Child presents with bilateral poor vision

A 7-year-old boy presented to a satellite office of the New England Eye Center after referral from a local optometrist for persistently decreased vision despite appropriate spectacle correction for myopia and astigmatism. The optometrist had diagnosed him with refractory amblyopia and referred him for further evaluation given minimal improvement in vision with glasses and a short trial with patching.
The patient had a history of mild developmental delays and an unspecified behavioral disorder for which he was being evaluated by a behavior specialist. He was otherwise healthy and was prescribed

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