History / Objective Data
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This case was submitted by Susannah Marcus, OD, Assistant Professor at the Southern College of Optometry. Thanks!!
A 12 year old white male presents for annual examination with no complaints, but with a history of vision therapy to treat amblyopia in the right eye. Personal and family medical histories are unremarkable, and their is no family history of eye disease or blindness.
Uncorrected visual acuity is 20/30 OD and 20/20 OS. Neither pinhole testing nor refraction is successful in improving the visual acuity OD, and no significant anisometropia is detected. Cover testing reveals orthophoria at distance, and slight exophoria at near. Extraocular motilities are full, smooth, and comitant. His pupils are equal, and react briskly to direct and consensual light stimuli, with absence of afferent pupillary defect. Anterior segment evaluation is unremarkable. Dilated fundus examination reveals the clinical appearance seen in the accompanying fundus photograph.
What is this condition and how is it managed?
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Walt Mayo, OD
Technology Director
Southern Council of Optometry
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