Recently I’ve attended several lectures on the treatment of amblyopia in children. The available treatments include the correction of refractive error and strabismus to promote binocular single vision; and penalisation of the good eye with either patches or, increasingly, atropine.
Treatments aim to place a clear image on the retina of the “lazy eye”, make it “work harder”, and promote the development of the neural pathways to the brain. Simply correcting hyperopia and astigmatism usually renders surgery for strabismus unnecessary too it turns out. Spectacles alone are the treatment for the majority of patients.
Why does amblyopia treatment fail so often? A number of hypotheses are presented.
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