Microtropia versus bifoveal fixation in anisometropic amblyopia

Microtropia with identity is a unique condition in which amblyopes have parafoveal eccentric fixation in the amblyopic eye in either monocular or binocular viewing, plus a macular scotoma. The condition has previously been described in anisometropic amblyopia. The records of 55 consecutively presenting anisometropic amblyopes were scrutinised and the cases divided into microtropes or non-microtropes (bifoveal fixators). The features of the two groups were then compared to identify factors associated with microtropia and to determine whether microtropes or bifoveal patients responded better to amblyopia therapy. Results show that 45% of anisometropic amblyopes have microtropia rather than bifoveal fixation. There appears to be no association between the microtropic phenomenon and age, depth of amblyopia or amount of anisometropia. Bifoveal patients may respond better to amblyopia therapy although the difference between groups was not great. The sensitive period during which amblyopia may be treated is the same for each group.