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Updated: Jun 19, 2026
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Assessing Binocular Central Visual Field and Binocular Eye Movements in a Dichoptic Viewing Condition
Published on: July 21, 2020
Congenital rotated macula with good vision and binocular function.
Yumi Suzuki1, Sachiko Nishina, Miina Hiraoka
1Department of Ophthalmology, National Center for Child Health and Development, Tokyo, Japan.
Japanese Journal of Ophthalmology
|October 23, 2009
Summary
Congenital rotated macula in children can lead to good visual acuity and stereopsis through brain adaptation. Early amblyopia treatment is crucial for patients with rotated macula.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Retinal Diseases
Background:
- Presents two cases of congenital rotated macula.
- Associated with retinal folds and peripheral fibrous proliferation.
- Macula significantly rotated nasally relative to the optic disc.
Observation:
- Case 1: 3-year-old girl with initial visual acuity (VA) of 0.5 OD, 1.0 OS, treated for amblyopia, achieving 1.0 bilaterally with 120 arc seconds stereopsis.
- Case 2: 6-year-old girl with VA of 0.7 OD, 1.0 OS, and 240 arc seconds stereopsis.
Findings:
- Good visual acuity and stereopsis achieved despite significant macular rotation.
- Suggests brain adaptation and robust fusional potential in early infantile age.
- Gradual macular shift may also contribute to visual development.
Implications:
- Highlights the potential for excellent visual outcomes in congenital rotated macula.
- Emphasizes the importance of early amblyopia treatment in affected children.
- Suggests the visual system's adaptability in early life to structural anomalies.
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