Tratamento oclusivo da ambliopia estrabísmica: resultados visuais e adesão

• Main Author: Barbosa, Márcia Cartaxo
• Publication Date: 2018
• Format: Master thesis
• Language: por
• Source: Biblioteca Digital de Teses e Dissertações da UFG
• Download full: http://repositorio.bc.ufg.br/tede/handle/tede/8854
• topic: Estrabismo; Transtornos da motilidade ocular; Ambliopia; Strabismus; Ocular motility disorders; Amblyopia; CIENCIAS DA SAUDE::MEDICINA

This study was conducted to investigate visual results and compliance with occlusion therapy in strabismic amblyopia in a population sample. Data were selected from medical records of patients examinated at the Department of Strabismus of the Reference Center for Ophthalmology – CEROF, Federal University of Goias, Brazil, during the period from January 1st 2011 to January 1st 2017. Statistical analysis was performed using descriptive analysis, frequency of occurrence and association tests (p=0.05). We found a significantly higher number of esotropia associated with vertical deviation in the study population. A total resolution of amblyopia with equal visual acuity between the eyes was obtained in 123 patients and an 8.6-fold higher relative risk of obtaining this outcome in the compliance group compared to the non-compliance group. The compliance was 87.5% (253 patients), with 50.9% (147 patients) of the total compliance subgroup (when the occlusion dose was between 80% and 100% of that prescribed). Poor compliance was related to higter final treatment age, higher evasion rate, higher rate of suspension of treatment due to inefficacy, less recurrence and lower rate of maintenance of prophylactic occlusion after treatment. They did not interfere with compliance: initial age of treatment, frequency of revision, origin, prophylactic occlusion prior to treatment, exchange of health care staff team, change of conduct during treatment and follow up of treatment by the parents or other persons.