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

Amblyopia or Lazy eye is the eye condition in which vision is reduced and cannot be corrected with glasses or contact lenses. All the images seen by the amblyopic eye are not fully acknowledged by the brain. It always affects only one eye, but may be accompanied with reduction of vision in both eyes. It can cause loss of vision, including loss of depth perception and two-eyed 3D vision. It's treatment can yield improvements at any age, but early detection can offer the best chances for a cure. Recent research has proven that lazy eye treatment can be successful in older children and adults. Comprehensive vision examinations are required for infants, toddlers, and pre-school children for the detection of lazy eye or amblyopia.

When the brain parts related with visual processing do not function properly, problems arise with such visual functions as the perception of movement, depth perception and fine detail (acuity, clear eyesight and sharp vision). Amblyopia is the most prevalent neurological defect of vision in children and adults resulting from developmental problems in the brain. Any interference with clear vision in either eye during the first six years or 'critical' period of visual and brain development can cause a lazy eye.

Constant strabismus or the constant turn of one eye in any direction, be it inward turn or crossed eye is one of common causes of amblyopia. The differences in vision or it's prescription between the two eyes leads to refractive amblyopia. Sometimes congenital disorders or a physical blockage of an eye due to trauma, drooping lids, cataract or a blocked tear duct can also lead to amblyopia. Many parents and children are not aware of any symptoms, as amblyopia usually occurs in one eye only and a lazy eye condition can exist without a noticeable eye turn. The visual acuity tests in addition to the 20/20 eye test charts and eye examination with cycloplegic drops by ophthalmologists are necessary to detect lazy eye.

Vision therapy for the eyes and brain is a highly effective non-surgical treatment for lazy eye. It is a progressive program of vision exercises customized to fit the visual needs of each patient. It is conducted at the clinic and occasionally supplemented with exercises to be done at home or workplace. It improve visual comfort, ease, and efficiency and change how a patient processes or interprets visual information. When considering treatment options, it is important to understand that lazy eye results from neurological deficit or problems in the brain and surgery for lazy eye is performed on the muscles on the outside of the eye. Most of the cases, lazy eye surgery provides cosmetic benefits and does not improve the patient's vision, hence options for vision improvement should be exhausted before eye muscle surgery is considered.

Lazy Eye or Amblyopia - Symptoms and Cure

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

5 myths about eye health and the real facts behind them

Your eyes are an important part of your health. There are many things you can do to keep them healthy and make sure you are seeing your best. However, there are a number of myths regarding what you should do and what you shouldn't do when it comes to maintaining good eye health.

Here are 5 of those myths busted:

Myth #1: reading in dim light and sitting too close to the tv hurts your eyes

Fact: sitting too close to the tv, you may feel eye strain or get a headache from reading in the dark, but it will not weaken your eyes. It fatigues your eyes but does not harm your eye health in any way.

Myth #2: eating carrots will improve your vision

Fact: carrots are rich in vitamin a, a nutrient essential for good vision. But eating carrots will only provide a small amount of vitamin a. To get the optimum amount, you need to include other sources of vitamin a in your diet as well, some of which are milk, cheese, egg yolk and liver. Spinach is best for eye health. It has lutein and zeaxanthin, both of which can help prevent cataracts.

Myth #3: if you wear glasses or contacts for a continuous period, your eyes will weaken

Fact: your eyes will not grow weaker by using corrective lenses. The prescription may change over time due to aging or absence of disease but it has nothing to do with your current prescription. Some children have correctable eye problems that do require glasses to improve the condition.

Myth #4: when you get something in your eye, rub it out

Fact: this is not true for everything that gets in your eyes. If any particle falls in your eyes dust it off. But if it is sand and small debris that gets in your eye, don't touch it. Use an eye wash for flushing it out. If an object gets stuck in your eye, don't remove it or rub your eye constantly. Visit a doctor at the earliest because some serious injuries may seem minor at first.

Myth #5: dark sunglasses can protect your eyes from the sun

Fact: the color of sunglass does not ensure eye protection. Look for sunglasses that block both uva and UVB rays. Exposure to the UV-rays of sunlight can have cumulative effects on your eyes. It increases your risk for cataracts, solar retinitis, and age-related vision loss. Even if your contacts have UV protection, wear sunglasses that block 100% of uva and UVB rays for full protection.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Here's What CRYING Does to Your Body

Sitting Too Close To TV Will Weaken Your Eyes? FALSE.

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?

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.

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Related Tip: Sitting Too Close To TV Will Weaken Your Eyes? FALSE.

Surprise Yourself with these 10 Facts about Your EYES!

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