strabismic amblyopia
Also called amblyopia from strabismus, squint amblyopia
Reduced best-corrected acuity in the deviating eye of a constant, one-sided strabismus that began in early childhood, with no disease of the eye or visual pathway to explain the loss1,3. The deviated eye's fovea sees a different object from the fixating fovea (confusion) and its periphery sees the fixated object in the wrong direction (diplopia); the cortex suppresses that eye's image to escape both, and suppression held through the years of visual development becomes a lasting loss of acuity2.
An alternating strabismus does not produce it, because each eye takes its turn at fixation. It is expected in constant esotropia far more than in exotropia, which is usually intermittent at onset, and almost never in a hypertropia4.
More detail
It differs from anisometropic amblyopia, in which the two foveae share a visual direction and a blurred image is inhibited; that form also loses contrast sensitivity across the whole field, which strabismic amblyopia spares4. Eccentric fixation is common in this form and rare in the anisometropic form, and the crowding effect is stronger, so acuity should be measured with single letters as well as with a full line5.
Sources (5)
- Kanski, Clinical Ophthalmology (2024), ch. 18
- Pickwell's Binocular Vision Anomalies, ch. 12, Overview of Sensory Changes in Strabismus
- Duckman, Visual Development, Diagnosis, and Treatment of the Pediatric Patient
- von Noorden and Campos, Binocular Vision and Ocular Motility, ch. 14
- Pickwell's Binocular Vision Anomalies, ch. 13
Reviewed October 2026