Improvement of Visual Function in an Adult Amblyope

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Purpose. In this case report, the efficacy of occlusion therapy was investigated in a strabismic amblyope above the currently accepted age for treatment. Success was assessed not simply by a change in visual acuity, but by examining a number of parameters which relate to both sensory and motor aspects of visual function. Methods. As well as routine orthoptic and optometric evaluation, additional tests were administered as follows: high and low contrast LogMAR Crowded Acuity, repeat letter acuity, and hyperacuity measurements. Results. A functional loss in each of the tests used was demonstrated, and occlusion therapy appeared to improve all aspects of the amblyopia, with a significant difference in pre- and post-therapy results. Conclusions. The results of this study suggest that: (1) occlusion therapy can produce substantial improvements in visual function in adult amblyopia; (2) many aspects of visual function can improve beyond the traditional critical periods for development in amblyopia; and (3) with good patient compliance and cooperation, age should not be the critical factor in the initiation of treatment for amblyopia.

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