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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 1, February 2014 pp 130-132

Case Report

Mirror Image Anisohypermetropia with Unnoticed Amblyopia in a Sister and Two Brothers


Hina Kauser

Assistant Professor, Department of Ophthalmology, Hamdard Institute of Medical Sciences and Research

Jamia Hamdard, Hamdard Nagar, New Delhi -110062. INDIA.


Academic Editor : Dr. Aher K.R.



We report mirror image hypermetropic anisometropia leading to amblyopia in a sister and her two brothers which got unnoticed by all three siblings. The first two brothers had hypermetropic right eye and the sister had mirror image hypermetropia in left eye. All the three siblings did not notice amblyopia in one eye as the vision in other eye was normal. Mirror image anisometropia was reported in monozygotic and dizygotic twins earlier and only one case till date was reported of mirror image anisometropia in two siblings that too of anisomyopia. No case of mirror image hypermetropic anisometropia leading to amblyopia in all the three siblings has been reported till date. The present case suggests that if vision is normal in one eye and there is no esotropia then amblyopia may get unnoticed, so screening of every child should be done and all the siblings should be examined as hypermetropic anisometropia may be genetically related.