Amblyopia is decreased vision in one or both eyes due to abnormal development of vision in infancy or childhood.It is commonly known as lazy eye, in which a child's vision does not develop properly, usually in one eye. If it is left untreated, a child's vision will never develop correctly in the affected eye.

What are the types of Amblyopia are there?
There are several different types and causes of Amblyopia, such as Strabismic Amblyopia, Deprivation Amblyopia and Refractive Amblyopia.
The end result of all forms of Amblyopia is reduced vision in the affected eye(eyes).

How does Lazy Eye occurs?
Lazy eye occurs when your brain favors one eye, often due to poor vision in your other eye. Eventually, your brain might ignore signals from your weak or lazy eye. The condition can result in vision impairment and loss of depth perception.

What are the Symptoms of Lazy Eye?
Lazy eye may be hard to detect until it becomes severe. Early warning signs include:
1. Tendency to bump into objects on one side
2. An eye that wanders inward or outward
3. Eyes that appear not to work together
4. Poor depth perception
5. Double vision
6. Squinting

What Causes Lazy Eye?
A number of conditions and factors can lead you to rely on one eye more than the other. These include:
1. Constant strabismus or turning of one eye
2. Genetics or a family history of lazy eye
3. Different levels of vision in each of your eyes
4. Damage to one of your eyes from trauma
5. Drooping eyelids
6. Vitamin A deficiency
7. Corneal ulcer or scar
8. Eye surgery
9. Vision impairment, such as nearsightedness, farsightedness, or astigmatism
10. Glaucoma, which is high pressure in your eye that can lead to vision problems and blindness

How is Amblyopia diagnosed?
When it first occurs, parents and children often don't notice the condition. It's important to get routine eye exams as an infant and child, even if you show no outward symptoms of eye problems.
Family history of amblyopia is a risk factor for the condition.

How Is Lazy Eye Treated?
Glasses/Contact Lenses
Eye Patch
Eye Drops
Surgery
Other treatments include:
Atropine penalization therapy (also used for maintenance)
Optical blurring through contact lenses or elevated bifocal segments

What Is Amblyopia? Are You or Your Child Suffering From It?

A common headache can have a number of reasons behind it, such as defective vision, hetrophoria or convergence deficiency, etc. Now, the question arises as to how they can cause headache. Read on to know more...

Q. Why should defective vision cause headache?

To attain a perfect vision, eyes with defective vision have to make sustained extra efforts, which results in headache. Even if the refractive error is very small, it can be the cause of headache. More prolonged the working and smaller the print, higher the incidence of headache.

Q. Can this occur at all ages?

Yes, it can occur at all ages. However, with age, the resistance decreases and hence elderly people are more prone to get headache. More the use of computer, mobiles, TV or prolonged studies precipitates headache

Q What is Hetrophoria?

Normally, both eyes always remain parallel, but in some cases, eyes have slight tendency to develop minor squint, may be convergent or divergent. This is called Hetrophoria or Latent squint. Such patients have to take extra strain to keep the eyes straight

Q. What is convergence deficiency?

For reading, both eyes have to converge and if there is weakness of convergence, extra strain has to be put on the eyes, which cause headache.

Q. What is the ideal method of refraction in young patients, I,e below 40 years?

Ideal method is to dilate the pupil with Tropicasyl plus drops. This has the advantage that the doctor can see the retina and Optic Disc. This is important to exclude any involvement of brain as the cause of headache. It also relaxes accommodation and hence provides correct refraction. In cases of Hypermetropia, it is extremely essential to dilate the pupil.

Q. What is the role of Autorefractmeter (a computer) in refraction?

It is a very important instrument to provide correct refraction, but it cannot be totally relied upon. Some opticians rely on it and give wrong numbers.

Q. What is acceptance Test?

You have refracted the eyes with Autorefractmeter or Streak Retinoscope but exact power is what a patient accepts. This is very important.

Q. What is astigmatism?

There is a difference in refraction in different meridians and it is important that a cylinder number is prescribed in correct axis. This is a difficult task and needs lot of experience.

Q. Is it important to correct astigmatism?

To relieve headache and strain on the eyes, it is very important that exact cylinder is prescribed.

Q. What is the role of exact centring of Optical Lenses?

You may give correct number, but if the centre of the Optical lenses and cornea do not coincide, satisfactory results are not obtained. To dispense correct lenses is a big art and the Optician must be qualified and well experienced.

Q. Does the quality of lens affect the visual comfort?

Yes, it is important that quality of lenses should be good, preferable fibre lenses which are Ant reflect coated. Crizal coating with capability to block the UV rays are very popular.

Conclusion: Refractive errors are important cause of headache and needs proper examination of the eyes, preferably after dilating the pupil. Astigmatic error even if too small may be the cause of headache. Spectacle dispensing is an art and a patient must select proper optician. Spectacles if advised for constant use must be used constantly to get full relief.

Defective Vision - Can it be a Cause of Your Headache?

Visual impairment is a decreased ability to see to a degree that causes disabilities or problems, not fixable by usual means, such as glasses. Loss of vision may be acquired and develop suddenly. It may affect one or both your eyes.

What Causes Loss of Vision/Disability?

Loss of vision and disability can result from the following  

Clouding of normally transparent eye structures

Abnormalities in the retina

Abnormalities in the nerves carrying visual signals to the brain from the eyes

Changes in vision may also occur due to conditions like glaucoma, macular degeneration and diabetic retinopathy. 

Can Psychological Rehabilitation Help Manage Visual Impairment?

Vision loss and disability often interfere with one s functional ability in everyday tasks. Sometimes, the disability may be so devastating that it affects a person s mental health and behaviour. Psychological Rehabilitation is designed to help such visually impaired people deal with disability or impairment. 

Psychological rehabilitation involves a wide range of methods that aims to restore functioning after loss of vision, just as physiotherapy restores functioning after an injury or stroke. The program allows patients to continue living independently and maintain their quality of life despite vision loss. 

Complete or partial loss of vision can jeopardize one s career   you may not be able to continue with your job due to the disability.  Many people suffer psychological and physical challenges, which force them to escape the outside world. Psychological rehabilitation helps in the following ways  

Helps individual understand and accept the disability, and find ways to cope with it

Motivates them in to keep trying

Cope with the pain and depression

Overcome feelings of fear or despair

Prevents the person from sinking into a state of self-pity, which may hinder recovery

Rehabilitation Psychology adopts a holistic and expansive approach to treat visual impairment. 




Loss of Vision & Disability - How Can Psychological Rehabilitation Help?

4 tips for a great eyesight

An important organ of the body, eyes must never be taken for granted and need to be protected at all times. In addition to protecting them, you also need to improve as well as maintain their overall health.

Here are some of the ways of keeping your vision in top form:

1. Eat for good eye vision

To have healthy eyes and consequently good vision, you need to have foods that keep them in good health. Nutrients like Zinc, vitamins C and E, and Omega-3 Fatty Acids can help to fend off age-related sight problems such as cataracts or macular degeneration (a condition characterized by the deterioration of the middle portion of the retina). Foods like eggs, nuts, green leafy vegetables, oranges and citrus fruits are what you need to have to get good eye health. 

2. Kick the Smoke habit

Smoking can adversely affect your eye health and can make you prone to eye conditions like cataracts, macular degeneration and damage of optic nerve (a nerve that transmits impulses from the eyes to the brain). By kicking this habit, you end up saving your eyes from irreversible damage.

3. Use sunglasses

Exposure to the Sun's ultraviolet rays for a long period of time can make you prone to common eye problems including cataracts. To protect them from the Sun's harmful rays, you need to use sunglasses that block 99-100% of Ultraviolet A (UVA) and Ultraviolet B (UVB) rays.

4. Go for a regular eye checkup

Going for regular eye examinations can help in protecting your vision and ensure you see clearly. Eye examinations are important to help you find eye problems like glaucoma (a condition wherein the optic nerve is damaged, resulting in vision loss). A comprehensive eye examination can help in identifying problems like nearsightedness, farsightedness or astigmatism (an eye defect that occurs to a deviated spherical curvature).




4 Tips for a Great Eyesight

A red eye is one of the first and most common symptoms of conjunctivitis. Conjunctivitis is the inflammation of the tissue that lies over the white part of the eye and lines the inner side of the eyelid. It is usually the result of a viral infection and can easily spread from one person to another. Conjunctivitis can also be a symptom of STDs like Gonorrhea or Chlamydia. In newborns, conjunctivitis can be vision threatening, while in grownups it is not considered a serious health risk. The symptoms of conjunctivitis differ according to the cause of the infection. 

Some common symptoms of conjunctivitis are:
1. Green or white discharge from the eye
2. Redness of the white part of the eye
3. Inflammation of the eyelid
4. Waking up to crusted yellow discharge
5. Itchiness and burning in the eyes
6. Increased sensitivity to light
7. Blurred vision

An eye examination and testing a sample of the fluid secreted by the eye can be used to diagnose conjunctivitis.  It can easily be treated at home and does not require hospitalization. Antibiotics are often given in the form of eye drops and ointments to treat conjunctivitis. These usually need to be applied 3 to 4 times a day for a period of 5 to 6 days. Wash your eyes before putting the eye drops. Once applied, close your eyes and roll the eyeball around to distribute the medicine and keep it from overflowing out of the eye. Wash your hands immediately after applying the eye drops.

Viral conjunctivitis is highly contagious. If you are suffering from it, you should take a few days off work and restrict your social interactions. Wash your hands frequently as you may unconsciously rub your eyes. This is especially important with regards to meals and finger foods. Also, avoid sharing towels, pillowcases, etc. to minimize the transmission of the disease from one person to another.  

Avoid using makeup while being treated for conjunctivitis. With conjunctivitis, the eye is more sensitive to irritants and thus, a speck of makeup can worsen the situation. Also avoid contacts. If you wear contacts regularly, dispose the current set and start using a fresh set after your doctor gives you a clean chit. 
Artificial tears or non prescription eye drops can also be used to relieve the itchiness and burning in the infected eye. If only one eye had been affected by conjunctivitis, do not use the same eye drop bottle for both eyes.

Managing the Acute Red Eye

The most common vision problems are shortsightedness and farsightedness. Shortsightedness is when a person sees close objects clearly while distant objects appear blurry. It is more common than farsightedness and affects about 70% of the Asian population.

When there is a refractive issue, the prescription usually has a plus/minus with it and also a number. A  minus  symbol is used to represent shortsightedness; the greater the number of the glasses, the higher the shortsightedness. High myopia is a more severe form of shortsightedness where the power is -6.0 or higher.

Symptoms: 

As mentioned, the person will be able to see nearby objects but will have difficulty seeing far off objects.

Difficulty reading signs and boards
Squinting
Straining to reduce the strain on the eye
Tired and fatigue due to this eye strain, especially when in constant move like playing sports or travelling
How it happens?

Vision can be explained by a physical process where light passes through a lens and falls on the retina in the posterior portion of the eye where it forms an image. This is then sent to the brain where it is read and interpreted as a particular object. When the lens becomes elongated, the image that is formed is distorted in that it is formed in front of the retina and not on the retina. Though it gradually settles down with adulthood, in most cases, it progresses and requires corrective lenses. The corrective lenses ensure the image falls on the retina and visual perception is improved.

Treatment:

Corrective glasses are the most commonly used measure for nearsightedness. The lenses could be used either as spectacles or as contact lenses.
Laser surgery can also be used to correct the problem. A thin layer of the cornea is removed and the image formation is corrected.
Artificial intraocular lenses are also being used to treat this condition. They work like contact lenses and may need periodic replacement.
The most common technique, especially for high myopia is the use of surgery to correct the problem. This is a one-time correction and is a more durable solution than the earlier mentioned options.
Appropriate calculations are done to identify the lens to be used so that proper vision is restored.
Complications: 

Though not common, retinal detachment and variable postoperative refractive error can occur during the surgery.
It is very important to set realistic expectations with the patient in terms of what to expect before, during, and after surgery. If only one eye is going for repair, the chances of mismatch in vision could be present in the early stages. Being clear about what to expect will help in successful correction.

Myopia or Nearsightedness - How It Can Be Treated?

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