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

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

Glaucoma: An Overview
This disease can be developed or inherited; it usually refers to the accumulation of fluid inside a person's eyes leading to excessive pressure on his or her optic nerve.

How to Diagnose the Symptoms of Glaucoma-

A Fundamental Eye Examination: An experienced eye doctor will check the dilated pupils of your eyes so as to take a closer look at the optic nerve that further discerns the stage of glaucoma a patient is in. Doctors tend to keep track on the sequential progression of glaucoma and its specific mode of treatment through pictures of the optic nerve taken during an examination.

Tonometry may also be performed:Signs of Glaucoma may be spotted through the procedure called tonometry where the doctor will test a person's eye pressure and so on so forth. A visual field test might also be conducted to check if the patient can see things at the periphery of his line of vision. 

Symptoms that will help a doctor identify this condition in people:-

A loss of peripheral vision is experienced in the early stages of glaucoma.
A person may see halos when in the presence of bright lights.
Your eyes could turn red.
Hazy or blurry vision is a problem faced by young children affected with glaucoma.
Glaucoma could be accompanied by headaches and eye pain.
An affected person might repeatedly feel nauseous.
Ways to Treat Glaucoma:-

Microsurgery can effectively treat Glaucoma: Microsurgery can be performed in various ways. There is one way in which a channel is made to pump out the fluid creating extra pressure on the optic nerve. This method is referred to as trabeculectomy.

Eye Drops: Eye drops can relieve you from painful glaucoma. They are known to control the formation of excess fluid in a person's eye. In some cases, they can induce the accumulating fluid to flow out of the patient's eyes.

Laser Treatment: Laser surgeries can be undertaken to get rid of glaucoma. Laser can help in moving out fluid from the eyes of the affected person. It successfully hinders fluid blockage as well. There are different kinds of laser treatments available to cure glaucoma.

Diagnosis and Treatment for Glaucoma

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

Glaucoma is a leading cause of blindness in people across the globe. It damages the optic nerve that carries sensory images from the retina to the brain. A faulty eye pressure is responsible for damaging the very delicate optic nerve fiber causing small blind spots in the retina. Unfortunately, for most patients this disease only gets diagnosed when the number of blind spots is on the higher side.

Types of Glaucoma

Open angle: This is a type of Glaucoma which results from the blockage of the drainage angle of the eye resulting into an increased eye pressure.
Angle closure: This is the kind of Glaucoma which results from the narrowing down of the drainage angle leading to complete blockage.
Target segment of Glaucoma

Family history: Inheritance surely plays a role in case of Glaucoma too. If Glaucoma runs through families of an individual, there are higher chances of getting this disease. Although there is no hard and fast rule about it, the risks of inheriting this disease are on the higher side.
Eye injury: If there is any history of previous eye injuries, the probability of the onset of Glaucoma cannot be turned down. Specially, if the injury is related to optic nerve, there are very high risks involved.
Bilateral Oophorectomy: Dual Ovary removal before the age of 40 results in deficiency of estrogen resulting in Glaucoma. Although most surgeons warn their patients of the possible risk of these procedures, many surgeries such as these have resulted in patients losing eyesight in the form of Glaucoma.
Patient with Diabetes: In case of acute diabetes, retina gets damaged and the eye starts producing new blood vessels on the iris resulting into an increased eye pressure. This condition often leads to Glaucoma due to blockage of fluid flow in the eye.
Eye Conditions: Myopia, multiple surgeries to the eye, blunt trauma etc. can lead to Glaucoma. A patient who has undergone any kind of eye surgeries suffers from inflammation. However, major inflammation is often found twisting blood flow in the eye resulting into Glaucoma.
If a patient is 40 or above: After a person reaches 40 years of age, a lot of diseases start cropping in to the body. Studies show that Glaucoma has a higher frequency in people who is more than the age of 40 or above.
High eye pressure: A patient with an eye pressure of above 21 mm HG is also at a very high risk of getting glaucoma. For a normal person the IOP lies between 10 to 21 mm HG.
Blood flow related disease: Diseases such as acute migraine, hypertension and low blood pressure which involves blood flow related problem often aggravate to glaucoma.
Ethnic Background: Statistics show that people from Afro American, Hispanics, Asian and Caribbean background have greater chances of being affected by Glaucoma.

Glaucoma - Are You at Risk?

Night blindness is also called nyctalopia.It's a type of vision impairment. People with night blindness experience poor vision at night or in dimly lit environments. It is not a disease in itself, but rather a symptom of an underlying problem, usually a retina problem.

What Causes Night Blindness?
A number of eye conditions can cause night blindness, including:
1. Nearsightedness or blurred vision when looking at faraway objects.
2. Cataracts or clouding of the eye's lens.
3. Retinitis pigmentosa, which occurs when dark pigment collects in your retina and creates tunnel vision.
4. Vitamin A Deficiency
5. Zinc Deficiency
6. Dry Eyes
7. Diabetes

Are the Symptoms of Night Blindness?
The sole symptom of night blindness is difficulty seeing in the dark. You're more likely to experience night blindness when your eyes transition from a bright environment to an area of low light, such as when you leave a sunny sidewalk to enter a dimly lit restaurant. You're likely to experience poor vision when driving due to the intermittent brightness of headlights and streetlights on the road.

How can I Prevent Night Blindness?
You can't prevent night blindness that's the result of birth defects or genetic conditions, such as Usher syndrome. You can, however, properly monitor your blood sugar level and eat a balanced diet to make night blindness less likely. 

Orange colored foods are excellent sources of vitamin A, including:
1. Cantaloupes
2. Sweet potatoes
3. Carrots
4. Pumpkins
5. Butternut squash
6. Mangoes

What are the Treatment Options for Night Blindness?
The treatment will depend on its causes.
1. Nutrient deficiency (Vitamin A and Zinc) is the easiest to treat. 
2. If the cause is cataract, you can go for cataract surgery to remove the clouded lens and replace it with artificial intraocular lens. Vision is usually dramatically improved after surgery. 
3. For dry eye syndrome, lubricate your eyes with artificial tear drops as they provide instant relief. Just make sure that they are without preservatives. 
4. Diabetic retinopathy can be prevented with tight control over blood sugar, active lifestyle and good dietary habits.
5. As for retinitis pigmentosa, unfortunately there are no treatments available. Thankfully, new research is showing that vitamin A might have a slowing effect on the progression of this eye disease.

Night Blindness: Causes and Symptoms

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