Occlusion with high plus contact lenses in the treatment of strabismic amblyopia – a case series

<i>Introduction</i>: Amblyopia is a common disease, and interventions like patching treatment are well studied. When standard therapy fails, sometimes uncommon treatment options become necessary. <i>Methods</i>: We present three cases of patients with severe strabismic amblyopia with initial visual acuities of 20/400, 20/2000 and 20/160 who failed conventional treatment and subsequently received treatment with high-powered contact lenses (HPCL) of either + 22D or + 25D strength. <i>Results</i>: Visual acuity markedly improved in all three cases: 20/20, 20/50 and 20/25, respectively. <i>Conclusion</i>: While amblyopia treatment with HPCL will never be first-line therapy, our results are encouraging and show that this form of penalization should be considered if conventional therapy fails.