Characterization, passive and active treatment in strabismic amblyopia: a narrative review

Strabismic amblyopia is characterized by a distorted spatial perception. In this condition, the neurofunctional disorder occurring during first years of life provoke several monocular and binocular anomalies such as crowding, deficits in the accommodative response, contrast sensitivity, and ocular m...

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Main Authors: Myriam Milla, David P. Piñero
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-07-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://ies.ijo.cn/en_publish/2020/7/20200718.pdf
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author Myriam Milla
David P. Piñero
author_facet Myriam Milla
David P. Piñero
author_sort Myriam Milla
collection DOAJ
description Strabismic amblyopia is characterized by a distorted spatial perception. In this condition, the neurofunctional disorder occurring during first years of life provoke several monocular and binocular anomalies such as crowding, deficits in the accommodative response, contrast sensitivity, and ocular motility abilities. The inhibition of the binocular function of the brain by the misaligned amblyopic eye induces a binocular imbalance leading to interocular suppression and the reduction or lack of stereoacuity. Passive treatments such as occlusion, optical and/or pharmacological penalization, and Bangerter foils has been demonstrated to be potentially useful treatments for strabismic amblyopia. Recent researches have proved new pharmacological options to improve and maintain visual acuity after occlusion treatment in strabismic amblyopia. Likewise, the active vision therapy, in the last years, is becoming a very relevant therapeutic option in combination with passive treatments, especially during and after monocular therapy, in the attempt of recovering the imbalanced binocular vision.
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spelling doaj.art-e976f1d7ea104247ac7e8838981705312022-12-21T19:38:26ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982020-07-011371132114710.18240/ijo.2020.07.18Characterization, passive and active treatment in strabismic amblyopia: a narrative reviewMyriam Milla0David P. Piñero1Department of Optometry, OFTALVIST Alicante, Alicante 03016, Spain; Group of Optics and Visual Perception, Department of Optics, Pharmacology and Anatomy, University of Alicante, San Vicente del Raspeig, Alicante 03690, SpainGroup of Optics and Visual Perception, Department of Optics, Pharmacology and Anatomy, University of Alicante, San Vicente del Raspeig, Alicante 03690, SpainStrabismic amblyopia is characterized by a distorted spatial perception. In this condition, the neurofunctional disorder occurring during first years of life provoke several monocular and binocular anomalies such as crowding, deficits in the accommodative response, contrast sensitivity, and ocular motility abilities. The inhibition of the binocular function of the brain by the misaligned amblyopic eye induces a binocular imbalance leading to interocular suppression and the reduction or lack of stereoacuity. Passive treatments such as occlusion, optical and/or pharmacological penalization, and Bangerter foils has been demonstrated to be potentially useful treatments for strabismic amblyopia. Recent researches have proved new pharmacological options to improve and maintain visual acuity after occlusion treatment in strabismic amblyopia. Likewise, the active vision therapy, in the last years, is becoming a very relevant therapeutic option in combination with passive treatments, especially during and after monocular therapy, in the attempt of recovering the imbalanced binocular vision.http://ies.ijo.cn/en_publish/2020/7/20200718.pdfamblyopiastrabismusocclusionvision therapystrabismic amblyopiapenalizationbangerter foil
spellingShingle Myriam Milla
David P. Piñero
Characterization, passive and active treatment in strabismic amblyopia: a narrative review
International Journal of Ophthalmology
amblyopia
strabismus
occlusion
vision therapy
strabismic amblyopia
penalization
bangerter foil
title Characterization, passive and active treatment in strabismic amblyopia: a narrative review
title_full Characterization, passive and active treatment in strabismic amblyopia: a narrative review
title_fullStr Characterization, passive and active treatment in strabismic amblyopia: a narrative review
title_full_unstemmed Characterization, passive and active treatment in strabismic amblyopia: a narrative review
title_short Characterization, passive and active treatment in strabismic amblyopia: a narrative review
title_sort characterization passive and active treatment in strabismic amblyopia a narrative review
topic amblyopia
strabismus
occlusion
vision therapy
strabismic amblyopia
penalization
bangerter foil
url http://ies.ijo.cn/en_publish/2020/7/20200718.pdf
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