This guideline last updated 07/05/2022 10:15:17

Differential Diagnosis

• Unilateral vs Bilateral
• Associated Ocular pathology eg. Optic Nerve Hypoplasia, Infantile Cataract
• Microtropia with central suppression scotoma
• Uncorrected refractive error
• Type of amblyopia eg. Strabismic, anisometropic, mixed

Possible management by Optometrist

• Correction of refractive error
• Advice on Low Vision Aid in patient over 8 years of age

Advice              

•  Refer to Orthoptist and Hospital Eye Service if child under 8 years of age

Management Category

• Early referral for child under 8 years of age indicated in order to exclude any underlying pathology and maximise potential visual development within Critical Period for visual development

Possible Management by Ophthalmologist

• Identification of underlying pathology, and necessary referral pathways as appropriate
• Surgery

Possible Management by Orthoptist

• Occlusion techniques: Patching, Penalisation, Atropine