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

It's the month of Phagun again and time to prepare for the most colourful and vibrant festival of India - Holi. As the festive cheer spreads and people get ready to paint the town red with colours, dance to rocking beats at Holi bashes, and gorge on Gujiya and Thandaai, it s good to remember that you need to play it safely and naturally. The biggest reason for this is the synthetic agents, which are used to make the colours of Holi. What used to be a festival played with flowers, natural dyes and herbs have now transformed into a celebration of colours made from chemicals that are harmful for our body. 

Apart from the allergies to the skin, there is also the risk of increased blood pressure after the Holi festivities due to the high intake of bhaang, the official Holi drink. To avoid the harmful effects of such materials used during the festival, here are some must-follow health tips for you.

Tips to care for your skin

Use organic colours: Skin is the most sensitive body part and synthetic colours are a big no-no for it, as they can lead to rashes and other skin allergies. Therefore, it is advisable that you opt for organic colours, considering they are not only chemical free but are made from natural ingredients. Organic colours are safe for children too, as they are softer on the skin and easy to wash off. It is crucial that you protect kids from synthetic colours as they contain lead oxide, mercury sulphide and aluminium bromide, chemicals which not only damage the skin but can also cause various health issues.
Skin and sun protection: To avoid any kind of damage to the skin from colours, apply a good amount of Vaseline, any other petroleum jelly or mustard oil to your skin. You can also apply this to your child s skin as it is completely safe for their sensitive skin. When playing outdoors, opt for a waterproof sunscreen to protect your skin against sun damage.
Choose the right clothes: Wear long pants and full-sleeved shirts. This will help you stay safe from the harmful effects of colours. 
Tips to care for your hair

Oil your hair: You can apply a generous amount of oil to your hair, this will not only moisturize your hair but also safeguard the scalp and hair from the chemicals in the colours.
Cover your hair: Tie a ponytail and cover your hair with a shower cap to prevent your hair from dreadful damage. For a trendy look, you can also tie a bandana over your hair and safeguard them at the same time. 
Tips to care for your eyes

Wear sunglasses: Synthetic or organic, colours can be harsh on your eyes. You can protect your eyes by wearing sunglasses as they will help in preventing your eyes against any sort of damage. If your eyes come in contact with the colour, rinse them immediately to avoid infections. 
Moisturize around the eyes: Applying a good cream around your eyes will shield them from getting the colour into your eyes.
Avoid wearing contact lenses: You should refrain from wearing contact lenses while playing Holi. In case you cannot do without them, wear the eyeglasses. 
Use rose water: Rose water is known for its antiseptic and antibacterial properties and can do a great job in removing colour from the eyes. It can also be used to reduce irritation cause by the chemicals present in the colours.
Other health tips

Stay hydrated: Drink plenty of water before, during and after the festivities. Staying hydrated will not only keep you energetic but will also prevent your skin against the absorption of harmful chemicals. Drinking fluids will also ensure that all the toxins are flushed out of the body. 
Check your sweets for purity: Adulteration is at all-time high during the festive season. Therefore, make sure you buy your sweets from a reputed brand. In case, you are preparing your own sweets, buy your ingredients from a reputed shop, especially in case of products like khoya or if you can you even make that at home.
Keep your hands clean: Keeping your hands clean during the festivities can be a daunting task but since the colours used during Holi come as a fine powder and can easily get mixed with food, they can lead to different health problems. Make arrangements for snacks and drinks away from the festivity area. Make sure you wash your hands every time you touch the food.
Preventing asthma attacks: If you are an asthmatic patient, you must avoid playing with dry colours as they can aggravate breathing problems. The particles can enter your lungs and trigger an asthma attack. Asthmatic patients are also advised to carry inhalers, in order to avoid complications.
Apart from the above mentioned problems, these synthetic colors can also cause health problems like nausea, headache and vomiting in many people. Follow these tips and enjoy the festival to the fullest, while steering clear of all the harmful effects. So, forget all your worries and storm in the riot of colours. Be safe and be healthy! Have a great Holi!

This Holi Let's Paint The Town Red While Keeping Yourself Safe

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

The ability to see is one of our greatest powers and it needs to be valued and looked after. Sometimes this involves wearing glasses to improve our vision. Spectacles not only help us see better but also prevent straining and further deterioration of the eye muscles. Here are a few signs to watch out for that will indicate your need for spectacles. Keep in mind however that a comprehensive eye exam is the only way to determine the power required for your spectacles. 

-  Blurred vision
Blurred vision or the inability to focus on something in the distance is one of the first signs or eye deterioration. When it comes to children, watch out for complaints of inability to read the writing on class blackboards.

-  Frequent headaches
Unexplained headaches that come and go could be a sign that you need glasses. These headaches can usually be felt at the end of a long day or after watching television. 

-  Constant squinting
Squinting is a natural way to improve vision. This is because the act of squinting reduces extra light and light scattering thus allowing us to see something clearer. Thus, if you notice yourself squinting more than usual it is time to schedule an eye exam.

-  Difficulty working on a computer
Struggling to read figures and words on a computer screen is usually a sign of poor vision. Try adjusting your screen angle and the distance of the screen from your eyes to see if your vision improves or worsens. 


-  Difficulty adjusting to lights
Sudden increased sensitivity to lights can be a sign of many eye disorders with vision problems being the most common. 


-  Eye strain
Occasional pain in the eyes after a long day or as a result of an allergic reaction is nothing to worry about. However, if this pain persists for a few days, it could be an indication that you need spectacles. 
Deterioration of vision is usually a very gradual process and so you may not realize when it begins. However, the earlier you start wearing corrective glasses to improve your vision the easier it will be to control the deterioration of the eye muscles and you may even be able to rectify your condition completely. So, do not ignore any of these warning signs. Even if you do not have any of these symptoms, it is a good idea to get a thorough eye examination at least once a year.

Common Signs You Need Glasses

Did you know that your vision is responsible for around 80% of you sensory input? your eyes are among the most delicate organs in your body. Long work hours in front of the computer and long study hours results in tired and sometimes irritating eye conditions. But help isn't too far. Before you head to the doctor, you can head to your kitchen to look for solutions. There are several home remedies that you can try to not only improve your eyesight but also get rid of glasses and rebuild your vision! here's how you can do it:

1. Exercise: Just like any other body part, your eyes need exercise too. Blinking your eyes rapidly for 5 seconds helps moisturize it. Similarly, cupping your eyes with you palms for 4-5 minutes triggers acupuncture points that helps the eye to relax. There are specific exercises to reduce eye strain, improve blurred vision and enhance reading. Do these as per the specific problem you are facing.

2. Take a break: Follow the 10-10-10 rule when you are on the computer for extended hours. For every half hour of work, take a 10 min break to look at something n a distance at least 10 feet away for 10 seconds. These becomes tricky if you are studying or working in a fast paced environment and easily forget to take breaks. Set alarms that help you know the time so that you can actively plan your breaks. To enhance break time, try to look at greenery during your 10 sec break which helps the eyes relax better. Splash your eyes with cold water to give them a fresh feel.

3. Yoga: Yoga and meditation relaxes your body and mind. It is also a great way to relax your eyes as you get to close them and give them rest. When you close your eyes, you shut out a big chunk of sensory inputs helping your body go from an active reaction mode to a passive action mode.

4. Eat for your eyes: Make sure you add your weekly quota of vision enhancing food in you diet. Carrots which are rich in beta-carotene and vitamin a are great for the eyes. Similarly grapes and blueberries work great to improve your night vision. Green leafy veggies, garlic, shallots, eggs and onion all contribute in keeping your eyes healthy and strong. Cold water fish rich in DHA is an another great food that helps reduce dry eyes and muscular degeneration.

5. Change your lifestyle: Other than exercise and proper nutrients, you need to ensure you get a shut eye for six to eight hours every day to let your eyes fully rest and rejuvenate. As always drink 6 - 8 glasses of water. And don't forget to get regular eye check ups especially if you are a diabetic or have other health conditions that adversely affect your eyes.

Natural Remedies For Better Eyesight

High blood pressure can lead to hypertension, which is known to cause a variety of debilitating side effects or symptoms in the life of the patient. It can also lead to a number of related ailments which can affect the various organs of the body. The eyes are one of the organs that are most susceptible to this kind of spike in the body s blood pressure. Let us learn more about the connection between the two.

Retina: When high blood pressure goes untreated for a prolonged period, it can easily start to affect the blood vessels that can be found in the retina. The retina is the third or the inner most layer of the eye which is sensitive towards light and usually helps in refraction. This is where the light reaches so that one can focus clearly on an image. When the blood pressure of the patient stays high for a prolonged basis, there is significant pressure on the blood vessels in this part of the eye which can lead to an eye disease known as hypertensive retinopathy.

Symptoms: Symptoms of this eye disease include lack of clarity and focus when the eye comes to rest on an object, as well as headaches and other vision problems that typically spring from eye strain that one will go through while trying to focus even harder. It may be seen that the symptoms do not appear in the very early stages of this disease.

Diagnosis: The diagnosis of the condition is usually done by an ophthalmologist who will use an ophthalmoscope in order to project light towards the specific part of the eye so that the back of the eyeballs can be examined. The signs that the doctor will look for during the examination include narrowing of the blood vessels in this part of the eye, inflammation of the macula which is the central portion of the retina, and bleeding in the back of the eye. Also, the doctor will check for spots in the retina with the help of cotton swabs and exudates.

Treatment: The best and only way of treating this condition is by keeping one s blood pressure in control with the help of medication prescribed by the doctor.

Prevention: There are many ways of preventing the onset of this disease, including losing weight so that there is less pressure on the body. Also, one must stick to a healthy diet and exercise regularly after taking recommendations on the appropriate exercises from the doctor. Additionally, it is also important to see a doctor on a regular basis so that there is constant monitoring and regulation of the medicines and the blood pressure.

Blood Pressure - How it Affects Your Eye Sight?

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