Optometry Research Today is a free monthly online journal that collates and summarizes the latest research about Optometry, including details on myopia, optometric practice, therapy.

Atypical fixation preference with anisometropia.

Rutstein RP, Swanson MW

School of Optometry, University of Alabama at Birmingham, Birmingham, Alabama 35294-0010, USA. rrutstein@icare.opt.uab.edu

PURPOSE: To describe a child with hyperopia and anisometropia who manifests strabismus and amblyopia in the much less hyperopic eye. CASE REPORT: A 6-year-old child presented with a history of strabismus and refractive error since infancy, which has been treated with glasses and patching. The present examination revealed 3 D of hyperopic anisometropia, intermittent exotropia, and amblyopia. The strabismus and amblyopia occur in the less hyperopic eye. Ocular health assessment including optical coherence tomography was normal. After patching therapy, the vision improved in the amblyopic eye. CONCLUSION: Amblyopia and strabismus need not always occur in the more ametropic eye when accompanied by anisometropia.

Published 17 September 2007 in Optom Vis Sci, 84(9): 848-51.
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