How to check and treat congenital amblyopia

Patient's question:

Male, 8 years old, always can't see things clearly, everything looks like a mosaic when looking at people. After a vision check, it was said that there is a condition of mild strabismus. Please ask: How is congenital amblyopia checked and treated?

Doctor's answer:

Occlusion Therapy: Occlusion therapy is an ancient and effective treatment for amblyopia. It is one of the simplest, most economical, and most effective methods for treating pediatric amblyopia.
Binocular Alternating Occlusion: This method is suitable for refractive amblyopia and monocular strabismic amblyopia. If the visual acuity of both eyes is proportional, binocular equal alternating occlusion can be used, with each eye occluded for 3 days. If there is a difference in visual acuity between the two eyes, a 4:1 or 5:1 method can be adopted based on the specific situation. This involves occluding the better-seeing eye for 4 days, then switching to occluding the worse-seeing eye for 1 day. This allows the weaker eye to see more and exercise its vision, forcing a significant improvement in visual acuity to achieve balanced and improved binocular vision.

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