Hi all,
I'am a 35 year old amplyope (refractive) with 20/25 visual acuity (corrected
to 20/20) on the good eye and 20/60 (best corrected VA) on the amblyopic.
Having monitored this group for a while (and also some other sources on the
Web), I would like to ask you on any updates on adult amblyopia treatment in
year 2004. More specifically:
- Have you personally, or any adult relative of yours, or any of your adult
patients
been treated for amblyopia with VT or occlusion? With what results? Can you
give
me a short description of the case? (age, shellen improvement, etc)
- Have you in mind any 'big' scale trial (>100 people) or published paper
that deals
with adult refractive amblyopia treatment? Can you pass me any link /
contact?
(Pls note that I'm familiar with studies that demonstrate some snellen
improvement
of amblyopic eye in ISOLATED cases, mostly after loss of good eye due to
accident)
- Finally, do you know of any possible side-affects (diplopia?) when try to
treat adult
amblyopia with occlusion and/or active vision therapy?
Thank you all,
Allen
PS: Yes, I've visited 2-3 doctors asking for treatment options but nobody
gave me hope
in this age. I'm about to visit also an optometrist, but in my country there
are only two(!)
and both are many miles away from home...
Dr Judy - 29 Aug 2004 19:00 GMT
> Hi all,
>
[quoted text clipped - 32 lines]
> are only two(!)
> and both are many miles away from home...
What is your motivation to improve the 20/60 eye? That is fairly good
acuity, so I assume you had treatment as a child. If 20/60 is as good as
you got then, it may not be possible to improve things further. From your
statements, it seems you have researched this already. Amblyopia treatment
in 2004 really isn't much different: patching the good eye for several hours
a day for several months would be the start. Some VT may help if the poor
eye has unstable fixation of if there are binocular vision issues.
If you do not have strabismus then diplopia is not likely to be a side
effect, though the doctors you have seen will be better able to tell you
whether that is a risk in your particular case. You will not find a doctor
who will promise results (if you do, run away) because treatment of adult
amblyopia is too unpredictable. The best you can hope for is a doctor who
will agree to monitor you as you try; the doctor will expect to be paid for
services, to be paid even if there is no improvement in your vision, and for
you not to complain or sue if there are adverse side effects or there is no
improvement in your vision.
Dr Judy