In one such case study of the treatment of amblyopia in an adult, Anita Simmers and Lyle Gray (both based in Glasgow Caledonian University) reported the case of a 30-year-old strabismic amblyope.
SHOULD ALL AMBLYOPES, IRRESPECTIVE OF AGE, NOW BE REFERRED OR TREATED?
Figure 7 The proportion of practitioners willing to fit a young amblyope
with contact lenses (Question 11) Be happy to fit her for full time 58% wear providing her mum is aware of the risk involved Agree to fit her but only for 34% occasional wear providing her mum is aware of the risk involved Refuse to fit her due to her age 8% and/or amblyopia and advise thinner spec lenses Note: Table made from pie chart.
Ciuffreda KJ, Kenyon RV Accommodative vergence and accommodation in normals, amblyopes
, and strabismics.
A key 'take home' message was that the conventional sensitive period does not apply to orthotropic anisometropic amblyopes
and acuity improvements can be obtained at virtually any age.
The first is that children and amblyopes
suffer more from the effects of crowding and accurate VA measures are a key component in the attempt to detect and diagnose visual disorders that first emerge in early life but whose effects can last a lifetime.
Some amblyopes continued to show improvement with spectacle correction alone for up to 30 weeks.
Optometrists are sometimes accused of holding on to amblyopes for too long before referring for orthoptic treatment.
Even severe amblyopes
and aphakics can see the brushes since their appearance does not depend on VA.
For this reason, amblyopes
and patients requiring +2.