[Current epidemiology of strabismic amblyopia in France].
It is well known that good early management of squint prevents the appearance of functional amblyopia and, when it exists, allows a cure in more than 90% of cases. The authors report a series of 1 552 esotropias. Statistical analysis reveals that the present epidemiologic state of functional amblyopia is dismal. 47% of cases have an amblyopia in spite of 64.6% of children being previously treated. The mean age is 7 years 6 months. The therapeutic results after a 6 months range still shows 38% of poorly applied treatment, but 57% of well-managed patients recover normal visual acuity. The long range results (average 33 months) show that in 47% of cases the treatment was badly applied. On the contrary, 70% of patients having good management were successful. Two main reasons explain such a situation : firstly the lack of information and casualness of parents; and on the other hand faltering and unsuitable medical technics. The only real answer to such a problem is early medical management of every squint. According to the author's experience it seems that such a state is not a special feature of amblyopia epidemiology in the western part of France, but it is observed in the same way in many countries having high level medical care.
D000367:Age Factors; D000550:Amblyopia / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000453:epidemiology / Q000503:physiopathology; D005602:France; D006801:Humans; D007223:Infant; D010290:Parents / Q000523:psychology; D012008:Recurrence; D013285:Strabismus / Q000453:epidemiology* / Q000503:physiopathology / Q000628:therapy; D013997:Time Factors; D014792:Visual Acuity
Epidémiologie actuelle de l'amblyopie strabique en France.