Unilateral reduction in VA (Orthotropia)

1. What is Orthotropia

No deviation in visual axis

2. Cause of Unilateral reduction in VA

Refractive error not fully corrected

Amblyopia

Refractive

Deprivation

Pathological

Cataract

Vitreous hemorrhage

AMD

Cornea oedema

Diabetic retinopathy

Sensory adaptation

Supression

HARC

Microtropia

Eccentric fixation

HARC

Pseudoheterophoria

During alternating CT

Peripheral fusion

Heterophoria

DEcompensated

3. Management

Correct refractive error

Treat amblyopia

Refractive correction

Eye Patch

Dichoptric video games

Remove pathological cause