Journal of Ophthalmic and Optometric Sciences

Vol. 9 No. 3 (2025)

Misdiagnosis of Amblyopia for a Refractive Surgery Candidate

Journal of Ophthalmic and Optometric Sciences, Vol. 9 No. 3 (2025), 22 June 2025 , Page 52-55
https://doi.org/10.22037/joos.v9i3.51082

Abstract

Purpose: To highlight the importance of comprehensive dilated examination in refractive surgery candidates and to demonstrate how early detection of lenticonus can prevent misdiagnosis and suboptimal management.
Case Report: Lenticonus is a rare ocular anomaly characterized by protrusion of the anterior or posterior surface of the crystalline lens due to thinning of the lens capsule, resulting in reduced visual acuity and irregular astigmatism that is often not adequately correctable with spectacles or contact lenses. A 29-year-old female presented to our refractive surgery center with compound myopic astigmatism and a high astigmatic component. 
Conclusion: Comprehensive dilated examination of the fundus and lens should be routinely performed in all refractive surgery candidates to prevent misdiagnosis and facilitate early detection of conditions such as lenticonus, allowing appropriate management.

Keywords:
  • Lenticonus
  • Astigmatism
  • Amblyopia
  • Lens Extraction
  • Intraocular Lens Implantation
  • Refractive Errors

How to Cite

Khodaverdian , P., Moravej, R., & Naseri , M. (2025). Misdiagnosis of Amblyopia for a Refractive Surgery Candidate. Journal of Ophthalmic and Optometric Sciences, 9(3), 52–55. https://doi.org/10.22037/joos.v9i3.51082

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