Refractive Imbalance Presents Risk of Amblyopia
Pediatric Practice Case Study 5
A 1-year-old boy was referred to an ophthalmologist for evaluation by her pediatrician after failing her Enfant™ Pediatric VEP Vision Test.
On examination, the patient could follow small objects accurately and apparently equally using either eye. Ocular rotations were full and the eyes were precisely aligned. The remainder of the examination was unremarkable only for his refraction. This showed no significant error in the right eye, but a moderate prescription for nearsightedness in the left eye.
Diagnosis and Treatment
The infant’s anisometropia, or refractive imbalance, clearly presents a risk of amblyopia in the left eye. He was prescribed glasses and asked that his right eye be patched on a part-time basis. He was to be reexamined in one month.
The ophthalmologists report to the referring doctor stated, “I am particularly pleased that your child underwent the VEP testing, as I suspect his visual loss may have gone undetected for some time”.
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