Management of bilateral amblyopia, abnormal eye movements and deficient visual perception in a child with autism spectrum disorder using vision therapy: A case report

An 8-year-old boy, diagnosed with moderate autism spectrum disorder visited Divine Myndz with his mother with complaints of reduced vision, inability to maintain eye contact and less attention span in terms of visual tasks. Assessment done at Divine Myndz showed that he had bilateral amblyopia, difficulty with eye movements, visual attention span and visual perceptual skills. A multi modal approach in vision therapy was planned for a period of 2 months to work on amblyopia, visual attention span and visual perceptual skills. At the end of 40 sessions over a period of 2 months, the boy showed significant improvement in visual acuity and eye movements. However, the visual perception remained same. After the initial reassessment after 40 sessions, the parents were advised to continue with remote vision therapy using vision therapy softwares that can be administered with parental support at home. Both pts2 and AmbP inet (home based vision therapy softwares) were prescribed. After 1 year of using the remote vision therapy softwares, a reassessment was conducted. The reassessment results showed that the boy had shown significant improvement in both visual perceptual skills and visual efficiency skills along with improvement in visual acuity and stereopsis. His parents reported a significant improvement in his visual task and improved attention span and eye contact.