Amblyopia is commonly known as'lazy eye. It is a vision development disorder, which affects eyes and the brain during infancy and childhood. It signifies that the eye does not achieve a normal visual acuity even with refractive correction in form of glasses or contact lens. During normal visual development, the eye and brain learns to'see' and develop binocularity, that is the ability to perceive depth (stereoacuity). This occurs in the first 8 to 10 years of life. 

Each eye transmits a clear and identical image from retina to the brain, which fuses the two images into a single image with 3 dimensions (adding depth). When the image is formed on the retina of two eyes is too dissimilar, the brain cannot fuse the two images and suppresses the more blurred image. As a result, the worse eye does not learn to'see' and becomes'lazy. This condition is seen in 1-4% of population.

The common causes for dissimilar images or amblyopia are:
1. Misalignment of the eyes or squint: it is the primary reason for amblyopia is misalignment of the eyes. In case, both your eyes are not aimed in the same direction, the image captured by each eye is different, resulting in diplopia. The brain will see from the dominant eye and suppress image from the other eye. Over a prolonged period of time, the eye dissociates from the visual cortex of the brain.

2. Refractive amblyopia:
A. Unequal refractive error in both eye. When the eye power of both eyes differ by more than 1.5d of spherical equivalent, which results in dissimilar images between the two eyes. As a result, the visual development in restricted in the worse eye.
B. High refractive error or astigmatism in both eyes, since there is a blurred image in both eyes, the normal vision development does not occur in either eyes resulting in bilateral lazy eyes.

3. Cloudiness in visual system or visual deprivation amblyopia: any kind of obstruction or cloudiness in the normal visual axis of the eye tissues can lead to amblyopia. Disorder of any kind, which blocks a clear image from being focused blocks the formation of a clear image on your retina. Commonly due to congenital or developmental cataracts or corneal opacities or prolonged closure of one eye in early childhood (drooping of one eyelid, eyelid swelling, patching of one eye).

Treatment for amblyopia
For treatment of amblyopia, a child must be compelled to utilize his affected, weaker eye. This can be done by correction of causative factor such as, treating refractive error with glasses, surgical correction of misalignment of eyes followed by patching and vision therapy, cataract surgery.

Patching or occlusion of the good eye
This is done to force the brain to pay attention to visual input from the worse eye. This allows nerve connections between affected eye and brain to develop due to, which the eye'learns to see. Eye drops such as atropine are also used for blurring the vision of the good eye. Some form of vision therapy may also be required to train both eyes to see together and develop some degree of depth perception.

To be effective, treatment should be implement as early as possible, within the period of normal visual development best within first 8 years of life. Some visual gain has been seen in selected patients up to age of 14 to 18 years. This also highlights the importance of a comprehensive eye examination as a routine in young children.

About Amblyopia or Lazy Eye

Cataract is generally associated with old age. However, in some unfortunate cases, children could be affected by cataract as well. A cataract can be defined as a cloudy or opaque layer that forms on the eye's natural lens that lies behind the iris and the pupil, leading to eventual loss in vision. Cataract can affect children in one eye or both eyes.

Cataract can be a congenital birth defect or can develop as the child grows older. The latter case is known as pediatric cataracts. The exact cause of cataracts in children is not known, but it has been associated with a number of genetic disorders, low birth weight and infections during pregnancy. Traumatic events such as an injury to the eye can also cause cataracts.

The earlier a cataract is diagnosed and treated, the better it is. It is easier to identify a cataract that affects both eyes than a cataract that affects only one eye. If a congenital cataract is not treated in time, the part of the baby's brain used for sight may not develop properly. Hence it is crucial to recognize cataract symptoms.

Here are a few you should look out for:

    Not looking directly or responding to large, colourful objects.
    Not being able to find small objects while crawling.
    Excessive squinting or shielding their eyes to bright sunlight.
    Eyes that do not focus on the same point.
    White reflex instead of a red reflex in photographs.
    Uncontrolled movement of the eye.

Cataracts that are too small to affect sight can be treated with eye drops to dilate the pupil. However, this provides only temporary relief. Surgery is the most preferred form of cataract treatment. This surgery can be performed even in the first few weeks of a baby's life. The child is put under anesthesia and a microsurgical instrument is used to break the lens into small pieces and remove it.

This surgery is followed by the use of lenses or glasses to help the eye regain its power to focus again. In some cases, the lens may be implanted to replace the natural lens. In cases where cataract affects only one eye or one eye is more severely affected than the other, there may be a tendency to develop amblyopia or lazy eye syndrome. In such cases, it becomes necessary to patch the good eye shut and stimulate vision in the eye that has undergone surgery.

Cataract in Children

Most of us take our eyes for granted. It has been often noticed that an individual splurges on expensive sunglasses for looking smarter. But, when it comes to the health of eyes, he or she is either ignorant or simply reluctant to do anything. This tendency is bad for the health of your precious eyes.

Remember, how you use them to stare at the screens of your gadgets all day long. Take out some time from your busy schedule and take care of your eyes. They are precious and vulnerable too.

Follow the tips below to keep your eyesight intact till your dying day:

Eat right for a good vision: It is very important to provide the right and sufficient amounts of nutrients to your body for developing or maintaining a good eye sight. Include nutrients such as omega-3 fatty acids, lutein, zinc, and vitamins C and E in your regular diet to boost your eyesight. Food items like green and leafy vegetables, salmon, tuna, and other oily fish, eggs, nuts, beans, and other non-meat protein sources, oranges and other citrus fruits or juices and oysters and pork are excellent for the eye. The intake of a balanced diet keeps you away from diabetes, which causes blindness.
Give up smoking: Cigarettes or other tobacco products are bad for your eyes. They make your eyes more vulnerable to diseases like cataracts, optic nerve damage, and macular degeneration.
Guard your eyes from sunlight: It has been found that long exposure to sunlight leads to damage of the eyeballs. This happens as the UV rays in sunlight have an adverse impact on our eyes. You must put on sunglasses when you are outdoors for a longer period. You must choose sunglasses which give you 90 to 100 percent protection against sunlight. UV rays can cause cataracts and macular degeneration.
Avoid the screen: It is advisable to not spend long hours sitting in front of the computer screen or TV. Take breaks while working on the computer. Also, remember blinking your eyes while staring at the screen to avoid drying up of the eyes. Blinking increases tear production, keeping the eyes moist and healthy.
Use safety devices: If you work with hazardous substances, it is advisable that you put on safety devices on your eyes for their protection.
Hydrate your eyes: In order to have a good vision, you must hydrate your eyes by splashing water on your eyes wide open at specific intervals in a day. When you wash your face after returning from outside, don't forget to wash your eyes as well. As you splash water on the eyes, the dust particles on the surface of the eyelid, gathered from outside, gets washed away. f you wish to discuss about any specific problem, you can consult a ophthalmologist.

Tips for Improved Eye Health

78% of urban youth are in front of the computer screen/ mobile screen for about 12 hours a day. Such extensive strain to the eyes can have long term effects on vision.  Act now to protect your eyes by following these tips-

1) Ensure appropriate glasses or contact lens prescription which is also adequate for computer use. 
2) For prolonged exposure, use glasses to help with contrast, glare, and eye strain when using a computer.
3) Adjust your computer such that your eyes are level with the top of the monitor. This allows you to look slightly down at the screen.
4) Avoid any glare on your computer from windows or lights. Use an anti-glare screen if required.
5) Choose a comfortable, supportive chair. Position it so that your feet are flat on the floor.
6) If your eyes feel dry, blink more often.
7) Every 20 minutes, rest your eyes by looking 20 feet away for 20 seconds. At least every 2 hours, get up and take a 15-minute break.

Click on consult privately to ask me any follow-up questions on this.

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Protect Your Eyes While Working. 7 best ways.

10 surprising facts about your eyes

You never tend to pay a lot of attention to your eyes unless they are affected by some serious disorder or unless your vision is disrupted. But did you know that your eyes are capable of doing much more than you can imagine? here are 10 surprising facts about your eyes you didn't know about.

1. How intricate!

Your eyes take more than 2 million working parts to function. No wonder your eyes are the second most complex organ of your body after your brain.

2. A lot depends on them

As much as 80% of your memories are determined by what you see. Also, 80% of what you learn is because of your eyes.

3. Retina and security

The iris of your eyes has approximately 256 unique characteristics, which is more than even your fingerprints. This is the reason why retina scans are used so widely today for security purposes.

4. It's a colourful world

Your eyes can distinguish between approximately 10 million different colours. And women with a particular kind of genetic mutation can see millions of more colours.

5. Upside-down

The retina of your eyes receives the vision of the outside world as upside down. It is your brain, which flips the image for you so that you can see the world as it is.

6. Sunscreen for the eyes?

It is possible for your eyes to get sunburnt. Therefore, it is advisable for you to wear sunglasses in order to protect your eyes from the ultraviolet radiations.

7. Godspeed!

The eye muscle is the muscle that reacts at the fastest rate out of all the other muscles in your body. It can contract in less than even 1/100th of a second.

8. Paint it red?

The retina of your eyes cannot detect the red colour. The retinas do have green, red and blue receptors, but the red receptor can detect only the colour yellow-green and the green one can recognise blue-green. It is your brain that combines these signals to give you the impression of the colour red.

9. Dreams and sight

Even if you become blind later in life, you can see images in your dreams if you were born with sight.

10. We are blink-eyed peas

You blink approximately 17 times every minute. That makes it 5.2 million times in a year.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Sitting Too Close To TV Will Weaken Your Eyes? FALSE.

Surprise Yourself with these 10 Facts about Your EYES!

People are well aware of the harmful effects that UV rays have on the skin, but very few know that UV rays can damage their eyes as well. The tissue that human eye is made up of is one of the most sensitive tissues in the body and hence, the most vulnerable. The increasing level of UV radiation reaching the Earth s surface every minute has made it indispensable to take the required precautionary measures to protect the eyes.

What are UV rays?

Sunlight consists of 3 types of radiations - Infrared, Visible light and UltraViolet. Artificial sources like lasers, tanning beds and welding machines also emit UV radiation.

There are three types of UV radiations - UV-A, UV-B and UV-C. 

UV-C is absorbed by the ozone layer and does not possess any risk. It is UV-A and UV-B radiations that adversely affect the eyes and vision.

Impact of UV rays on  eyes

Too much exposure to UV rays can affect vision, harm the eyes, and deteriorate overall eye health. There are various eye problems that are aggravated by excessive exposure to UV radiation:

Macular Degeneration: It is caused by damage to the retina over time by UV rays. It leads to age-related blindness. Too much exposure to UV rays increases the risk of developing macular degeneration.
Cataract: It is the clouding of eye s natural lens - the part of the eye that focuses the light we see. Too much exposure to UV rays increases the risk of developing cataracts. 
Pterygium: Often known as  surfer s eye , pterygium is a pink, non-cancerous growth that is formed on the conjunctiva. UV rays are believed to be responsible for the development of this growth.
Skin Cancer of the Eyelids: Too much exposure to UV rays can cause skin cancer in and around the eyelids.
Photokeratitis: Popularly known as corneal sunburn or  snow blindness , photokeratitis is caused due to excessive short-term exposure to UV-B rays. Photokeratitis occurs when you spend long hours at the beach or skiing. It sometimes leads to temporary vision loss. 
How to protect the eyes from harmful UV rays?

Here are some tips to help ensure that eyes are protected against harmful UV rays:

Always use quality sunglasses that block out 99-100 percent of both UV-A and UV-B radiation when outdoors.
Stay away from tanning beds, and if you use them occasionally, always wear eye protection. 
Wrap around frames should be used if you spend a lot of time outdoors.
Be sure to see your doctor at least every two years.

UV Rays - Are They Damaging Your Eyes?

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