Tratamento oclusivo da ambliopia estrabísmica: resultados visuais e adesão
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Data
2018-08-07
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Universidade Federal de Goiás
Resumo
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.
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BARBOSA, M. C. Tratamento oclusivo da ambliopia estrabísmica: resultados visuais e adesão. 2018.93 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018.