Insights into Straatsma syndrome: a pediatric case report

This case illustrates that, even in the presence of type-2 MRNF, extreme axial length, and high anisometropia - features traditionally linked to poor prognosis - early aggressive amblyopia therapy, contact-lens - based aniseikonia control, and timely alignment surgery can achieve excellent long-term visual outcomes. The timeline underscores the importance of starting therapy in early childhood and maintaining adherence through optical optimization and orthoptics. While a single case cannot define generalizability, it supports the view that structural macular integrity on OCT, coupled with coordinated multimodal care, can overcome several adverse prognostic factors in SS.