Multi-modal Treatment Approach Incorporating Vision Therapy and Syntonics for Combined Organic and Functional Amblyopia

Abstract

Background: Amblyopia is characterized by reduced visual acuity along with compromised binocular visual function. Form deprivation amblyopia is obstruction of light which prevents visual development. It is has traditionally been managed at an early stage of life through occlusion therapy. Case Summary: A 32-year-old male was diagnosed with acquired form deprivation strabismic amblyopia. Ocular trauma resulted in post pupilloplasty with membranectomy surgery of the right eye, and pseudophakia of the right eye, while the posterior segment was within normal limits. Stereopsis was absent. In-office and home vision therapy was implemented, which included syntonic phototherapy, space fixator, and monocular fixation in binocular field and Ambi-iNet. Conclusion: A multi-modality approach in treatment improved vision and stereopsis for an adult with acquired form deprivation strabismic amblyopia secondary to traumatic cataract, occlusio pupillae, and traumatic angle closure glaucoma.