Management of Anisometropic Amblyopia: A Retrospective Study

The standard treatment of amblyopia involves punitive intervention through patching or pharmacology that inhibits the fellow eye and disrupts binocular vision. With regard to occlusion, the results of this nearly 300-year approach has proven to be improvable given the psychosocial difficulties it presents along with its frequently questionable long-term outcomes. This paper presents the Sanet-Vergara treatment protocol for anisometropic amblyopia that avoids punitive measures and emphasizes full- time wear of the Best Binocular Prescriptive lenses (BBP). A retrospective record review of 28 patients shows the high degree of success obtained with significant improvements in visual acuity of the right eye, F(2,54)=12.57, p<0.001 and left eye, F(2,54)=31.80, p<0.001, bi-ocular visual acuity measured with polarized screen F(2,54)=50.40, p<0.001, and stereoacuity F(2,54)=14.57, p<0.001 The positive outcomes were retained for up to one year after cessation of the treatment protocol.