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

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.

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Protect Your Eyes While Working. 7 best ways.

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

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?

Ever noticed spots or strands that  float  into your line of vision. These are known as floaters. In most cases, they do not affect your vision, but can cause a lot of discomfort. Thus, in most cases they do not require treatment unless they affect your vision significantly. Floaters are more likely to stand out when looking at bright objects or something like a clear blue sky. Moving your eyes can shift the fluid in your eyes and move these floaters out of your line of sight.

Dust particles entering and irritating the eye should not be confused with floaters. Floaters can be described as flecks of a protein called collagen. These flecks can be seen when they are loosened from the back of the eye known as the vitreous. This can happen at any age but is more likely to affect people between the ages of 50 and 75. Being near sighted or suffering from cataract also increases your risk of seeing floaters. In rare cases, it can also be triggered by a disease in the eye, an injury to the eye, tumors or crystal deposits in the back of the eye.

Noticing the odd floater is not something to worry about. However, if you notice a sudden increase in the number and frequency of floaters in your eye, see flashes of light, have pain in the eyes or experience a loss of side vision, consult a doctor immediately. This could also be a sign of a more serious condition like a detached retina that requires immediate medical attention. Excessive floaters can be removed through a surgery known as a vitrectomy or laser vitreolysis. A vitrectomy involves the removal of vitreous gel from the middle of the eye and replacing it with silicone oil or a gas bubble. The surgery last 2 or 3 hours, but you may require an overnight stay in the hospital.

Laser vitreolysis is a more recent form of treatment for this condition. This pain free procedure involves the projection of a laser beam into the eye that focuses on large floaters to break them apart or vaporize them. This procedure can be performed as an outpatient and is considered safer than a vitrectomy. The form of treatment suited to a person will depend on a number of factors including their age, what the floaters look like, where they are located and the frequency of their appearance.

Eye Floaters - When Should You Consult A Doctor?

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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