A Multi-Modality Treatment Approach in Vision Therapy for a Patient with Form Deprivation Adult Strabismic Amblyopia and Nystagmus: A Case Report

Abstract

Background: Amblyopia is characterised by visual impairment along with compromised binocular visual function. Form deprivation amblyopia is a result of opaque media which results in obstruction of light. This obstruction of light prevents visual development. It is has traditionally been managed at early stage of life through occlusion therapy. Case Summary: A 29-year old male presented to us, diagnosed with form deprivation adult strabismic amblyopia and nystagmus. Anterior segment evaluation showed pseudophakia in both eyes, and posterior segment was within normal limits. Stereopsis was absent. In-office vision therapy and homebased vision therapy was undertaken, which included optometric syntonic phototherapy, biofeedback mechanisms to improve nystagmus along with oculomotor skills, monocular fixation in a binocular field (MFBF) and binocular therapies in-office, and Amb-iNet at home. Conclusion: A multi-modality treatment approach in vision therapy is presented, which resulted in improvement of visual acuity, stereopsis and other components of vision for an adult with form deprivation strabismic amblyopia and nystagmus.