Occlusion with high plus contact lenses in the treatment of strabismic amblyopia - a case series.

Introduction

Amblyopia is a common disease, and interventions like patching treatment are well studied. When standard therapy fails, sometimes uncommon treatment options become necessary.

Methods

We present three cases of patients with severe strabismic amblyopia with initial visual acuities of 20/400, 20/2000 and 20/160 who failed conventional treatment and subsequently received treatment with high-powered contact lenses (HPCL) of either + 22D or + 25D strength.

Results

Visual acuity markedly improved in all three cases: 20/20, 20/50 and 20/25, respectively.

Conclusion

While amblyopia treatment with HPCL will never be first-line therapy, our results are encouraging and show that this form of penalization should be considered if conventional therapy fails.