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Clinical presentation

Authoring team

presentation

Presentation of amblyopia differs on whether it is unilateral or bilateral:

  • unilateral loss
    • parents may not detect unless a visible condition such as strabismus is present
    • may result in failure to develop stereopsis (depth perception)
    • newborns may commonly present with variable ocular misalignment, but presence beyond the age of 3 months or constant misalignment requires further assessment

  • bilateral loss
    • patient may present with
      • nystagmus
      • absence of 'eye contact'
      • delayed milestones of visual or motor development

Further assessment is recommended without delay in patients who do not reach visual developmental milestones e.g. –

  • fixes and follows light source at 6 weeks
  • smiles responsively at 6-8 weeks
  • fixes and follows slowly moving objects or faces at 3 months
  • reaches accurately for objects in visual environment at 6 months

Reference:

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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