Authors
William R. Bobier OD, PhD, FAAO, MBCOa ; Peter J. Shaw, OD

A consideration of binocular parameters in the spectacle correction of anisometropic amblyopia: A Case Report

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Abstract/Introduction

Abstract

Background: Recent evidence points to the use

of spectacles alone in the treatment of anisometropic

amblyopia. However, the impact of this treatment

on the restoration of binocular vision is often not

considered. 

 

Case Report: Patient M.Z., aged 7

years, showed 3.5D of anisometropia which was

coupled with a best corrected visual acuity of 6/38 in

the more hyperopic eye (6/6 in the non-amblyopic

eye). Spectacle lenses were prescribed using specially

designed software to alter the spectacle frame and

lens parameters to theoretically reduce the static and

dynamic aniseikonia to 1% and 3.8% respectively.

Four subsequent follow up visits were conducted over

a 2 year period where standard clinical measures of

refraction, visual acuity, and binocular vision were

conducted. The spectacles were worn consistently over

this time. Single letter acuity normalized by 5 months

while crowded acuity took longer. Improvements of

binocular vision resulted concomitantly. However,

improvement in suppression and stereo acuity continued for 2 years following the initial spectacle

correction


Conclusion/Results

Conclusions: This case exemplifies how

the prescribing of spectacle lenses with consideration

of, and correction for, predicted optical aniseikonia

allowed the amelioration of amblyopia without

patching and the provision of significant levels of

binocular vision within a 1 year period. However, the

time course for the development of binocular vision

well exceeded that for the amelioration of amblyopia.


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Testimonials


My eight year old daughter was terrified to go to the eye doctor for fear of her eyes being dilated. The doctor was SO KID friendly! He immediately made her comfortable by engaging her in conversation. It was a geat experience.


Joya B.

Dr. Garbus spent an amazing amount of time to solve my very complicated visual problems. Over the years he has continually achieved results beyond what others felt possible. He is always up to date on the latest science. He is great!


Dolores K.

Family Vision Care Valencia makes it so easy. Staff is knows what they are doing and Dr. Garbus is thorough and kept me well informed during the exam.


Kristy B.

I have been coming to Family Vision Center for almost 20 years. Dr. Garbus has been able to help my vision when other doctors could not. Now my kids see him as well. I highly recommend this office!


Autumn C.

The Doctor is very good. I felt on this visit he seemed rushed. I had questions to ask him but he was already with another patient. I still do not know if my eyes are the same , worse, or better.


Howard B.

All the staff is friendly, helpful and knowledgeable, and has been for all the years I have been going there.


Mary Ann H.
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