Atypical fixation preference with anisometropia.
OBJECTIVE
To describe a child with hyperopia and anisometropia who manifests strabismus and amblyopia in the much less hyperopic eye.


METHODS
A 6-year-old child presented with a history of strabismus and refractive error since infancy, which has been treated with glasses and patching. The present examination revealed 3 D of hyperopic anisometropia, intermittent exotropia, and amblyopia. The strabismus and amblyopia occur in the less hyperopic eye. Ocular health assessment including optical coherence tomography was normal. After patching therapy, the vision improved in the amblyopic eye.


CONCLUSIONS
Amblyopia and strabismus need not always occur in the more ametropic eye when accompanied by anisometropia.
Rutstein
Robert P
RP
School of Optometry, University of Alabama at Birmingham, Birmingham, Alabama 35294-0010, USA. rrutstein@icare.opt.uab.edu
Swanson
Mark W
MW
D000550:Amblyopia / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D015858:Anisometropia / Q000150:complications* / Q000503:physiopathology*; D002648:Child; D005260:Female; D005403:Fixation, Ocular; D007839:Functional Laterality; D006801:Humans; D006956:Hyperopia / Q000150:complications; D009779:Occlusive Dressings; D012683:Sensory Deprivation; D013285:Strabismus / Q000150:complications; D014792:Visual Acuity