Amblyopia is decreased vision in one or both eyes due to abnormal development of vision in infancy or childhood.It is commonly known as lazy eye, in which a child's vision does not develop properly, usually in one eye. If it is left untreated, a child's vision will never develop correctly in the affected eye.

What are the types of Amblyopia are there?
There are several different types and causes of Amblyopia, such as Strabismic Amblyopia, Deprivation Amblyopia and Refractive Amblyopia.
The end result of all forms of Amblyopia is reduced vision in the affected eye(eyes).

How does Lazy Eye occurs?
Lazy eye occurs when your brain favors one eye, often due to poor vision in your other eye. Eventually, your brain might ignore signals from your weak or lazy eye. The condition can result in vision impairment and loss of depth perception.

What are the Symptoms of Lazy Eye?
Lazy eye may be hard to detect until it becomes severe. Early warning signs include:
1. Tendency to bump into objects on one side
2. An eye that wanders inward or outward
3. Eyes that appear not to work together
4. Poor depth perception
5. Double vision
6. Squinting

What Causes Lazy Eye?
A number of conditions and factors can lead you to rely on one eye more than the other. These include:
1. Constant strabismus or turning of one eye
2. Genetics or a family history of lazy eye
3. Different levels of vision in each of your eyes
4. Damage to one of your eyes from trauma
5. Drooping eyelids
6. Vitamin A deficiency
7. Corneal ulcer or scar
8. Eye surgery
9. Vision impairment, such as nearsightedness, farsightedness, or astigmatism
10. Glaucoma, which is high pressure in your eye that can lead to vision problems and blindness

How is Amblyopia diagnosed?
When it first occurs, parents and children often don't notice the condition. It's important to get routine eye exams as an infant and child, even if you show no outward symptoms of eye problems.
Family history of amblyopia is a risk factor for the condition.

How Is Lazy Eye Treated?
Glasses/Contact Lenses
Eye Patch
Eye Drops
Surgery
Other treatments include:
Atropine penalization therapy (also used for maintenance)
Optical blurring through contact lenses or elevated bifocal segments

What Is Amblyopia? Are You or Your Child Suffering From It?

4 effective tips for improving your eyesight

You'd be shocked to know that 1/3rd of the blind people of the world are Indians, which amounts to about 15 million people in India alone. Moreover, the risk of cataract is also high in India, with about 3 million people developing this condition, annually. Even the number of people with power in their eyes in India has gone up considerably. Thus, proper eye care is the need of the hour.

Here are some useful tips to maintain your eyesight, while improving your overall eye health.

1. Ensure that your eyes remain hydrated
You can do so by drinking the standard 8-10 glasses of water a day. Moreover, opting for a pair of sunglasses having a UV filter also proves to be useful in this regard. The reason behind is that sunglasses prevent the wind from robbing the moisture away from your eyes. Alternatively, you can ask an optometrist to prescribe a simple saline solution to hydrate your eyes and give them a soothing feel.

2. Don't keep looking at the computer screen continuously
Staring at the computer screen for a long time at a stretch can affect your eyes negatively. So, implement the 20/20/20 rule into your daily routine. According to this rule, you should remove your gaze from the computer screen every 20 minutes and then direct your vision towards an object kept at a distance of 20 feet for 20 seconds. This break helps your eyes to relax and refocus, consequently avoiding the occurrence of blurry vision.

3. Give your body a balanced diet and correct amount of sleep
Ensure that your daily diet contains green, leafy vegetables and fruits and food rich in antioxidants. These food products help in improving your vision to a large extent. Moreover, sleep for around eight hours every night to prevent eyestrain.

4. Make it a daily habit to perform eye exercises
The most effective technique to naturally improve your eyesight is performing eye exercises. Regular eye exercises not only enhance your vision but also give strength to your eyes.

Here's a simple exercise you can try. This works by applying heat to your eyes in order to relax them. For this, you can rub your palms together till they become warm and then place them on your eyes. Let your palms remain there for 10 seconds and then open your eyes.

It is also very important that you take care of your existing health problems like diabetes, hypertension, neurological problems or allergies and be regular with exercising such that it keeps your body fit and does not bear any impact on other organs like eyes.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 7 Easy Ways to Get Relief from EveryDay Computer Eye Strain

Why India Has POOREST Eyesight? + 4 Tips for Improving Your Eyesight

7 Easy ways to get relief from computer eye strain

Do you spend long hours in front of the computer? If you do, you may be experiencing eye strain on a regular basis. Eye strain is a common problem and is characterised by fatigue, decreased productivity, red eyes and eye twitching. You can get rid of eye strain by making use of any one of these simple tips. 

1. Ensure that your workplace has correct lighting
Often eye strain occurs as a result of improper lighting. This can be caused by exposure to bright sunlight coming in from the windows and doors or excessively dazzling indoor lights. You can avoid extra lights by keeping blinds or shades closed and by avoiding high-intensity bulbs or fluorescent lights. Alternatively, opting for incandescent or halogen lighting can be beneficial.

2. Minimise glare
You can install an anti-glare screen on the monitor of your computer to minimise glare. Keep the windows covered to reduce glare caused by outdoor sources.

3. Modify the display settings of your computer
You can modify the display settings of your computer in the following manner to reduce eye strain:
• Brightness-Set the brightness of the display to a level, which equals the brightness of your workplace.
• Text size and contrast-Modify the text size and contrast according to the comfort level of your eyes. For most people, black text colour on a white background ensures minimum eye strain and maximum convenience.
• Colour temperature- The spectrum of visible light, which a colour display usually emits is its colour temperature. Blue light is considered to cause more eye strain. So, you should decrease the colour temperature to minimize the amount of blue light emitted by your computer’s display.

4. Try some eye exercises
You can practise some easy eye exercises to prevent your eyes from getting tired. Try staring at a distant object for 10-15 seconds and then looking at any nearby object for another 10-15 seconds. Return your gaze to the first object. Repeat 10 times.

5. Opt for some computer eyewear while working
Try wearing a pair of computer glasses while working. They ensure that your eyes remain correctly focussed on the computer screen, while reducing strain to a minimum. Computer glasses also prove to be very effective in diminishing glare. 

6. Take short breaks at regular intervals
Apply the 20-20 rule to your work regime. After each 20 minutes of work on the computer, give your eyes a 20 second break by looking away from the screen towards any object located 20 feet away from you.

7. Go for a comprehensive eye exam
Make sure that you go for a comprehensive eye exam every year to reduce vision problems caused by computers. This will also help in detecting the root cause behind your problem, so that you can effectively employ curative or preventive measures to control eye strain.

If you would like to consult with me privately, please click on 'Consult'.

7 Easy Ways to Get Relief from EveryDay Computer Eye Strain

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

A common headache can have a number of reasons behind it, such as defective vision, hetrophoria or convergence deficiency, etc. Now, the question arises as to how they can cause headache. Read on to know more...

Q. Why should defective vision cause headache?

To attain a perfect vision, eyes with defective vision have to make sustained extra efforts, which results in headache. Even if the refractive error is very small, it can be the cause of headache. More prolonged the working and smaller the print, higher the incidence of headache.

Q. Can this occur at all ages?

Yes, it can occur at all ages. However, with age, the resistance decreases and hence elderly people are more prone to get headache. More the use of computer, mobiles, TV or prolonged studies precipitates headache

Q What is Hetrophoria?

Normally, both eyes always remain parallel, but in some cases, eyes have slight tendency to develop minor squint, may be convergent or divergent. This is called Hetrophoria or Latent squint. Such patients have to take extra strain to keep the eyes straight

Q. What is convergence deficiency?

For reading, both eyes have to converge and if there is weakness of convergence, extra strain has to be put on the eyes, which cause headache.

Q. What is the ideal method of refraction in young patients, I,e below 40 years?

Ideal method is to dilate the pupil with Tropicasyl plus drops. This has the advantage that the doctor can see the retina and Optic Disc. This is important to exclude any involvement of brain as the cause of headache. It also relaxes accommodation and hence provides correct refraction. In cases of Hypermetropia, it is extremely essential to dilate the pupil.

Q. What is the role of Autorefractmeter (a computer) in refraction?

It is a very important instrument to provide correct refraction, but it cannot be totally relied upon. Some opticians rely on it and give wrong numbers.

Q. What is acceptance Test?

You have refracted the eyes with Autorefractmeter or Streak Retinoscope but exact power is what a patient accepts. This is very important.

Q. What is astigmatism?

There is a difference in refraction in different meridians and it is important that a cylinder number is prescribed in correct axis. This is a difficult task and needs lot of experience.

Q. Is it important to correct astigmatism?

To relieve headache and strain on the eyes, it is very important that exact cylinder is prescribed.

Q. What is the role of exact centring of Optical Lenses?

You may give correct number, but if the centre of the Optical lenses and cornea do not coincide, satisfactory results are not obtained. To dispense correct lenses is a big art and the Optician must be qualified and well experienced.

Q. Does the quality of lens affect the visual comfort?

Yes, it is important that quality of lenses should be good, preferable fibre lenses which are Ant reflect coated. Crizal coating with capability to block the UV rays are very popular.

Conclusion: Refractive errors are important cause of headache and needs proper examination of the eyes, preferably after dilating the pupil. Astigmatic error even if too small may be the cause of headache. Spectacle dispensing is an art and a patient must select proper optician. Spectacles if advised for constant use must be used constantly to get full relief.

Defective Vision - Can it be a Cause of Your Headache?

Vision is one of our most important senses. Reduced vision that triggers the need for corrective glasses is one of the most common disorders associated with the eyes. Crossed eyes are another such common disorder that affects the eyes. In medical terms it is also known as strabismus. This condition is a result of miscommunication between the brain and the eye muscles that result in misalignment of the eyes. It is largely a hereditary condition and should not be confused with a lazy eye syndrome.

Crossed eyes can cause double vision and disorientation. Your depth perception may also be affected. It also causes eye strains and headaches that affect the quality of your life. This condition is seen mostly in children. If not treated in time, it can continue into the adult years as well. The development of crossed eyes in adults who have not suffered from this condition as children is usually a sign of a serious condition such as a stroke.

Some symptoms characteristic of this condition are:
1. Independent movement of eye balls
2. Tilting the head to a side
3. Squinting
4. Varied points of reflection in each eye
5. Frequently bumping into things as a result of impaired depth perception.

Treatment for this condition can be surgical as well as non surgical. Non surgical treatment aims at strengthening the eye muscles and treating the visual system as a whole. The aim is to not allow the eye to become lazy or amblyopic. Wearing an eye patch over the strong eye and forcing the weak eye to be used is one of the most common form of this treatment. Corrective glasses can also be used to treat this condition in cases where it has been triggered by excessive farsightedness. In some cases, medication may also be injected into the eye to relax the eye muscles.

Surgery to correct this disorder involves correcting vision by strengthening or weakening the eye muscles. To do this, a surgeon must first make a small incision in the outer layer of the eyeball to reach the affected muscles. To strengthen the muscle a small section is removed from the muscle and the remaining part is then rejoined. This makes the muscle shorter and forces the eye to turn towards that side. Alternatively, the doctor may make a partial cut across the muscle to elongate it and let the eye turn further away from it.

Crossed Eyes - How Can It Be Treated

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