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August 2001

Compliance With Amblyopia Therapy

Arch Ophthalmol. 2001;119(8):1226. doi:

Mintz-Hittner and Fernandez1 contribute to the debate concerning the influence of age on treatment outcome in amblyopia. They report significant improvements in the visual acuity of 36 children between the ages of 7.0 and 10.3 years undergoing occlusion or penalization therapy. These are heartening results but are not unexpected; we now know that even adults with amblyopia demonstrate residual plasticity of the visual system.2 Levi's remark3 that failure to achieve improvement in the older amblyopic child may "reflect the very real difficulties in maintaining patient (or clinician) motivation or the failure to use the most efficacious treatment modalities" now appears apposite.

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