The initial step in managing anisometropic amblyopia is full correction
of the refractive error with spectacles or contact lenses. Contact lenses
have been advocated as the optical treatment of choice in myopic
anisometropic amblyopia.158 A few patients, especially adults, may need
to begin with less than the full anisometropic prescription to ensure
acceptance of the prescription and avoid diplopia. Simply correcting the
refractive error improves visual acuity in some cases.