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22 Therefore to diagnose amblyopia, a clinician must: Perform an age-appropriate refractive examination, which will typically include the use of cycloplegia Re-measure visual acuity with the optimal refractive correction in place and compare to age-appropriate norms 23 Undertake a thorough ocular health assessment, including ocular imaging where required, to rule out anterior or posterior segment pathology Identify at least one amblyopia risk factor, for example anisometropia (in one or both principal meridians), high bilateral refractive error, strabismus or media opacities

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