DR. AYUSHI OJHA

DR.DR. SYED FARAAZ HUSSAIN, DR. YOGYA REDDY, DR. ANAMIKA PANDEY

Abstract

Eccentric fixation is found in some cases of strabismus with deep amblyopia. We report a case of 50/M who presented with gradual RE visual loss with progressive increase of myopia and LE having Strabismic Amblyopia with ET. Patient had a history of LE squint surgery at about 10y but ET had persisted, no patching was done. He reported RE worsening when he was diagnosed with CNVM and was given multiple Anti-VEGF injections without much benefit. On examination RE fundal coloboma with staphyloma having scarred CNVM with FC vision. While LE showed eccentric fixation with ET of 70 PD, but having better vision 6/36. Patient however was fixating with RE and had to assume head turn to shift to better eye fixation. We operated the patient for strabismus (LE: MR marginal myotomy with LR plication) with the aim of shifting the fixation to the now better seeing LE and reducing his AHP. Post op patient has reduced AHP and is able to better fixate with LE in primary and reading positions.