Brazilian best practice guidelines for amblyopia diagnosis and management

This study aimed to propose a guideline for amblyopia treatment and follow-up. Studies show that amblyopia leads to a series of perceptual deficits, including loss of visual acuity, stereoacuity, and contrast sensitivity. Perceptual changes are also found in the sound eye, such as those involving the types of motion perception. The gold standard of treatment remains the prescription of eyeglasses, when indicated, and patching of the dominant eye. The treatment is mostly effective in patients aged <7 years and must be discontinued gradually, tapering off patching for at least 5 weeks. Atropine may be performed for penalization in hyperopic children whose amblyopic eye has better visual acuity under cycloplegia than the fellow eye. The discovery of significant neural plasticity in the amblyopic brain after the critical period opens possibilities for new treatment modalities even after childhood.

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Publication Details

Journal
Arquivos Brasileiros de Oftalmologia
Published
2024-11-26
DOI
https://doi.org/10.5935/0004-2749.2023-0281
Primary Topic
Ophthalmology and Visual Impairment Studies
Type
article
Field-Weighted Citation Impact
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article

Brazilian best practice guidelines for amblyopia diagnosis and management

Dayane Cristine Issaho, Roberta Melissa Benetti Zagui, Júlia Dutra Rossetto, Márcia Keiko Uyeno Tabuse et al.
Arquivos Brasileiros de Oftalmologia
Ophthalmology and Visual Impairment Studies
article

Brazilian best practice guidelines for amblyopia diagnosis and management

Dayane Cristine Issaho, Roberta Melissa Benetti Zagui, Júlia Dutra Rossetto, Márcia Keiko Uyeno Tabuse, Luisa Moreira Höpker, Luís Carlos Ferreira de Sá, Laís Yumi Sakano, Ian Curi, Iara Debert, A. Peña
article en

Abstract

This study aimed to propose a guideline for amblyopia treatment and follow-up. Studies show that amblyopia leads to a series of perceptual deficits, including loss of visual acuity, stereoacuity, and contrast sensitivity. Perceptual changes are also found in the sound eye, such as those involving the types of motion perception. The gold standard of treatment remains the prescription of eyeglasses, when indicated, and patching of the dominant eye. The treatment is mostly effective in patients aged <7 years and must be discontinued gradually, tapering off patching for at least 5 weeks. Atropine may be performed for penalization in hyperopic children whose amblyopic eye has better visual acuity under cycloplegia than the fellow eye. The discovery of significant neural plasticity in the amblyopic brain after the critical period opens possibilities for new treatment modalities even after childhood.

Arquivos Brasileiros de OftalmologiaVol. 88(2)
Universidade Federal do Rio de Janeiro (BR), Universidade de São Paulo (BR), Irmandade da Santa Casa de Misericórdia de São Paulo (BR), Hospital Federal dos Servidores do Estado (BR), Hospital IPO (BR), Hospital de Clínicas Universidade Federal do Paraná (BR), Centro Universitário Academia (BR), Hospital São Paulo (BR), Universidade Federal do Estado do Rio de Janeiro (BR), Universidade Federal de São Paulo (BR)
Openalex Percentile: Top 68%
Ophthalmology and Visual Impairment Studies
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