Successful Treatment of Mixed Amblyopia with Optic Nerve Hypoplasia (ONH) in an Adult Indonesian Patient

Introduction: Amblyopia significantly contributes to low vision and blindness in adults an Indonesian rural setting. The treatment of amblyopia, particularly anisometropic and/or strabismic has long been challenging for many clinicians. This study aims report a promising result refractive correction, occlusion therapy, oral citicoline on mixed amblyopia with optic nerve hypoplasia adult patients. Case Presentation: A 20-year-old male chief complaint blurry right eye since one year ago, becoming more severe lately. patient had his childhood. History using -5 concave spherical lens RE, the normal LE. Visual acuity (VA) RE was 3/60 LE 6/30. deviated, 30° exotropia. Nystagmus also found. Optical coherence tomography (OCT) examination found maculopathy both eyes. We treated spectacles correct error, occluded fixing eye, gave citicoline. Conclusions: Refractive correction therapy are still meaningful choices have shown be effective treating combined prevent cell damage. Our case patient, showed good results post-treatment prognosis decrease exotropia degree disappearance nystagmus just two months.