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Controversy in Amblyopia Management

Correspondence: Requests for reprints should be addressed to: Leah A. Walsh, M.Sc., O.C.(C.), C.O.M.T., Eye Care Team, IWK Health Centre, 5850/5980 University Ave., PO Box 9700, Halifax, Nova Scotia, Canada, B3K 6R8. e-mail: leah.walsh{at}iwk.nshealth.ca

Background and Purpose: Much has been written about amblyopia treatment. However, there is no consensus on the most efficacious therapeutic modality for amblyopia. The intensity of therapy needed to maximize visual acuity is also widely debated. The diversity of opinions emphasizes that the optimum treatment for amblyopia is unknown. Part of the uncertainty stems from the lack of standardization in the management of amblyopia. The objective of this paper is to conduct an in-depth review of the literature in an attempt to clarify the amblyopia treatment conundrum.

Conclusions: The treatment of amblyopia in children is frequently discussed in the literature. It is obvious from the literature that there is the need for prospective studies with consistent controls, clear definitions of what constitutes successful therapy endpoints, and standardization of testing procedures.

Key words: amblyopia, controversy, therapy