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Ophthalmology · Squint: amblyopia treatment
Sample itemA 5-year-old with unilateral anisometropic amblyopia has had glasses for 3 months with no improvement. What is the next step?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Patching of the better eye
After full optical correction, occlusion of the sound eye forces use of the amblyopic eye. Atropine penalisation of the better eye is an alternative.
Option by option
A. Patching of the better eye (correct)
Correct. Patching the better eye is standard therapy.
B. Laser to the macula
Laser has no role.
C. Surgery on the amblyopic eye
Surgery does not treat amblyopia.
D. Atropine to the amblyopic eye
Atropine is given to the better eye, not the amblyopic eye.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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