Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 6 Issue 4

Management of Strabismic Amblyopia Associated with Accommodative Esotropia with Haidinger Brushes – A Case Report

Babli Sharma*

Consultant Optometrist, Dhir Hospital and Eye Institute, India

*Corresponding Author: Babli Sharma, Consultant Optometrist, Dhir Hospital and Eye Institute, India.

Received: March 05, 2023; Published: March 29, 2023

Abstract

Background: Strabismic amblyopia is characterized by an imbalance of the sensorial and motor system. Differences between both eyes due to squinting during 1st months of life can originate an entire fovea fixation and ARC, which is a binocular condition generated by the absence of a correct bi-foveal fixation [2]. Accommodative esotropia usually presents between 2 and 4 years of age with an increase in accommodative needs and is directly linked to the amount of hypermetropia [9]. Although patching remains the gold standard therapy of amblyopia, several new treatment options have emerged over the years. These include refractive adaptation, atropine penalization, and several binocular activities with varying success rates [10].

Case Report: 6-year-old male presented with complaints of inward deviation, and blurring of vision for distance and near. A proper squint evaluation was performed to determine the presence of the type of squint. Accommodative esotropia with amblyopia in one eye was reported. Synoptophorehaidinger brushes were recommended for foveal stimulation for the amblyopic eye followed by patching. The patient reported good compliance and significant vision improvement in the amblyopic eye and no longer blur and deviation with glasses were observed.

Conclusion: Accommodative esotropia with amblyopia showed substantial improvement with the help of Haidinger brushes in the amblyopic eye. A combination of patching and Haidinger brushes is an efficacious approach for achieving an improvement in visual acuity and binocular function in strabismic amblyopia.

 Keywords: Accommodative Esotropia; Strabismic Amblyopia; Haidinger Brushes; Synoptophore

References

  1. Milla Myriam and David P Piñero. “Characterization, passive and active treatment in strabismic amblyopia: a narrative review”. International Journal of Ophthalmology7 (2020): 1132-1147.
  2. García-García Manuel Ángel., et al. “Optical Coherence Tomography in Children with Microtropia”. Journal of Pediatric Ophthalmology and Strabismus3 (2018): 171-177.
  3. Shapira Yinon., et al. “Amblyopia and strabismus: trends in prevalence and risk factors among young adults in Israel”. The British Journal of Ophthalmology5 (2018): 659-666.
  4. Preising M N., et al. “ZurRekrutierunggeeigneter Familienfür die Identifikationursächlicher Gene des erblichen Strabismus” [Recruitment of Suitable Families to Identify Causative Genes in Hereditary Strabismus]”. KlinischeMonatsblatter fur Augenheilkunde10 (2015): 1158-1164.
  5. Guimaraes Sandra., et al. “New pediatric risk factors for amblyopia: strabismic versus refractive”. European Journal of Ophthalmology2 (2018): 229-233.
  6. Koo Euna B., et al. “Treatment of Amblyopia and Amblyopia Risk Factors Based on Current Evidence”. Seminars in Ophthalmology1 (2017): 1-7.
  7. Ing Malcolm R., et al. “A prospective study of alternating occlusion before surgical alignment for infantile esotropia: one-year postoperative motor results”. Journal of AAPOS : The official publication of the American Association for Pediatric Ophthalmology and Strabismus1 (2006): 49-53.
  8. Osborne Daniel C., et al. “Atropine Penalization Versus Occlusion Therapies for Unilateral Amblyopia after the Critical Period of Visual Development: A Systematic Review”. Ophthalmology and Therapy2 (2018): 323-332.
  9. Jain Saurabh. “Simplifying Strabismus: A Practical Approach to Diagnosis and Management”. Simplifying Strabismus (2019): 81-82.
  10. Sahu CL., et al. “A preliminary study on the treatment of amblyopia with Haidinger's brushes”. Journal of Clinical Ophthalmology and Research 8 (2020): 10-13.
  11. Mulvihill A., et al. “Outcome in refractive accommodative esotropia”. The British Journal of Ophthalmology7 (2000): 746-749.

Citation

Citation: Babli Sharma. “Management of Strabismic Amblyopia Associated with Accommodative Esotropia with Haidinger Brushes – A Case Report".Acta Scientific Ophthalmology 6.4 (2023): 40-43.

Copyright

Copyright: © 2023 Babli Sharma. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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