The publication of University of Health Sciences Istanbul Sisli Hamidiye Etfal Application and Research Center.


Online article submission system has been turned over to eJManager. We kindly request you to submit your current article or new articles via eJManager system

          VOLUME 36 / ISSUE 1


The Journal is Indexed in


8 - Efficacy of optical and pharmacological penalisation in school children

Şule Ziylan, Didem T. Serin, Şafak Karslıoğlu, Ersin Oba

Objective: Occlusion, pharmacological penalisation and optical penalisation have been used in the treatment of amblyopia. Occlusion, the first choice of treatment, continues to be a problem for the child and his family. In this study, the efficacy of optical and pharmacological penalisation with atropine in the treatment of amblyopia has been evaluated.

Study Design: Penalisation with one of atropine sulphate 1% was peiformed on the non-amblyopic eyes of 14 children, aged between 2 and 7. Fixation of the amblyopic eye was enhanced by replacing the glass of the non-amblyopic eye with a piano glass. Patients were examined eveiy three weeks throughout an average follow-up period of 2.6 months. The treatment was discontinued provided stable vision was observed on three successive examinations and the outcome was evaluated.

Results: Visual acuity of the amblyopic eyes was 0.39 on the first examination and 0.71 on the last examination (p<0.001). It was observed that the patients tolerated penalisation and piano glass perfectly.

Conclusions: Penalisation may be a an efficient alternative in the treatment of amblyopia in patients for whom occlusion therapy is a problem.

Keywords: Amblyopia, atropine sulphate, penalisation

To read full article click


Home Page       Editorial       Editorial Board       Advisory Board       Information for Authors       Contact       Archive

Copyright ® 2011 Sisli Etfal Hastanesi Tıp Bülteni