Cataract is clouding of clear natural lens present inside the eye, this is a major cause of decreased vision in elderly. Cataracts can occur in one or both eyes, usually developing very slowly. Things look blurry, hazy, less colourful and less sharp with cataract. 

Most cataracts are related to ageing, however many other factors can either increase the rate of formation or cause cataract formation. 

Causes of Cataract Formation-

Ageing: Most common cause. As the proteins present in the lens of the eye degenerates over the years ( just like any other organ) cataract is formed. If you are having Diabetes or hypertension, the rate of formation gets accelerated.

Radiation: Prolonged exposure to ultraviolet rays, especially UV-B rays, results in cataract in your eyes. Wearing sunglasses in the daytime helps in slowing down the process of cataract.

Genes: Many genetic disorders can result in congenital cataract ( cataracts present since birth) or early formation. Like in Lowe syndrome or Down's syndrome. 

Lifestyle Choices: Cigarette smoking, long hours of sun exposure regularly, antioxidant, poor diet etc. are responsible for the onset of cataract.

How To Detect Cataract?

Certain signs and symptoms suggest the existence of cataract in the eye. Depending on the type and level of cataract, problems in vision occurs. The main symptom is foggy cloudy vision as if seeing through a dirty glass window. 

Other Symptoms are- 

inability to see clearly in bright light (during the day) which becomes better in dim light ( evening and night) and vice versa. 
watery, tired eyes - mild pain in and around eyes. 
yellow tinge in vision 
Halos around light bulbs or bright light. 
If you are experiencing above symptoms and having problems in viewing things clearly, visit an ophthalmologist and get your eyes checked.

Foggy and Cloudy Vision - A Sign Of Cataract?

Lazy eye is an eye condition that is as underrated as some of the most intriguing characters in Marvel s movies like Namor or Daredevil. Indeed, lazy eye or amblyopia is responsible for the majority of loss of vision cases below the age of 40. It even surpasses the loss of vision due to injuries and diseases.  

What Is Lazy Eye?

Amblyopia, commonly known as lazy eye, is an anomaly of the eyes where patients get reduced vision, which cannot be corrected by glasses or even contact lenses. It is not even an eye disease. In fact, it is an anomaly where the brain cannot acknowledge and interpret the image formed on the retina. The saving grace is that it mostly affects only one eye. Despite that, it may contribute to reduced vision in both eyes. Cases of lazy eye are prevalent among children; around 3% of children suffer from this disease.

Conventional Treatment

Neither glasses nor contact lenses nor surgery can rectify the eyes.

Early detection offers a better chance for a cure.

Lazy eye can be treated quite successfully under the age of 2. This can be done by even glasses, eye patches, etc. However, it is difficult to treat with such simple measures in older children. Hence, it calls for a neuroscientific approach.

Indeed, neuroscientific studies have revealed that the brain and its various perceptions can undergo a change at any age and it is known as neuroplasticity. This is where Ayurveda can play a major role.

The Role of Ayurveda In Treating Lazy Eyes

The concept of Neuroplasticity dictates that the brain has the capability to change if you make the effort and motivate the brain to learn. It is a perfect preoccupation for a lazy eye condition. You need to motivate the brain to learn that it needs to interpret the image formed in the retina of one or both of his eyes. This can be done with Ayurveda.

Ayurveda is all about the mind-body connection, and it is this connection that gets slack in anomalies like a lazy eye. The ayurvedic interpretation of the neurological system involves a root, also called Mula, a pathway through the body also called Marqa and an opening, also known as Mukha. Each of these is known as channels also known as strotas which help to orient our focus to various stimuli including visual stimuli. Ayurvedic remedies help to restore this balance in these channels with the help of Herbs and Asanas. Ayurveda also takes into account the mental constitution of individuals since different mental constitutions call for a different treatment approach.

Take Away

Despite being no immediate solution for the lazy eye, this condition can be potently cured with ayurvedic treatment. However, it is always advisable to consult an ayurvedic specialist before going for any of ayurvedic treatment.

 

Lazy Eye - How Effective Is Ayurveda In It?

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.

Click on consult privately to ask me any follow-up questions on this.

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Protect Your Eyes While Working. 7 best ways.

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

People may have weak eyes due to a variety of reasons. Astigmatism happens to be one of those reasons. When one is affected by astigmatism, it results in blurry vision. The eye has a part called the cornea, which is the outermost layer of the eye and is responsible for allowing light to enter. When the cornea is not shaped as it should be, it leads to astigmatism.

However, this is not the only condition under which it can occur. In fact, there are two different types of astigmatism. One is corneal astigmatism which is the result of an odd-shaped cornea. The other is lenticular astigmatism, which occurs when the lens has an incorrect shape. More often than not, people are born with astigmatism. However, there are chances of developing this eye disorder after an eye injury or after an eye disease.

How to diagnose?
There are a few ways in which astigmatism can be diagnosed. 

One of the most popular methods is the visual acuity test. This measures the distance at which a letter is read clearly, as compared to what it should be. 
Another way is by refraction. By placing lenses in front of the eyes, the way they focus light is measured. 
The third way by which astigmatism can be detected is by keratometry, also known as topography. Light is focused on the cornea and the reflection is measured to find the curvature of that area.
Treatment options
The easiest way to go about treating astigmatism is by using corrective lenses. This is usually the method of treatment for people whose astigmatism is not that bad. The lenses could either be a part of spectacles or used as contact lenses. The good part about contact lenses is that the field of view is wider.

Orthokeratology (Ortho-k) works to improve astigmatism by using lenses as well. However, the lenses are of the hard variety. These lenses are useful for corneal astigmatism patients as they reshape the eye. Usually, they are worn while sleeping and most people can have normal vision the next day. However, if one stops using them, the eye goes back to its original state. So, they are not a permanent solution.

Surgery, however, can be a permanent solution to astigmatism. LASIK and PRK are two of the most popular types. RK is also popular, but to a lesser extent. It is good to remember that the risks of surgery should be discussed with a doctor prior to undergoing one.

Astigmatism - Ways They Can Be Diagnosed!

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