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I have read with interest the recent important article by the Pediatric Eye Disease Investigator Group.¹ A particular point to which I would draw attention is the much better response to treatment of the patients with anisometropic amblyopia compared with the strabismic and combined groups in those aged 7 to 12 years (Table 2), a question raised in the editorial.² Surprisingly, that did not apply in those aged 13 to 17 years (Table 3). The maximum improvement in visual acuity (9.9 letters) was greatest in those with anisometropia, but the numbers in the subgroups were small. The former finding supports the view that anisometropic amblyopia is different from strabismic amblyopia and should be managed differently.^3-4

Amblyopia secondary to anisometropia was comprehensively described and discussed by Bishop.³ The oldest patient he successfully treated was aged 13.5 years, the same age as 1 patient whom I described.⁴ In the latter article, previous . . . [Full Text of this Article]

AUTHOR INFORMATION
Calbert I. Phillips, MD, PhD, DPH, DO, FRCS(Eng),  FRCS(Edin)

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RELATED LETTER

Amblyopia in Children Aged 7 to 17 Years—Reply
Mitchell M. Scheiman, Richard W. Hertle, Roy W. Beck, Allison R. Edwards, Eileen Birch, Susan A. Cotter, Earl R. Crouch, Jr, Oscar A. Cruz, Bradley V. Davitt, Sean Donahue, Jonathan M. Holmes, Don W. Lyon, Michael X. Repka, Nicholas A. Sala, David I. Silbert, Donny W. Suh, Susanna M. Tamkins, and for the Pediatric Eye Disease Investigator Group
Arch Ophthalmol. 2006;124(11):1668-1669.
EXTRACT | FULL TEXT  

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Randomized Trial of Treatment of Amblyopia in Children Aged 7 to 17 Years
Pediatric Eye Disease Investigator Group
Arch Ophthalmol. 2005;123(4):437-447.
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