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


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


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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: © 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.


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

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