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Case Report

Dense amblyopia: should we consider encouraging long-term continued refractive correction of the amblyopic eye? A case of getting the balance right

Author:

Janet M. Vardy

Orthoptic Department, University Hospital of North Durham, Durham
About Janet M.
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Abstract

Aims: To promote consideration of whether patients should be encouraged to continue wearing a refractive correction in cases where the vision in the amblyopic eye remains very poor. To highlight the benefits of full refractive correction in cases of a densely amblyopic eye when there is no improvement in the visual acuity.

Method: A case is described where a young adult presented in clinic with a secondary strabismus with eccentric fixation, a grossly amblyopic eye due to stimulus deprivation, nystagmus and diplopia.

Results: Once the full refractive correction was prescribed, the cosmesis improved and the diplopia was eliminated. However, there was no improvement in the visual acuity of the amblyopic eye.

Conclusion: All patients should be refracted in house and the full prescription ordered. The patient should then be re-assessed by an orthoptist to decide on the best management options.

DOI: https://doi.org/10.22599/bioj.32
How to Cite: Vardy, J.M., 2010. Dense amblyopia: should we consider encouraging long-term continued refractive correction of the amblyopic eye? A case of getting the balance right. British and Irish Orthoptic Journal, 7, pp.77–80. DOI: http://doi.org/10.22599/bioj.32
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Published on 01 Aug 2010.
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