How to Determine Vision Problems Based on Dilated Eye Exam Results

Patient's question:

Onset time of poor vision: Test results of careful examination: Previous treatment and effectiveness: Description of the condition (main symptoms, onset time): Assistance needed for vision test with pupil dilation: Test results for disease diagnosis (please use the right tool to upload):
My son is 18 years old. A few days ago, he had a pupil dilation test, and the doctor said it was strabismus. A few days later, another doctor said it was astigmatism. I would like to know, what are the main problems with my son, and how should it be treated?
Right eye: SPH +1.75, CYL +1.50, AX 69
Left eye: SPH +0.75, CYL +1.25, AX 90
PD = 53, NPD = 49 (30)
SHIN-NIPPON ACCUREF-K9001

Doctor's answer:

Your child has strabismus. The right eye has a downward deviation of 175 degrees with 150 diopter of astigmatism, with the astigmatism axis at 69 degrees. The left eye has a downward deviation of 75 degrees with 125 diopter of astigmatism, with the astigmatism axis at 90 degrees. The interpupillary distance for both eyes looking far is 53mm, and for looking near is 49mm. If 0.6 and 0.5 are the vision after wearing glasses, there is amblyopia that requires amblyopia treatment. The treatment for amblyopia involves wearing corrective glasses + amblyopia treatment device. The earlier the treatment starts, the better.

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