Prevention and treatment of the refractive amblyopia in pediatric keratoconus
Keywords:
Keratoconus, amblyopia, astigmatism, myopia, refractive errors, corneal topography, childrenAbstract
Introduction: The diagnosis and management of pediatrickeratoconus, establishes a challenge because of the subclinics
presentations in initial periods and the specialized ophthalmological
attention need to avoid complications as the refractive amblyopia.
Objective: Determining the visual results of the prevention and
treatment of amblyopia, in children with keratoconus attended in
Pediatrics Corneal Ectasias Provincial Consultation´s in Ciego de Avila.
Material and Methods: Pre-experimental study in 408 eyes of 224
pediatric patients with diagnosis of keratoconus, among May 2013 and
April 2023. They determined absolute and relative frequencies, measures
of dispersion and central tendency and the marginal homogeneity test
and the Wilcoxon signed-rank test, according to the variables examined.
Results: The middle ages was 10,61 years and the masculine sex
predominated. The 82,1 % presented clinical or topographic evidence
of bilateral keratoconus. Predominate the correction with spectacles or
rigid gas permeable contact lenses. The majority presented binocular
amblyopia and indication of alternating occlusive treatment's (48,5 %).
Predominated the keratoconus grade I, with evidence of keratoconic
progression as well as refractive and topographic variables. However, a
significative increase of non-amblyopic eyes was evidenced.
Conclusions: The specialized attention of pediatric keratoconus favors
the prevention and treatment of the refractive amblyopia regardless of
the keratoconic progression
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