Abstract: Objective　To evaluate the effect of traditional treatment combined with accommodation training in amblyopic children with different ages, different refractive states, different refractive types and different severity. Methods　A total of 83 children (112 eyes) with amblyopia were enrolled in the amblyopia training room of our hospital. All children were treated with traditional treatment combined with accommodation training under the premise of refractive correction, and children with monocular amblyopia were treated with covering therapy at the same time. According to different ages, different refractive types, different refractive states and amblyopic severity, the clinical therapeutic effects of amblyopic children were analyzed in different groups. Results　Among 83 cases (112 eyes), 33 children (44 eyes) were preschool age, 50 children (68 eyes) were school age, 47 children (49 eyes) were anisometropia and 36 (63 eyes) were ametropia. There were 5 children (6 eyes) of hyperopia, 67 (88 eyes) of hyperopic astigmatism and 11 (18 eyes) of myopic astigmatism. Forty-four eyes were mild amblyopia, 65 eyes were moderate amblyopia and 3 eyes were severe amblyopia. The total effective rate of amblyopia was 91.1% (102/112 eyes). The improvement of best corrected visual acuity (BCVA) was significantly higher in the preschool age group than that in the school age group (P＜0.05). The improvement of BCVA was significantly higher in the anisometropia group than that in the ametropia group (P＜0.05).The total effective rate was significantly higher in the hyperopic astigmatism group than that of the myopic astigmatism group and the simple hyperopia group (P＜0.01), but there was no significant difference in the total effective rate between the myopic astigmatism group and the simple hyperopia group. The therapeutic effect was significantly better in the mild group than that of the moderate group and the severe group (P＜0.01), but there was no significant difference between moderate group and severe group. The BCVA improvement was significantly higher in the severe group than that in the other two groups (P＜0.01), where as the changes of BCVA was significantly higher in the moderate group than that of the mild group (P＜0.01). Conclusion　Traditional amblyopia treatment combined with accommodation training can effectively improve the visual acuity of children. The BCVA improvement increases significantly in preschool age, anisometropia, moderate and severe amblyopia children. The effective rate of hyperopic astigmatism is high, and the mild group has good curative effect.

Key words: amblyopia, refraction, ocular, accommodation, ocular