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Impressum
Amblyopia of the contralateral eye in unilateral congenital fibrosis
Wolter-Roessler E., Gusek-Schneider G.-C.
Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg, Schwabachanlage 6, 91054 Erlangen
Background: Amblyopia of the ptotic and the contralateral eye
in spite of head posture due to complex motility disorders are well known.
This case report shows the importance of the exact ophthalmological and
orthoptic examinations to avoid amblyopia following even mild ptosis.
Patient: A five year-old girl was referred to our clinic because
of strabismus and ptosis of the left eye. The examination showed a mild
reduction of elevation of the left eye and reduction of the visual acuity
of the right eye. Visual acuity of the left eye was normal. We diagnosed
mechanical dysfunction of the musculus rectus inferior of the left eye
in terms of congenital fibrosis. Due to the preferred fixation with the
left eye an amblyopia of the right had developed. Consequent occlusion
therapy lead to an improvement of the visual acuity to 0.8.
Conclusion: Even mild motility disorders or ptosis require an exact
ophthalmological and orthoptic examination to avoid amblyopia.