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Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 6/2017

24.02.2017 | Pediatrics

Functional visual acuity in patients with successfully treated amblyopia: a pilot study

verfasst von: Sujin Hoshi, Takahiro Hiraoka, Junko Kotsuka, Yumiko Sato, Shinya Izumida, Atsuko Kato, Yuta Ueno, Shinichi Fukuda, Tetsuro Oshika

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 6/2017

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Abstract

Purpose

The aim of this study was to use conventional visual acuity measurements to quantify the functional visual acuity (FVA) in eyes with successfully treated amblyopia, and to compare the findings with those for contralateral normal eyes.

Methods

Nineteen patients (7 boys, 12 girls; age 7.5 ± 2.2 years) with successfully treated unilateral amblyopia and the same conventional decimal visual acuity in both eyes (better than 1.0) were enrolled. FVA, the visual maintenance ratio (VMR), maximum and minimum visual acuity, and the average response time were recorded for both eyes of all patients using an FVA measurement system. The differences in FVA values between eyes were analyzed.

Results

The mean LogMAR FVA scores, VMR (p < 0.001 for both), and the LogMAR maximum (p < 0.005) and minimum visual acuity (p < 0.001) were significantly poorer for the eyes with treated amblyopia than for the contralateral normal eyes. There was no significant difference in the average response time.

Conclusions

Our results indicate that FVA and VMR were poorer for eyes with treated amblyopia than for normal eyes, even though the treatment for amblyopia was considered successful on the basis of conventional visual acuity measurements. These results suggest that visual function is impaired in eyes with amblyopia, regardless of treatment success, and that FVA measurements can provide highly valuable diagnosis and treatment information that is not readily provided by conventional visual acuity measurements.
Literatur
1.
Zurück zum Zitat Ciuffreda KJ, Levi DM, Selenow A (1991) Amblyopia: basic and clinical aspects. Butterworth-Heinemann, London, pp 10–14 Ciuffreda KJ, Levi DM, Selenow A (1991) Amblyopia: basic and clinical aspects. Butterworth-Heinemann, London, pp 10–14
3.
Zurück zum Zitat Cascairo MA, Mazow ML, Holladay JT, Prager T (1997) Contrast visual acuity in treated amblyopia. Binocul Vis Strabismus Q 12:167–174 Cascairo MA, Mazow ML, Holladay JT, Prager T (1997) Contrast visual acuity in treated amblyopia. Binocul Vis Strabismus Q 12:167–174
4.
Zurück zum Zitat Hiscox F, Strong N, Thompson JR, Minshull C, Woodruff G (1992) Occlusion for amblyopia: a comprehensive survey of outcome. Eye (Lond) 6:300–304CrossRef Hiscox F, Strong N, Thompson JR, Minshull C, Woodruff G (1992) Occlusion for amblyopia: a comprehensive survey of outcome. Eye (Lond) 6:300–304CrossRef
5.
Zurück zum Zitat Pediatric Eye Disease Investigator Group (2002) A randomized trial of atropine vs. patching for treatment of moderate amblyopia in children. Arch Ophthalmol 120:268–278CrossRef Pediatric Eye Disease Investigator Group (2002) A randomized trial of atropine vs. patching for treatment of moderate amblyopia in children. Arch Ophthalmol 120:268–278CrossRef
6.
Zurück zum Zitat Regan D (1988) Low-contrast visual acuity test for pediatric use. Can J Ophthalmol 23:224–227PubMed Regan D (1988) Low-contrast visual acuity test for pediatric use. Can J Ophthalmol 23:224–227PubMed
7.
Zurück zum Zitat Fulton AB, Mayer DL (1988) Esotropic children with amblyopia: effects of patching on acuity. Graefes Arch Clin Exp Ophthalmol 226:309–312CrossRefPubMed Fulton AB, Mayer DL (1988) Esotropic children with amblyopia: effects of patching on acuity. Graefes Arch Clin Exp Ophthalmol 226:309–312CrossRefPubMed
8.
Zurück zum Zitat Lithander J, Sjostrand J (1991) Anisometropic and strabismic amblyopia in the age group 2 years and above: a prospective study of the results of treatment. Br J Ophthalmol 75:111–116CrossRefPubMedPubMedCentral Lithander J, Sjostrand J (1991) Anisometropic and strabismic amblyopia in the age group 2 years and above: a prospective study of the results of treatment. Br J Ophthalmol 75:111–116CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Mintz-Hittner HA, Fernandez KM (2000) Successful amblyopia therapy initiated after age 7 years: compliance cures. Arch Ophthalmol 118:1535–1541CrossRefPubMed Mintz-Hittner HA, Fernandez KM (2000) Successful amblyopia therapy initiated after age 7 years: compliance cures. Arch Ophthalmol 118:1535–1541CrossRefPubMed
10.
Zurück zum Zitat Kheterpal S, Jones HS, Auld R, Moseley MJ (1996) Reliability of visual acuity in children with reduced vision. Ophthalmic Physiol Opt 16:447–449CrossRefPubMed Kheterpal S, Jones HS, Auld R, Moseley MJ (1996) Reliability of visual acuity in children with reduced vision. Ophthalmic Physiol Opt 16:447–449CrossRefPubMed
11.
Zurück zum Zitat McGraw PV, Winn B, Gray LS, Elliott DB (2000) Improving the reliability of visual acuity measures in young children. Ophthalmic Physiol Opt 20:173–184CrossRefPubMed McGraw PV, Winn B, Gray LS, Elliott DB (2000) Improving the reliability of visual acuity measures in young children. Ophthalmic Physiol Opt 20:173–184CrossRefPubMed
12.
13.
Zurück zum Zitat Huang C, Tao L, Zhou Y, Lu ZL (2007) Treated amblyopes remain deficient in spatial vision: a contrast sensitivity and external noise study. Vis Res 47:22–34CrossRefPubMed Huang C, Tao L, Zhou Y, Lu ZL (2007) Treated amblyopes remain deficient in spatial vision: a contrast sensitivity and external noise study. Vis Res 47:22–34CrossRefPubMed
14.
Zurück zum Zitat von Noorden GK, Leffler MB (1966) Visual acuity in strabismic amblyopia under monocular and binocular conditions. Arch Ophthalmol 76:172–177CrossRef von Noorden GK, Leffler MB (1966) Visual acuity in strabismic amblyopia under monocular and binocular conditions. Arch Ophthalmol 76:172–177CrossRef
15.
Zurück zum Zitat Hayashi H, Hiramatsu Y (1971) Diagnostic standard in corrected amblyopia—with special reference to anisometric hypermetropic amblyopia. Ganka 13:696–706PubMed Hayashi H, Hiramatsu Y (1971) Diagnostic standard in corrected amblyopia—with special reference to anisometric hypermetropic amblyopia. Ganka 13:696–706PubMed
16.
Zurück zum Zitat Goto E, Yagi Y, Matsumoto Y, Tsubota K (2002) Impaired functional visual acuity of dry eye patients. Am J Ophthalmol 133:181–186CrossRefPubMed Goto E, Yagi Y, Matsumoto Y, Tsubota K (2002) Impaired functional visual acuity of dry eye patients. Am J Ophthalmol 133:181–186CrossRefPubMed
17.
Zurück zum Zitat Kaido M, Dogru M, Yamada M et al (2006) Functional visual acuity in Stevens-Johnson syndrome. Am J Ophthalmol 142:917–922CrossRefPubMed Kaido M, Dogru M, Yamada M et al (2006) Functional visual acuity in Stevens-Johnson syndrome. Am J Ophthalmol 142:917–922CrossRefPubMed
18.
Zurück zum Zitat Kaido M, Dogru M, Ishida R, Tsubota K (2007) Concept of functional visual acuity and its applications. Cornea 26:S29–S35 (Review)CrossRefPubMed Kaido M, Dogru M, Ishida R, Tsubota K (2007) Concept of functional visual acuity and its applications. Cornea 26:S29–S35 (Review)CrossRefPubMed
19.
Zurück zum Zitat Ishida R, Kojima T, Dogru M et al (2005) The application of a new continuous functional visual acuity measurement system in dry eye syndromes. Am J Ophthalmol 139:253–258CrossRefPubMed Ishida R, Kojima T, Dogru M et al (2005) The application of a new continuous functional visual acuity measurement system in dry eye syndromes. Am J Ophthalmol 139:253–258CrossRefPubMed
20.
Zurück zum Zitat Kaido M, Kawashima M, Yokoi N et al (2015) Advanced dry eye screening for visual display terminal workers using functional visual acuity measurement: the Moriguchi study. Br J Ophthalmol 99:1488–1492CrossRefPubMed Kaido M, Kawashima M, Yokoi N et al (2015) Advanced dry eye screening for visual display terminal workers using functional visual acuity measurement: the Moriguchi study. Br J Ophthalmol 99:1488–1492CrossRefPubMed
21.
Zurück zum Zitat Kaido M, Matsumoto Y, Shigeno Y, Ishida R, Dogru M, Tsubota K (2011) Corneal fluorescein staining correlates with visual function in dry eye patients. Invest Ophthalmol Vis Sci 52:9516–9522CrossRefPubMed Kaido M, Matsumoto Y, Shigeno Y, Ishida R, Dogru M, Tsubota K (2011) Corneal fluorescein staining correlates with visual function in dry eye patients. Invest Ophthalmol Vis Sci 52:9516–9522CrossRefPubMed
22.
Zurück zum Zitat Kaido M, Uchino M, Yokoi N et al (2014) Dry-eye screening by using a functional visual acuity measurement system: the Osaka Study. Invest Ophthalmol Vis Sci 55:3275–3281CrossRefPubMed Kaido M, Uchino M, Yokoi N et al (2014) Dry-eye screening by using a functional visual acuity measurement system: the Osaka Study. Invest Ophthalmol Vis Sci 55:3275–3281CrossRefPubMed
23.
Zurück zum Zitat Yamaguchi T, Negishi K, Dogru M, Saiki M, Tsubota K (2009) Improvement of functional visual acuity after cataract surgery in patients with good pre- and postoperative spectacle-corrected visual acuity. J Refract Surg 25:410–415CrossRefPubMed Yamaguchi T, Negishi K, Dogru M, Saiki M, Tsubota K (2009) Improvement of functional visual acuity after cataract surgery in patients with good pre- and postoperative spectacle-corrected visual acuity. J Refract Surg 25:410–415CrossRefPubMed
24.
Zurück zum Zitat Yamaguchi T, Negishi K, Tsubota K (2011) Functional visual acuity measurement in cataract and intraocular lens implantation. Curr Opin Ophthalmol 22:31–36, ReviewCrossRefPubMed Yamaguchi T, Negishi K, Tsubota K (2011) Functional visual acuity measurement in cataract and intraocular lens implantation. Curr Opin Ophthalmol 22:31–36, ReviewCrossRefPubMed
25.
Zurück zum Zitat Wakamatsu TH, Yamaguchi T, Negishi K et al (2011) Functional visual acuity after neodymium: YAG laser capsulotomy in patients with posterior capsule opacification and good visual acuity preoperatively. J Cataract Refract Surg 37:258–264CrossRefPubMed Wakamatsu TH, Yamaguchi T, Negishi K et al (2011) Functional visual acuity after neodymium: YAG laser capsulotomy in patients with posterior capsule opacification and good visual acuity preoperatively. J Cataract Refract Surg 37:258–264CrossRefPubMed
26.
Zurück zum Zitat Kabata Y, Negishi K, Watanabe K et al (2016) Functional visual acuity of early presbyopia. PLoS One 11(3):e0151094CrossRef Kabata Y, Negishi K, Watanabe K et al (2016) Functional visual acuity of early presbyopia. PLoS One 11(3):e0151094CrossRef
27.
Zurück zum Zitat Tomita Y, Nagai N, Suzuki M et al (2016) Functional visual acuity in age-related macular degeneration. Optom Vis Sci 93:70–76PubMed Tomita Y, Nagai N, Suzuki M et al (2016) Functional visual acuity in age-related macular degeneration. Optom Vis Sci 93:70–76PubMed
28.
30.
Zurück zum Zitat Manh V, Chen AM, Tarczy-Hornoch K, Cotter SA, Candy TR (2015) Accommodative performance of children with unilateral amblyopia. Invest Ophthalmol Vis Sci 56:1193–1207CrossRefPubMedPubMedCentral Manh V, Chen AM, Tarczy-Hornoch K, Cotter SA, Candy TR (2015) Accommodative performance of children with unilateral amblyopia. Invest Ophthalmol Vis Sci 56:1193–1207CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Ciuffreda KJ, Hokoda SC, Huang GK, Semmlow JL, Selenow A (1983) Static aspects of accommodation in human amblyopia. Am J Optom Physiol Opt 60:436–449CrossRefPubMed Ciuffreda KJ, Hokoda SC, Huang GK, Semmlow JL, Selenow A (1983) Static aspects of accommodation in human amblyopia. Am J Optom Physiol Opt 60:436–449CrossRefPubMed
32.
Zurück zum Zitat Davis AR, Sloper JJ, Neveu MM, Hogg CR, Morgan MJ, Holder GE (2006) Differential changes of magnocellular and parvocellular visual function in early- and late-onset strabismic amblyopia. Invest Ophthalmol Vis Sci 47:4836–4841CrossRefPubMed Davis AR, Sloper JJ, Neveu MM, Hogg CR, Morgan MJ, Holder GE (2006) Differential changes of magnocellular and parvocellular visual function in early- and late-onset strabismic amblyopia. Invest Ophthalmol Vis Sci 47:4836–4841CrossRefPubMed
Metadaten
Titel
Functional visual acuity in patients with successfully treated amblyopia: a pilot study
verfasst von
Sujin Hoshi
Takahiro Hiraoka
Junko Kotsuka
Yumiko Sato
Shinya Izumida
Atsuko Kato
Yuta Ueno
Shinichi Fukuda
Tetsuro Oshika
Publikationsdatum
24.02.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 6/2017
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-017-3623-z

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