Document Detail


Objective survey of the prescription of occlusion therapy for amblyopia.
MedLine Citation:
PMID:  15052486     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To identify the variation within and consistency amongst orthoptists when prescribing occlusion therapy for amblyopia in an objective survey. METHODS: A questionnaire was designed with five case examples of amblyopic children and distributed at annual meetings of orthoptists in The Netherlands and Germany. It was filled in simultaneously within 15 min in complete silence to avoid any exchange of opinions between orthoptists that would reduce variability. For each case the orthoptists were asked to give their prescription of hours or days of occlusion. RESULTS: The questionnaire was filled in by 177 Dutch orthoptists and 227 German orthoptists. Their prescriptions of occlusion therapy were classified into five main regimens: part-time; part-time not every day; full-time; also occluding the amblyopic eye; alternating; and no occlusion therapy. The variation was large: the standard deviation was half the average prescribed hours of occlusion for each regimen in each of the five cases. All orthoptists were assigned a rank number for each of the five cases depending on whether their prescription was above or below average. These five rank numbers were not consistently above or consistently below average value per case. CONCLUSIONS: The number of prescribed hours of occlusion varied widely per regimen per case. Orthoptists were not consistently strict or lenient in their prescription of occlusion therapy.
Authors:
Sjoukje E Loudon; Jan-Roelof Polling; Brigitte Simonsz; Huibert J Simonsz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie     Volume:  242     ISSN:  0721-832X     ISO Abbreviation:  Graefes Arch. Clin. Exp. Ophthalmol.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2005-01-27     Completed Date:  2005-02-28     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  736-40     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Room Ee-1607, Erasmus Medical Center Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. seloudon@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Amblyopia / therapy*
Child, Preschool
Health Care Surveys
Humans
Infant
Orthoptics / statistics & numerical data*
Patient Compliance
Physician's Practice Patterns
Prescriptions / statistics & numerical data*
Questionnaires
Sensory Deprivation*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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