When pediatric vision loss cannot be explained by refractive error, strabismus, or related amblyopia, it is often assumed that the cause is functional. Sometimes severe underlying etiologies are potentially overlooked. Case studies demonstrate how OCT is a helpful screening tool, or can identify retinal and optic nerve disease (stargardt, foveal hypoplaia, RP, ON atrophy, etc.).

1. Knowledge of common retinal and optic nerve disorders in pediatric ophthalmology.
2. Understand possible causes of decreased vision in children and adolescence.
3. Perform standard OCT protocol (retina and optic nerve).

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