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Antimetropia in a 10-year-old boy with unilateral tilted disc syndrome

Authors Makino S

Received 25 February 2014

Accepted for publication 28 March 2014

Published 7 May 2014 Volume 2014:6 Pages 43—45

DOI https://doi.org/10.2147/OPTO.S63083

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4


Shinji Makino

Department of Ophthalmology, Jichi Medical University, Shimotsuke, Tochigi, Japan

Abstract: Antimetropia is a condition in which one eye is myopic, while the fellow eye is hyperopic. This report describes a case of antimetropia associated with unilateral tilted disc syndrome. A 10-year-old boy presented with the complaint of diminished vision for distant objects in his right eye for several months. His uncorrected distance visual acuity was 0.15 in the right eye and 1.0 in the left eye. Best corrected visual acuity was 1.0, with -6.00 D/-2.00 D 170° in the right eye and +1.50 D in the left eye. The cover test revealed right esotropia and hypertropia. Bifoveal fixation was achieved using a 14 prism diopter (PD) base at 220° in the right eye. Fundus examination revealed a tilted disc with inferior staphyloma in the right eye, but no abnormal findings were observed in the left eye. In addition, the patient occasionally experienced diplopia under casual viewing conditions. A cycloplegic refraction revealed -6.00 D/-2.00 D 170° in the right eye and +1.50 D/-2.00 D 5° in the left eye. Thus, prism glasses were prescribed. While wearing the prism glasses, the patient has shown no diplopia and maintains good binocular function.

Keywords: amblyopia, strabismus, anisometropia, staphyloma

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