Quiz: Pupillary Abnormality

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Last Updated: September 12, 2022

9 thoughts on “Quiz: Pupillary Abnormality”

  1. At age 10 years no need to attempt surgery for an attempt to deal with amblopia! Visual maturation has already occured
    Its an interesting case

    Reply
    • Vision less likely to improve at 10 years of age.. and the risk of iatrogenic cataract is high with surgery. Cataract surgery outcome will be unpredictable in a child with intellectual disability. Best to leave it alone. 20/60 is not bad as other eye has 20/20. Of course, refraction must still be done.

      Reply
      • agreed. but if one eye has a vision 20/20 other eye can improve with amblyopia therapy, after removal of membrane.

      • At age 10 years, the child is generally beyond the period of amblyopia plasticity which generally ends around age 7-8 years. This child would be unlikely to respond to amblyopia therapy after surgical removal of the membrane which also carries some element of surgical risk for a capsular tear and cataract formation. This in turn would make the current visual acuity significantly worse.

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