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Compliance in antiamblyopia occlusion therapy
Author(s) -
Nucci Paolo,
Alfarano Rosetta,
Piantanida Andrea,
Brancato Rosario
Publication year - 1992
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1992.tb02104.x
Subject(s) - medicine , strabismus , occlusion , compliance (psychology) , visual acuity , refractive error , regimen , pediatrics , ophthalmology , surgery , psychology , social psychology
Antiamblyopia occlusion therapy relies on compliance. We retrospectively reviewed the charts of 496 amblyopic subjects. Measures of non‐compliance included patient reporting and patient records of broken appointments. Out of 496 subjects, 92 (18%) failed to follow the occlusion regimen. Compliance with treatment was analyzed by age group, refractive error and type of strabismus. The failure rate was 82.6% for the unilateral high myopia group and 37.5% for the monofixation syndrome group. The risk for non‐compliance appeared to be higher in the 1 to 2‐year‐old group (37%). The x 2 ‐test showed the differences to be highly significant ( P <0.0001). Children having lower initial visual acuity were also significantly less compliant ( P <0.007). Several factors such as age, parental understanding, initial visual acuity and improvement rate seem to be involved in compliance.