American Journal of Medical Sciences and Medicine
ISSN (Print): 2327-6681 ISSN (Online): 2327-6657 Website: http://www.sciepub.com/journal/ajmsm Editor-in-chief: Apply for this position
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American Journal of Medical Sciences and Medicine. 2013, 1(2), 21-23
DOI: 10.12691/ajmsm-1-2-1
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Do Amblyopic Eye First, Wait and Do Second Eye Cataract Surgery for Isoametropia, Accomodative Esotropic Amblyopia and Congenital Cataract Case

Goktug Demirci, , Gokhan Gulkilik, Mustafa Özsütçü, Banu Arslan and Mustafa Eliaçık

Pub. Date: April 07, 2013

Cite this paper:
Goktug Demirci, Gokhan Gulkilik, Mustafa Özsütçü, Banu Arslan and Mustafa Eliaçık. Do Amblyopic Eye First, Wait and Do Second Eye Cataract Surgery for Isoametropia, Accomodative Esotropic Amblyopia and Congenital Cataract Case. American Journal of Medical Sciences and Medicine. 2013; 1(2):21-23. doi: 10.12691/ajmsm-1-2-1

Abstract

To review a case with isoametropic, accomodative esotropic amblyopia and congenital posterior polar cataract. A 12 years old child with visual acuities 2/10 - 7/10, refractive error +9,00/ +7,00 and congenital cataract was observed previously for 5 years until the visual acuity of the right eye dropped 2 lines due to cataract in the more amblyopic eye. At first more amblyopic eye was operated and then we waited for 1 month to see how the amblyopic eye gains visual acuity. As the visual acuities become the same as 0,7/0,7 other eye was operated. Do amblyopic eye first, wait and do second eye surgery was very successful in our patient. Vısual acuities are 0,7/0,7 and there is no accomodative esotropia. Conclusion: If there is a challenging case with congenital cataract, isoametropic amblyopia and accomodative esotropia together, performing cataract surgery to the amblyopic eye first and postponing the surgery of second eye for the regression of amblyopia could be a choice in this kind of patients.

Keywords:
esotropia congenital cataract accommodation strabismus

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References:

[1]  Tongue AC, "Refractive errors in children," Pediatr Clin North Am, 34. 1425-37. 1987.
 
[2]  Friendly DS. "Amblyopia: definition, classification, diagnosis, and management considerations for pediatricians, family physicians, and general practitioners," Pediatr Clin North Am.; 34. 1389-1401.1987.
 
[3]  Flom MC, Neumaier RW. "Prevalence of amblyopia," Public Health Rep. 81. 329-41.1966.
 
[4]  Holmes JM, Clarke MP. "Amblyopia." Lancet. 22; 367(9519):1343-51. Apr 2006.
 
[5]  Holmes JM, Repka MX, Kraker RT, Clarke MP. "The treatment of amblyopia. " Strabismus. 14(1):37-42. Mar 2006.
 
[6]  Birch EE, Stager DR Sr, Wang J, O'Connor. "A.Longitudinal changes in refractive error of children with infantile esotropia." Eye. 24(12):1814-21. Dec 2010.
 
[7]  Daoud YJ, Hutchinson A, Wallace DK, Song J, Kim T. "Refractive surgery in children: treatment options, outcomes, and controversies. " Am J Ophthalmol. 147(4):573-82. Apr 2009.
 
[8]  Mohney BG. "Common forms of childhood esotropia, "Ophthalmology.;108(4):805-9 Apr 2001.
 
[9]  Wu C, Hunter DG. "Amblyopia: diagnostic and therapeutic options. " Am J Ophthalmol. 141(1):175-84 Jan 2006.
 
[10]  Baroncelli L, Maffei L, Sale A. "New perspectives in amblyopia therapy on adults: a critical role for the excitatory/inhibitory balance. " Front Cell Neurosci.; 5:25 2011.
 
[11]  Mohan K, Sharma A. "Development of refractive accommodative esotropia in children initially diagnosed with pseudoesotropia". J AAPOS.;16(3):266-8. Jun 2012.
 
[12]  Kothari M, Manurung F, Paralkar S.Use of atropine to predict the accommodative component in esotropia with hypermetropia. Indian J Ophthalmol. 59(6):487-90 Nov-Dec 2011.
 
[13]  Robert P. "Rutstein,Optometry" Volume 79, Issue 8 , Pages 422-431 August 2008.
 
[14]  Cho YA, Yi S, Kim SW. "Clinical evaluation of cessation of hyperopia in 123 children with accommodative esotropia treated with glasses for best corrected vision". Acta Ophthalmol.; 87(5):532-7. Aug 2009.
 
[15]  Paysse EA, Tychsen L, Stahl E. "Pediatric refractive surgery: corneal and intraocular techniques and beyond. J AAPOS.; 16(3):291-7. Jun 2012.
 
[16]  Paysse EA. "Unilateral lens extraction for high anisometropic myopia in children and adolescents: is this prudent?"J AAPOS.; 11(2):111-2. Apr 2007.
 
[17]  Song J, Al-Ghamdi I, Awad A. "Pediatric refractive surgery in evolution".Middle East Afr J Ophthalmol.; 19(1):22-3. Jan 2012.
 
[18]  Tychsen L "Refractive surgery for children: excimer laser, phakic intraocular lens, and clear lens extraction." Curr Opin Ophthalmol.; 19(4):342-8. Jul 2008.
 
[19]  Kirwan C, O'Keefe M, O'Mullane GM, Sheehan C. "Refractive surgery in patients with accommodative and non-accommodative strabismus: 1-year prospective follow-up."Br J Ophthalmol.; 94(7):898-902. Jul 2010.
 
[20]  Peterseim MW, Wilson ME. "Bilateral intraocular lens implantation in the pediatric population." Ophthalmology. 107(7):1261-6. Jul 2000.
 
[21]  Jacobi PC, Dietlein TS, Jacobi FK. "Scleral fixation of secondary foldable multifocal intraocular lens implants in children and young adults." Ophthalmology; 109(12):2315-24. Dec 2002.
 
[22]  Cruz OA, Scott WE, Davitt BV. "Isoametropic amblyopia due to high hyperopia in children." J AAPOS; 8:310-13. 2004.