Treatment of hyperopic amblyopia in children

I believe that everyone is not too familiar with diseases such as hyperopic amblyopia in children. Hyperopic amblyopia in children is not a common disease. However, due to the great harm of hyperopic amblyopia in children, it is still necessary for us to master more knowledge about hyperopic amblyopia in children, especially the treatment methods of hyperopic amblyopia in children. Below we will introduce to you the treatment methods of hyperopic amblyopia in children.

The motto for the treatment of hyperopic amblyopia is "early detection, early treatment". The best time to treat a child is before the age of 7. If the symptoms are detected at the age of 3 or earlier and treatment is taken in time, the child can be basically cured. (Generally, hyperopic amblyopia can only partially restore eye function through treatment, and the later the treatment is, the worse the recovery potential is). However, in real life, due to the lack of language expression ability and active communication awareness of young children, coupled with the negligence of their parents, the hospital has learned that many children with amblyopia, especially those with unilateral amblyopia who live almost the same as normal people, often do not discover symptoms until they enter elementary school, thus missing the best time for treatment.

There are many treatments for amblyopia, including occlusion therapy, suppression therapy, grating therapy, afterimage therapy, red filter therapy, fine work training and synoptophore training, etc. One or several methods can be selected according to the different types of amblyopia.

The most important method for treating monocular amblyopia is traditional occlusion, which is to cover the child's fixating eye. The occlusion can be divided into full occlusion and temporary occlusion. Anisometropic amblyopia should first be fully corrected for refractive error, and then the eye with smaller refraction should be covered, regardless of whether it is hyperopia or myopia. For form-deprivation amblyopia, such as unilateral cataract, cataract surgery should be performed first, and then the amblyopia should be treated. The principle of optical and drug suppression treatment is to use optics and drugs to weaken the vision of the fixating eye while promoting the visual function of the non-fixating eye. It is more suitable for older school-age children who cannot accept occlusion treatment. Grating therapy (CAM therapy) is also known as visual physiological basis therapy. The visual cells in the human cerebral cortex respond to stimuli with strong contrast and high spatial frequency. People have designed a black and white striped disc with strong contrast, which is rotated in all directions to stimulate the amblyopic eye to improve vision. This method has a good effect on central gaze. When occlusion therapy is ineffective for children with paracentral fixation and amblyopia, afterimage therapy can be used. Afterimage therapy for amblyopia requires a long time and special equipment, and it is difficult for young children to cooperate. The treatment of paracentral fixation can also use the red filter film method, the principle of which is to use the characteristics of the foveal cone cells that are sensitive to red filter film. When in use, cover the focusing eye, and add a red filter film of a certain specification (wavelength 600-640mm) in front of the corrective lens of the non-focusing eye to encourage focusing on the center of the macula to improve vision. Although there is still controversy about the use of patting to treat paracentral fixation, it is still a common method to patch the fixating eye to promote visual acuity in the amblyopic eye after other methods have failed.

In addition, fine work training, fixation training, vision enhancement therapy, binocular vision function training and homoopia training (including simultaneous vision training and inhibition elimination training, fusion enhancement training, stereoscopic vision enhancement training, and treatment of abnormal retinal correspondence) also occupy a very important position in the treatment of amblyopia.

Commonly used drugs for the treatment of amblyopia in clinical practice include vitamin B1, vasodilators, strychnine nitrate, oxygen therapy, anabolic steroids, etc. Some people also speculate that inhibitory amblyopia is related to mood swings, and suggest trying hypnosis therapy.

In the above article, we introduced a relatively rare disease, that is, hyperopic amblyopia in children. We know that hyperopic amblyopia in children is very harmful, so we must do a good job in the prevention and treatment of hyperopic amblyopia in children. The above article introduces the treatment methods of hyperopic amblyopia in children in detail.