Resolution of anisometropic amblyopia in a 48-year-old with refractive correction alone

Amblyopia is a neuro‐developmental disorder of vision arising from disrupted binocular visual input during early visual cortical development. Current treatment guidelines for children with amblyopia recommend a period of full‐time wear of refractive correction prior to initiating patching or atropine treatment, a process known as refractive adaptation or optical treatment. Apart from the immediate benefit of removing optical blur, full anisometropic correction can produce gradual gains in the visual acuity of the amblyopic eye over a period of months. Within a clinical trial of treatment of amblyopia for children aged three to seven years, approximately 75 per cent of patients showed clinically significant improvements in visual acuity of the amblyopic eye after optical treatment periods of 15 to 30 weeks. Furthermore, up to 30 per cent of children showed resolution of amblyopia with optical treatment alone, reducing the need for additional treatments.2006 Optical treatment alone was also found to significantly improve visual acuity in 23 per cent of seven‐ to 17‐year‐old patients over a 24‐week period.2005...