| Sumario: | Background: Dichoptic training, anti-suppression, and binocular vision therapy have been shown to be of benefit in adults with anisometropic amblyopia. Case report: A 23-year-old female complained of blurred vision in the left eye. Her unaided vision OD was 20/32 (6/9) for distance and N6 for near, and OS was 20/500 (6/150) for distance and N12 for near. Her best-corrected visual acuity was 20/20 (6/6)/N6 OD with plano-0.75x165 and 20/80 (6/24)/N10 OS with -7.50-2.00x180. She was diagnosed with anisometropic amblyopia as there was no evidence of a squint (strabismus). She completed 15 sessions of vision therapy, followed by a re-assessment, where her vision in the left eye improved to 20/25 (6/7.5), and stereopsis improved from <400 to 200 secs of arc stereopsis. She was then diagnosed with convergence insufficiency, and additional vision therapy was suggested for further treatment. With the assistance of contact lenses and vision therapy, including anti-suppression therapy, her stereopsis greatly improved to 30 secs of arc. Conclusion: Adult amblyopia is manageable if an organized therapy protocol is followed to minimize suppression and to improve binocular single vision by conjointly treating amblyopia and binocular vision anomalies. Visual prognosis can vary depending on the underlying cause of amblyopia and the depth of suppression.
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