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Amblyopia: Warattaporn Chanlalit MD
Amblyopia: Warattaporn Chanlalit MD
Amblyopia: Warattaporn Chanlalit MD
Warattaporn Chanlalit MD
Definition
Decrease central vision without detectable anatomical damage in eye or visual pathway
Definition
Result from abnormal visual experience during critical period of visual development ~ 8-9 yr visual loss and brain damage
Classification
Strabismic amblyopia
most common form develop in consistently deviating eye
Classification
Refractive amblyopia
Anisometropic amblyopia
significant difference in refractive error between two eyes common in hyperopia, astigmatism > 1.00-2.00 D myopia > 3.00 D detection and tx often delay until school age
Classification
Isoametropic amblyopia
bilateral equally high refractive error common in myopia > - 10.00 D hyperopia > + 5.00 D astigmatism > 2.00 D
Classification
Deprivation amblyopia
least common but most damaging and difficult to treat cause
cong cataract ptosis media opacities
Diagnostic test
Preverbal & preliterate child
binocular fixation pattern
Literate child
decrease VA > 2 Snellen lines Crowding phenomenon
Treatment
Eliminate any obstacle to vision Correcting refractive error
Complications of therapy
Iatrogenic amblyopia
regular F/U is required
End point
Alternate fixation VA differs < 1 Snellen line
THE END