(A) Key points of treatment for high hyperopic amblyopia
1. Characteristics
(1) It is a refractory amblyopia;
(2) It can lead to adjustable internal strabismus.
2. Treatment points
(1)Early treatment can be started at the earliest at the age of 1~2 years old, and the effect is worse after the age of 6 years old, which requires 4~5 generations of intensive vision enhancement amblyopia devices.
(2) Wear 2/3 of the farsightedness glasses
(3) Early treatment with amblyopia apparatus with bifocal flying dot or bifocal flying light and other intensive vision enhancement functions, more than 3 times/day.
(4) Visual acuity <0.3 with more color light function. We can customize the special vision marker for high hyperopia and low vision, add "auxiliary mirror" training, and do more "flying dot and flying light" training after the vision rises to 0.3 or above. < span="">
(5) After the visual acuity of both eyes reaches 0.5 or above, make stereo vision training early.
(2) Treatment points of high hyperopia with internal strabismus
1. Characteristics
(1) It is a refractory amblyopia;
(2) One eye has good vision and the other has poor vision;
(3) Wearing a full correction lens can correct the strabismus, but it is not conducive to improving the vision of the poor eye.
2, treatment points
(1) wear full correction glasses for 3 months to correct strabismus: If strabismus is corrected, reduce 150 degrees after treatment with the third generation or more compound instrument, 3 times / day. If strabismus cannot be corrected, wear 2/3 farsightedness glasses and give priority to cure the non-strabismus eye, then cover the non-strabismus eye to cure the strabismus eye.
(2) Visual acuity <0.3, with more color light function. The special vision marker for high hyperopia and low vision can be customized, and "auxiliary mirror" training can be added, and more "flying point and flying light" training can be done after the vision rises above 0.3. < span="">
(3) Key points of treatment for “high myopic amblyopia”
1. Characteristics
(1) It is a refractory amblyopia.
(2) Myopia develops rapidly during the treatment process;
(3) It often develops throughout life;
(4) Blindness: retinal degeneration, hemorrhage, fissure, detachment.
2.Treatment points
(1)Early treatment.
(2)Wear full-degree corrective lenses
(3)Combined use of telecine lenses (preferably fused in amblyopia lenses).
(4) Ocular muscle movement training.
(5)Combined amblyopia apparatus, amblyopia programming treatment
(4) Treatment points of “high refractive parallax amblyopia”
1. Characteristics
(1) Refractory amblyopia.
(2) Heavy inhibition (inhibition from the good eye and the brain center).
2.Treatment points
The eye with higher degree is more inhibited, while the eye with lower degree is basically normal.
(1) Cover the normal eye.
(2)Use more than 3~5 generations of compound amblyopia apparatus, and can customize special training icons for low vision.
(3) Early on, two-dimensional or three-dimensional color light therapy is the main treatment, but customized special training icons for low vision can be used for intensive training.
(5) Dangerousness of “strabismic amblyopia” and treatment points
1. Characteristics
(1) Eccentric gaze can be formed, resulting in visual acuity lower than 0.2, and become difficult to heal amblyopia.
(2) It can cause adjustable internal strabismus.
(3) It can lead to recurrence of strabismus after surgery.
2. Treatment principles (different treatment methods for different types of strabismus)
(1) Binocular alternating strabismus (internal or external strabismus): its amblyopia is generally mild, and the treatment is the same as conventional.
(2) Strabismus with central gaze: after curing the better eye as a priority, cover the good eye and treat it with a compound amblyopia instrument of three generations or more.
(3) Strabismus with eccentric gaze: cover the good eye, cure the strabismus eye, and use more color markers (preferably moving color markers such as sensitivity color markers, light brushes
etc.) function to correct eccentric gaze. Use the auxiliary mirror + perspective magnification threshold vision marker (customized, the third generation to have this function).
(4) High hyperopia with internal strabismus: try to wear full hyperopia corrective lenses for 3 months, if the strabismus can be completely corrected, gradually reduce the hyperopia and carry out amblyopia treatment at the same time. If the strabismus cannot be completely corrected, regular glasses will be prescribed and the good eye will be treated as a priority. Make sure at least one eye is healthy (visual acuity 1.0 or above). Can cope with daily work and study as normal people.
(F) Treatment points of “nystagmus amblyopia”
Nystagmus is one of the most serious eye diseases, which is a hard-to-heal amblyopia, although it cannot be cured, it can increase the visual acuity, preferably to 0.5~0.8. Because the nystagmus eye is shaky and cannot be fixed on one point, it is often accompanied by deviated head or strabismus, so the treatment should follow the special requirements of nystagmus (visual acuity observation, glasses, frame adjustment, wearing glasses, selection of treatment instruments and customization of nystagmus visual markers, head position during treatment, etc.). Therefore, it is necessary to follow the special requirements of ophthalmoplegia (visual acuity observation, prescription of glasses, frame adjustment, wearing of glasses, selection of treatment instruments, customization of ophthalmoscopic markers, head position during treatment, etc.) in order to obtain good results.
1. Characteristics
(1) It is difficult to heal amblyopia.
(2) Easy to cause or accompanied by strabismus
(3) It is easy to form deviated eyesight, etc.
2. Treatment points
(1)The prescription of glasses should be reduced by 50 to 100 degrees (myopia according to conventional prescription)
(2) deviated head fitting glasses, lens vertex distance as far as possible <10mm, in order to reduce the role of lens shaking and aggravate the image shaking.
(3) Use binocular amblyopes as early as possible, preferably with the 3rd generation or higher. 4~5 generations of compound devices can be customized with special training visual markers for ocular fibrillation.
(4) Make more amblyopia treatment under deviated head reduction.
(5) Encourage deviated head reduction gaze.
(7) Treatment points of “postoperative congenital cataract amblyopia”
1. Characteristics
(1) It can be refractory or refractory amblyopia.
(2) It may lead to exotropia (disuse).
(3) It may lead to nystagmus.
2. Treatment points
(1) Wear glasses as early as possible (can be started before 1 year old).
(2) Early treatment with special color light function.
(3) Do “graded visual acuity – contrast sensitivity” vision enhancement treatment under the auxiliary lens after being able to recognize the visual mark.
(H) Treatment points of “congenital glaucoma (postoperative) amblyopia
1. Characteristics
(1) Difficult to heal amblyopia.
(2) The optic nerve is very fragile and vision is easily lost.
(3) There is often residual high intraocular pressure.
(4) It is often accompanied by myopia.
2.Treatment points
(1)Early treatment.
(2)If myopia is present, all correction is needed
(3)Continue to control IOP
(4)Targeted programming + amblyopia apparatus treatment.
(5)Color-light amblyopia apparatus treatment, when the visual acuity is greater than 0.3, plus threshold visual marker treatment.