Amblyopia Diagnosis and Treatment for Children Q&A

  1.What is amblyopia Answer: The diagnosis of amblyopia requires 2 conditions: 1) no organic eye lesions; 2) corrected visual acuity below the low limit of the visual acuity level at that age. Xueqing Bai, Ophthalmology Department, Beijing Children’s Hospital 2. How is amblyopia caused? Answer: Hypermetropia of vision, simply put, is congenital.  The causes may be: refractive error, refractive error, strabismus, ptosis, cataract, corneal clouding, small lid fissure syndrome, and slow central nervous system development.  3.How long does it take to cure amblyopia Answer: Amblyopia treatment is a long and slow process. The treatment time varies greatly from one individual to another, about 1 to 3 years, and regular checkups are needed after reaching normal to prevent recurrence.  4.How many tests are needed to diagnose amblyopia? Answer: To diagnose amblyopia, we need to exclude organic eye pathology, and we must first perform atropine dilated pupil examination, as well as fundus, optic nerve, crystal, cornea and other parts of the eye.  5.How often do children with amblyopia need to come to the hospital? Answer: 2-3 months is the best.  6.Standards of vision development for children of different ages Answer: Normal vision development for children: 3 years old – 0.7; 4 years old – 0.8; 5 years old – 1.0. 7.Diagnostic criteria for amblyopia Answer: less than 3 years old – 0.4; 3 to 4 years old – 0.5; 4 to 5 years old – 0.5 -0.5; 4 to 5 years old – 0.6; 5 to 6 years old – 0.7. 8.Does amblyopia need to be treated as early as possible Answer: Yes.  The younger the child is, the more sensitive he/she is to treatment.  9.Is it necessary to wear glasses for amblyopia? Wearing glasses can improve the efficiency of amblyopia treatment.  For a very small number of children with neurological development and no refractive error, we will arrange to do amblyopia rehabilitation training.  10.Whether glasses can be removed in the future Answer: Wearing glasses does not affect whether your child wears glasses in the future.  If the result of atropine astigmatism is farsightedness, the child’s prescription will be slowly reduced in the future, or even flat (no need to wear glasses); but if the result is myopia or astigmatism, the child’s prescription will slowly increase in the future, and only after growing up and having corneal laser surgery can the glasses be removed.  11.Is it necessary to cover amblyopia?  Most children with refractive error need to be covered.  There are also some children who use alternate masking methods to increase the intensity of treatment and speed up the improvement of vision.  12.Can’t children with amblyopia watch TV or play games Answer: Not necessarily.  In one case, the child’s refractive state is: highly hyperopic.  In the other case, a child with partial refractive error can play games under the cover.  It is important to note that the above two cases should be done under the supervision of a doctor. Again, we do not advocate the practice of excessive TV watching and game playing, which may lead to a decrease in learning ability.  13.What is amblyopia training? Answer: Amblyopia training should include 2 parts: visual cell stimulation and fine training.  The content of visual cell stimulation: amblyopia therapy device (with or without light brush), network training (red, blue or 3D), etc.  Fine training: needle threading (or beads), tracing, inserting boards, flying chess, etc.