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Ojo Vago = Amblyopia

Ojo Vago = Amblyopia. Juan G. Santiago, MD Natalio Izquierdo , MD University of Puerto Rico Dept of Ophthalmology. Introduction. Definition Causes Treatment Consequences Co-management. Definition. (Amblys = dull) (Ops = eye) 2 line difference Snellen Chart Prefers one eye?.

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Ojo Vago = Amblyopia

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  1. Ojo Vago = Amblyopia Juan G. Santiago, MD NatalioIzquierdo, MD University of Puerto Rico Dept of Ophthalmology

  2. Introduction • Definition • Causes • Treatment • Consequences • Co-management

  3. Definition • (Amblys = dull) • (Ops = eye) • 2 line difference • Snellen Chart • Prefers one eye?

  4. Background • Good vision is our Mission • Prevalence 2% • VA < 20/80 in 50% • Prevention is important! • Help us win the war!

  5. Visual Prognosis is worst when: • The younger the patient is when amblyopia is diagnosed • The older the patient is when treatment is started

  6. Risk Factors • Premature babies • Neuro Dev Delays • Family Hx • Smoking • Alcohol

  7. Causes • Optic pathway development (10 years) • Associated to Abnormal Visual Input

  8. Causes Leading to Amblyopia

  9. Causes Leading to Amblyopia

  10. Strabismic Amblyopia • Esotropia • Inward deviation

  11. Strabismic Amblyopia • Exotropia • Outward deviation

  12. Causes Leading to Amblyopia

  13. Media Opacity & Amblyopia • Most amblyogenic • Deprivation • Cataract • Aphakia

  14. Media Opacity & Amblyopia • Deprivation • Corneal Opacity

  15. Causes Leading to Amblyopia

  16. Refractive Amblyopia • Lid abnornalities • Ptosis • Hemangioma • Astigmatism

  17. Refractive Amblyopia • Ectopia lentis • Refractive error • Myopia • Isometropia >-3.00 • Anisometropia >-2.00 • Aphakic Space?

  18. Refractive Amplyopia • Hyperopia • Isometropia >4.50 • Anisometropia >1.50 • Astigmatism • Isometropia >2.00 • Anisometropia >2.00 • Combos

  19. Rationale for Treatment • Career’s Choice (Stereopsis) • Risk of losing the other eye • Trauma • Degenerative Diseases • Prior to strabismus surgery!!!

  20. Consequences of no Tx • Poor Vision • No stereopsis • Safety Glasses • Avoid contact sports

  21. Treatment Strategy

  22. Treatment Strategy

  23. Treatment Strategy

  24. Patching • Up to 10 yrs • Time frame • New studies • Appointments • Complications

  25. Eye drops for amblyopia • Atropine • Cyclopentolate • Complications

  26. Co-management • Refers patients at risk • Education (good VA prior to Sx) • Appointments • Patch complications • Atropine complications

  27. Conclusions • Risk factors • Causes • Treatment • Co-management • Young Adults

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