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William R. Bobier OD, PhD, FAAO, MBCOa ; Peter J. Shaw, OD

A consideration of binocular parameters in the spectacle correction of anisometropic amblyopia: A Case Report

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Background: Recent evidence points to the use

of spectacles alone in the treatment of anisometropic

amblyopia. However, the impact of this treatment

on the restoration of binocular vision is often not



Case Report: Patient M.Z., aged 7

years, showed 3.5D of anisometropia which was

coupled with a best corrected visual acuity of 6/38 in

the more hyperopic eye (6/6 in the non-amblyopic

eye). Spectacle lenses were prescribed using specially

designed software to alter the spectacle frame and

lens parameters to theoretically reduce the static and

dynamic aniseikonia to 1% and 3.8% respectively.

Four subsequent follow up visits were conducted over

a 2 year period where standard clinical measures of

refraction, visual acuity, and binocular vision were

conducted. The spectacles were worn consistently over

this time. Single letter acuity normalized by 5 months

while crowded acuity took longer. Improvements of

binocular vision resulted concomitantly. However,

improvement in suppression and stereo acuity continued for 2 years following the initial spectacle



Conclusions: This case exemplifies how

the prescribing of spectacle lenses with consideration

of, and correction for, predicted optical aniseikonia

allowed the amelioration of amblyopia without

patching and the provision of significant levels of

binocular vision within a 1 year period. However, the

time course for the development of binocular vision

well exceeded that for the amelioration of amblyopia.


I haven't actually used the optometrist side, so my review is limited to the vision therapy offered.  This office was recommended by my occupational therapist for the treatment of my double vision following a stroke.

Claire A.

Love this location. I had a brain injury accident from day one one. All the team make you feel you still important and hope in the horizon after when the medical system fell you miserably. Dr. Ikeda very professional and very understanding about your issue. Two tombs up.

Jim K.

My husband and I were immediately impressed with Dr Ikeda. I was hit by a car while cycling which caused broken bones and three brain injuries. The brain injuries caused double vision. Dr. Ikeda examined my eyes and got me started on vision therapy with his occupational therapist who specializes in vision therapy.  She (Chris) is absolutely great.  I am impressed with the array of tools used to help recover my binocular vision.  I am doing things I never thought were possible (balance boards etc).  Chris pushes me and keeps me motivated. I really enjoy my sessions with her.  The office staff is always friendly and they have a wonderful appointment reminder tool that makes it easy to keep my calendar up to date. I am happy the rehab center at Little Co. of Mary recommended them!!

Teresa S.

The Vision Therapy is handled in a separate office through a different door from the shared waiting room. Chris, the vision therapist, has a wide and varied assortment of tools, equipment and resources to best evaluate and treat most vision issues. After just a few visits, my double vision became easier to control, using exercises developed during the therapy process. It was time well-spent.

Joe M.

I have been coming here since I can remember. I love it here. The staff is so amazing and nice. They explain everything they gonna do and never make you feel rushed. Dr. Ikeda has always been my doctor and I would never want another one. He is the doctor for my whole family and is always asking how everyone is doing. I am also so crazy about picking out my frames and have to try so many and each person who helps me take the time and lets me try them all on. I would never want to go anywhere else! I definitely would recommend this office to anyone looking for a great eye doctor.

Kayla W.

This is not for the eye exam but for the frames selection portion. I brought my prescription from Kaiser here with my VSP insurance. The reception staff was very polite and professional.  Manny helped me to pick out frames and explain my coverage.  Very helpful and patient not like the individual at the other place I rated here on Yelp.  I was running late and he still helped me and was not bothered at all.  I am so glad I came here ..........very pleased.

Very professional staff and pleasant.

Daniel G.
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