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Amblyopia, Pediatric

Melissa A. Simon, MD and Michael F. Chiang, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Amblyopia is a decrease in best corrected visual acuity, usually in an otherwise anatomically normal eye. It is generally classified by cause, with three primary types: 
  • Refractive am...

DIAGNOSIS

Signs and symptoms: poor vision 

HISTORY

  • Age when poor vision was first noted

  • Eye trauma, injury, or surgery

  • Refractive error or glasses

  • Ptosis or ocular occlusion (Because amblyopia related to p...

TREATMENT

GENERAL MEASURES

  • Refractive correction, when needed, is critical and can improve amblyopia before additional treatment.

  • Unilateral amblyopia

    • Treat underlying cause of vision loss (strabismus, a...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Patients will be followed on a schedule of weeks to months depending on age and severity of amblyopia.

  • In younger children, amblyopia may regress after successful ...

ADDITIONAL READING

  • American Academy of Ophthalmology Pediatric Ophthalmology/Strabismus Panel. Preferred Practice Pattern Guidelines. Amblyopia. San Francisco, CA: American Academy of Ophthalmology;...

CODES

ICD9

  • 368 Amblyopia, unspecified

  • 368.03 Refractive amblyopia

  • 368.01 Strabismic amblyopia

  • 368.02 Deprivation amblyopia

ICD10

  • H53.009 Unspecified amblyopia, unspecified eye

  • H53.029 Refractive amblyopia, u...

FAQ

  • Q: My child refuses to wear a patch. Are there alternatives to patching?

  • A: Yes. Optical penalization with glasses, atropine cycloplegic penalization, and even contact lens occlusion can be effecti...

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