Relative Amblyopia Secondary to Anisometropia in a Patient with Ipsilateral Optic Nerve Hypoplasia.
Background: Optic nerve hypoplasia (ONH) is a developmental disorder in which the optic nerve is small and/or there are fewer than normal nerve fibers present. Visual acuity (VA) loss from ONH ranges from none to severe, depending on the extent of macular nerve fiber loss. It is common for patients...
| Publicado en: | Optometry & Visual Performance Vol. 2; no. 6; pp. 297 - 302 |
|---|---|
| Autores principales: | , |
| Formato: | case study diagnostic images pictorial tables/charts Journal Article |
| Publicado: |
Optometric Extension Program
Dec2014
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=101326786&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 101326786 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Dec2014 vid: 2 iid: 6 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 101326786 101326786 109799900 101326786 ppf: 297 ppct: 5 formats: tig: atl: Relative Amblyopia Secondary to Anisometropia in a Patient with Ipsilateral Optic Nerve Hypoplasia. aug: au: Frantz, Kelly A. Yi Pang affil: Illinois College of Optometry, Chicago, Illinois sug: subj: Optic Nerve Abnormalities Optic Nerve Diseases Complications Amblyopia Etiology Amblyopia Therapy Refractive Errors Etiology Refractive Errors Therapy Optometry In Infancy and Childhood Eyeglasses In Infancy and Childhood Eye Patching In Infancy and Childhood Child, Preschool Female Vision Tests Ophthalmoscopy Visual Acuity Tomography Treatment Outcomes Child, Preschool: 2-5 years Female ab: Background: Optic nerve hypoplasia (ONH) is a developmental disorder in which the optic nerve is small and/or there are fewer than normal nerve fibers present. Visual acuity (VA) loss from ONH ranges from none to severe, depending on the extent of macular nerve fiber loss. It is common for patients with decreased vision from unilateral ONH to develop ipsilateral amblyopia secondary to constant unilateral strabismus or high refractive error. We report a case of unilateral ONH and relative amblyopia associated with anisometropia that is less than the expected amblyogenic amount. Case Report: A developmentally appropriate 5-year-old Hispanic female, without complaints or previous spectacle wear, presented for a comprehensive eye examination. Best-corrected distance VA through cycloplegic prescription of OD +0.50-1.00x180, OS -2.50-0.50x180 was OD 20/25, OS 20/100 (HOTV with matching). She was orthophoric at distance and near and showed no response to stereopsis testing. Color vision and pupils were normal. Fundus examination revealed ONH OS. Disc-macula to disc diameter ratio was larger OS. Disc area (Heidelberg Retina Tomograph 3) was noticeably smaller OS. VA improved to 20/40 OS after four months of treatment and has remained stable since then. Stereopsis testing after treatment showed a positive response to random dot forms. Conclusion: Our patient had ONH OS with less than the expected amblyogenic amount of anisometropia. However, VA in the ONH eye improved four logMAR lines with treatment. We conclude that reduced VA from ONH and secondary anisometropia likely led to suppression and relative amblyopia development. We suggest that eye care practitioners attempt patching for selected unilateral ONH patients even if an expected amblyogenic factor is not present. Treatment should be attempted only if the patient's acuity is adequate for patient compliance. pubtype: Academic Journal doctype: case study diagnostic images pictorial tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
|---|