Oculomotor Training in Children with Amblyopia and Eccentric Fixation: Clinical Observations and Outcomes

Abstract This case study evaluates the impact of oculomotor training on visual function and clinical outcomes in children and young adult with amblyopia and eccentric fixation. In this consecutive case series, a total of three patients were included. One was a 6-year-old with bilateral amblyopia and eccentric fixation. The other two – a 6-year-old and a 21-year-old – had monocular strabismic amblyopia with eccentric fixation. An oculomotor training program was developed to enhance fixation stability, targeting the improvement of eccentric fixation. Over three months, the patients participated in intensive visual training sessions, scheduled once every month. Each session was designed to assess progress and optimise training strategies. Visual acuity and eccentric fixation were evaluated at each session to monitor progress. After completing the training, the patients demonstrated significant improvements in visual acuity and a marked reduction in eccentric fixation. This case study demonstrates the potential of oculomotor training as an effective treatment for amblyopia with eccentric fixation. While further research is required to standardise oculomotor training protocols and assess long-term outcomes, the findings suggest that oculomotor training could serve as a valuable adjunct or alternative to traditional therapies for amblyopia with eccentric fixation.