macular perimetry with octopus 900 in acute central serous chorioretinopathy

Background:To find the changes of macular perimetry(MP) and the correlations between MP and best correct visual acuity(BCVA) in different phases of the acute central serous chorioretinopathy(CSC).Methods:Twenty-one eyes with acute CSC and their fellow eyes were analysed retrospectively.MP at 2°,4°and BCVA in the active and resolved phase were collected and analyzed.The differences of these parameters in CSC eyes and fellow eyes were analyzed.Spearman correlation was used for analysis of correlation between MP and BCVA.Results:From 29 eyes with CSC analysed 27 eyes(93.10%) recovered to the previous VA.Compared with the active phase,MP at 2°,4° and BCVA were significantly improved in the resolved phase(P=0.000,0.000,0.000,respectively).MP at 2°,4° and BCVA of CSC eyes were significantly poor compared with the fellow eyes in the active phase(P=0.000,0.000,0.000,respectively).In the resolved phase there was no significant difference between the CSC eyes and fellow eyes(P=0.339,0.141,0.161,respectively).BCVA was shown to significantly correlate with MP at 2° in the active phase(ρ=-0.630,P<0.001).Conclusions:The acute CSC often had a good prognosis both in BCVA and MP.MP can provide an additional objective parameter to evaluate the retinal function changes at macula of acute CSC.