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Ambylopia (Diagnosis (History (PMH
Growth and devleopment
Known medical…
Ambylopia
Diagnosis
Examination
CN examination
Acuity, fields, eye movements
Ophthalmoscopy
Red reflex (cataracts, Rb)
External eye
Any ptosis, cataract, squint
Investigations
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Imaging
Slit lamp: any cataracts, Rb
CT head: if ?SOL etc.
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History
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FH
Visual problems, squint
SH
Living arrangements,
nursery, school
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Pathophysiology
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Mechanism
Developing brain suppresses the blurry/deviated image
Full maturity of optic part of brain by 6y, so permenant loss
if no treatment before this age
Management
Conservative
Information, advice, support
Referral (otometry, ophthalmology)
Identify and treat cause
Medical
Patching
Indication: ambylopia
MOA: patch good eye, forcing
child to use poor functioning eye
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