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J.F. McDonnell, A. Banich; Successful Management of Pediatric High Anisometropia . Invest. Ophthalmol. Vis. Sci. 2004;45(13):2578.
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Purpose: To report visual results of pediatric patients with high anisometropia following aggressive amblyopia treatment using traditional methods. Methods: Charts of one physician JM were reviewed at a major university medical center for all patients with anisometropia of 8 diopters or greater. Patients ranged from children with severe unilateral high myopia due to retinopathy of prematurity to one infant with severe micophthalmos, acoria and congenital cataract. Final snellen visual acuities were recorded from the patient’s last clinic examination. Follow up period averaged 4 years. Results: Final visual acuities of involved eyes ranged from line snellen 20/30 to 20/20. One patient with severe micophthalmos, congenital acoria and congenital cataract with initial anisometropia of 40 diopters achieved a final line snellen visual acuity of 20/20. No patients developed visual loss in the normal eye due to patching. No patients were lost to follow up. Conclusions: Based on our observations, excellent visual outcomes may be achieved in pediatric patients with high anisometropia using early and ongoing aggressive amblyopia treatment.
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