PDF(Pubmed)
Abstract：
We herein report a case of a 4-year-old female patient who presented with anisometropic amblyopia with initial visual acuity recorded at 20/400 OD and 20/100 OS. The patient was recommended for patching. Eighteen months later, the patient presented with visual acuity of 20/60 OD and 20/80 and reverse amblyopia was noted. In settings of amblyopia, where alternate patching may be used, it is most likely that reverse amblyopia, if present, will affect the more myopic eye. However, unexpectedly, in this case, reverse amblyopia occurred in the less myopic eye. With discontinuation of occlusion therapy and continued use of optical correction, the patients reverse amblyopia resolved and the visual equity equalized. To our knowledge, this is the first case described in the literature demonstrating such an occurrence. Awareness of this rare presentation by clinicians is of great importance to aid in correctly diagnosing and treating such patients.
摘要：
我们在此报告了一例4岁女性患者，该患者表现为屈光参差性弱视，初始视力记录为20/400OD和20/100OS。建议患者进行修补。十八个月后,患者的视力分别为20/60OD和20/80OD和反向弱视。在弱视的环境中，在可以使用替代修补的地方，最有可能是逆转弱视，如果存在，会影响更近视眼。然而,出乎意料的是,在这种情况下,反向弱视发生在较少近视眼。随着封堵治疗的停止和光学矫正的继续使用，患者逆转弱视解决，视觉公平性均衡。据我们所知,这是证明这种情况发生的文献中描述的第一种情况。临床医生对这种罕见表现的认识对于帮助正确诊断和治疗此类患者非常重要。
