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

  2. You can remove the pupillary tag and then do a refraction and give patch therapy for amblyopia. She will improve.

    1. 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.

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