We present three cases where traditional occlusion therapy with an eye patch proved ineffective for treating amblyopia associated with fusion maldevelopment nystagmus. In these cases, we transitioned to dichoptic therapy using the Occlu-pad, achieving successful outcomes. Eye patch occlusion of the sound eye consistently exacerbated nystagmus, whereas dichoptic treatment did not. Visual acuity improved to 0 (logMAR) in all cases following dichoptic therapy. This approach demonstrates the effectiveness of dichoptic treatment for managing amblyopia in patients with fusion maldevelopment and nystagmus.
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http://dx.doi.org/10.7759/cureus.75496 | DOI Listing |
Cureus
December 2024
Ophthalmology Examination Department, Sakoh Eye Clinic, Kawasaki, JPN.
We present three cases where traditional occlusion therapy with an eye patch proved ineffective for treating amblyopia associated with fusion maldevelopment nystagmus. In these cases, we transitioned to dichoptic therapy using the Occlu-pad, achieving successful outcomes. Eye patch occlusion of the sound eye consistently exacerbated nystagmus, whereas dichoptic treatment did not.
View Article and Find Full Text PDFRadiographics
November 2024
From the Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, Madison, WI 53792-3252 (L.W.N., M.G.L., P.J.P.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (S.M.B., S.B.); and American College of Radiology (ACR) Institute for Radiologic Pathology (AIRP), Silver Spring, Md (M.G.L., P.J.P.).
A spectrum of heterotopic and ectopic splenic conditions may be encountered in clinical practice as incidental asymptomatic detection or symptomatic diagnosis. The radiologist needs to be aware of these conditions and their imaging characteristics to provide a prompt correct diagnosis and avoid misdiagnosis as neoplasm or lymphadenopathy. Having a strong knowledge base of the embryologic development of the spleen improves understanding of the pathophysiologic basis of these conditions.
View Article and Find Full Text PDFInvest Ophthalmol Vis Sci
March 2024
Ocular Motility & Vision Neurosciences Laboratory, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States.
Purpose: Amblyopic and strabismus subjects experience inter-ocular suppression, impaired stereoacuity, and increased fixation instability. The purpose of the study was to investigate factors affecting suppression and stereoacuity and examine their relationship to fixation eye movement (FEM) abnormalities.
Methods: We recruited 14 controls and 46 amblyopic subjects (anisometropic = 18, strabismic = 14, and mixed = 14) and 11 subjects with strabismus without amblyopia.
J Neurol Sci
August 2023
Cleveland Clinic Cole Eye Institute, Visual Neurosciences and Ocular Motility Laboratory, Cleveland, OH, USA. Electronic address:
Introduction: Visual function deficits are seen in amblyopic subjects during fellow and binocular viewing. The purpose of the study was to examine the relationship between Fixation Eye Movement (FEM) abnormalities and binocular contrast sensitivity and optotype acuity deficits in amblyopia.
Methods: We recruited 10 controls and 25 amblyopic subjects [Anisometropic = 6, Strabismic = 10, Mixed = 9].
J Pediatr Ophthalmol Strabismus
December 2023
Purpose: To characterize a large, international cohort of children with nystagmus.
Methods: Data were collected from a single-center, prospectively developed database on patients with nystagmus. Outcome variables for this study included: (1) demographic characteristics, (2) nystagmus type, (3) clinical characteristics, (4) associated ophthalmic conditions, (5) associated non-ophthalmic conditions, (6) special testing findings, and (7) treatments.
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