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August 1989

Initiation of Amblyopia Treatment in Monocular Congenital Cataracts

Author Affiliations

Houston, Tex

Arch Ophthalmol. 1989;107(8):1113-1114. doi:10.1001/archopht.1989.01070020179005

To the Editor.  —Drummond et al1 recently reported visual results in 14 patients after treatment for monocular congenital cataracts. The period between surgery and optical correction with initiation of therapy for amblyopia ranged from 5 days to 13 weeks, with an average of 4 weeks. One of their patients (case 2), operated on at age 11 weeks, was optically corrected, and patching was initiated for amblyopia at age 17 weeks, achieving a visual acuity of 20/25. In another patient (case 6), who was operated on at age 9 weeks, optical correction and patching for amblyopia were initiated at age 17 weeks, achieving a visual acuity of 20/60. These very good visual acuity results occurred despite a significant delay in visual rehabilitation after surgery.Although we applaud the visual acuity results obtained by Drummond et al, we suggest an alternative method to allow immediate initiation of treatment of amblyopia. It

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