Lemah konvergens (CI) adalah anomali penglihatan binokular yang melibatkan kesukaran dua mata menumpu semasa penglihatan dekat. Kajian ini mengkaji prestasi penglihatan binokular subjek CI. Prestasi binokular iaitu, akuiti penglihatan (VA) binokular jauh, VA binokular dekat dan stereoakuiti dibandingkan antara subjek CI dengan subjek normal. Seramai 30 subjek CI purata umur 17.33 ± 5.49 tahun dan 30 subjek normal purata umur 18.77 ± 6.08 tahun mempunyai VA 6/6 atau lebih baik, ralat refraksi sfera tidak melebihi ± 4.00 DS, astigmatisme tidak lebih daripada 2.00 DC, tiada juling dan tidak pernah menjalani terapi penglihatan, mempunyai kesihatan am dan kesihatan okular yang baik mengambil bahagian dalam kajian ini. VA monokular mata kanan, VA monokular mata kiri, VA binokular dan stereoakuiti dua kumpulan subjek diukur dan dibandingkan. Keputusan kajian mendapati perbezaan yang signifikan bagi VA binokular jauh (t = 2.31, p < 0.05), VA binokular dekat (t = 0.89, p < 0.05) dan stereoakuiti (Z = -2.81, p < 0.01) antara subjek CI dengan subjek normal. Kesimpulan kajian menunjukkan subjek kumpulan CI mengalami penurunan prestasi penglihatan binokular jauh, prestasi penglihatan binokular dekat dan stereoakuiti yang signifikan lebih rendah berbanding kumpulan normal.
Amblyopia is one of the most common causes of visual defi cit in children. Presently, in the Ministry of Health Malaysia hospitals, there is no documented data on the characteristic and profi le of amblyopia cases. This study was conducted to scribe the profile of new amblyopia cases seen by optometrists at the Ministry of Health (MOH) Hospitals. This study was a retrospective and multicenter study including all MOH hospitals with optometry clinics. Clinical record data of amblyopic patients aged 3 to 17 years old who were newly diagnosed between 1st August 2010 to 31st January 2011 and who fulfi lled the inclusion criteria were obtained. Data collected included demography, systemic history, ocular history and optometric findings and diagnosis. Thirty eight MOH hospitals participated and a total of 301 patients were diagnosed with functional amblyopia within the study period. Mean age for these amblyopic patients was 7.70 + 0.16 years old. Boys were the predominant gender (57.1%) and Malay preceded the other races with a 65.4% occurrence. Mild amblyopia was found in 51.5% of the patients, 31.6% were with moderate amblyopia and only 16.9% of patients were severe amblyopia. The underlying amblyogenic causes assessed were ametropia (61.5%), anisometropia (25.2%), strabismus (9.3%) and stimulus deprivation (4.0%). Refractive error was discovered as the most common cause of amblyopia in this study. It is crucial for optometrists to detect this type of visual impairment and undertake an early optometric intervention.
Study site: multicenter study including all MOH hospital