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Original ArticleOpen Access
Successful Amblyopia Therapy by Using Synoptophore
Subharngkasen I 
Background
: Amblyopia is the most common cause of monocular visual impairment in
children. Even though occlusion therapy is the treatment of choice, the success rate has not been well
achieved due to poor compliance. Other alternative treatments have been tried for a better outcome.
Objective
: To report successful therapy for amblyopia using synoptophore.
Method
: A retrospective study of 25 amblyopic children enrolled in the amblyopic treatment
program, from September 18, 1996 to October 14, 2002. The program included patching of the good
eye, stimulating the amblyopic eye with synoptophore, and recording the visual acuity of both eyes
each time. All children were regularly examined every 3 months by the same ophthalmologist. The
compliance of each individual was reassessed and adjusted. At the end of the training program, visual
acuity of the amb1yopic and the good eyes were measured, plus the binocularity of both eyes were
recorded as the main outcome measurement.
Result
: Final (best) visual acuities were between 20/20 and 20/30 for 19 cases of 21 cases
(90%). Final best binocularity was maintained in 15 of 25 patients (60%), including 4 anisometropic
patients ( 100% ), 2 ptosis patients (50%), 4 pseudophakic patients (80% ), 2 strabismic patients ( 40% ),
and 3 combined group patients ( 100%)
Conclusion
: By using synoptophore to stimulate the amblyopic eye, while occluding the
good eye, it improved the level of vision to a certain acceptable degree. Thus, compliance of the treat-
ment can be well achieved. However, the understanding and good cooperation of the parents were also
a must for successful amblyopia therapy.
Key word
: Amblyopia, Synoptophore, Occlude the Good Eye
: Amblyopia is the most common cause of monocular visual impairment in
children. Even though occlusion therapy is the treatment of choice, the success rate has not been well
achieved due to poor compliance. Other alternative treatments have been tried for a better outcome.
Objective
: To report successful therapy for amblyopia using synoptophore.
Method
: A retrospective study of 25 amblyopic children enrolled in the amblyopic treatment
program, from September 18, 1996 to October 14, 2002. The program included patching of the good
eye, stimulating the amblyopic eye with synoptophore, and recording the visual acuity of both eyes
each time. All children were regularly examined every 3 months by the same ophthalmologist. The
compliance of each individual was reassessed and adjusted. At the end of the training program, visual
acuity of the amb1yopic and the good eyes were measured, plus the binocularity of both eyes were
recorded as the main outcome measurement.
Result
: Final (best) visual acuities were between 20/20 and 20/30 for 19 cases of 21 cases
(90%). Final best binocularity was maintained in 15 of 25 patients (60%), including 4 anisometropic
patients ( 100% ), 2 ptosis patients (50%), 4 pseudophakic patients (80% ), 2 strabismic patients ( 40% ),
and 3 combined group patients ( 100%)
Conclusion
: By using synoptophore to stimulate the amblyopic eye, while occluding the
good eye, it improved the level of vision to a certain acceptable degree. Thus, compliance of the treat-
ment can be well achieved. However, the understanding and good cooperation of the parents were also
a must for successful amblyopia therapy.
Key word
: Amblyopia, Synoptophore, Occlude the Good Eye
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