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

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

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?

Macular Degeneration is a condition in which the central part of the retina degenerates. In this condition, the posterior part of the eye, retina, is affected.

The central part of retina, macula, is associated with the central vision in the eye. The macula is responsible for controlling various abilities, such as distance perception, perceiving faces and colours, and identifying fine details of the objects. When this central part degenerates, the person slowly loses the ability to see clearly.

Such a condition can be treated with ayurvedic remedies.

Cause

The main cause of macular degeneration is the damage to the macula, the central part of the retina. This reduces the person s ability to have a clear vision. This condition progresses with time and can result in complete blindness.

Type of Macular Degeneration

Macular degeneration is of two types:

Dry Macular Degeneration: In this condition, there is a change in the pigment of the macula. Moreover, small piles of waste products generated by cells also appear on the retina. These tiny waste piles deteriorate the retina over time. Among people affected by macular degeneration, almost 90 percent of people have  dry  macular degeneration. This condition is also called non-neovascular AMD (age-related macular degeneration)

Wet Macular Degeneration: In this condition, new blood vessels begin to grow behind the retina in the choroid layer. That is why this condition is also referred to as Choroidal neovascularization (CNV). These new blood vessels are weak and begin to leak fluids, blood, and lipids (parts of cell structure). These leaks get into the layers of the retina and macula that results in scar tissue. Since wet macular degeneration is caused by leaking of fluids from newly formed blood vessels, it is also called neovascular AMD.  

Treating Macular Degeneration with Ayurveda

In Ayurveda, there are several types of herbal medications that ensure improving the vision quality and enhancing the overall quality of life of the patient.

Some of the eye supplements for macular degeneration is Ayurveda are:

Triphala Guggulu: One of the most effective herbs in Ayurveda, it has an antioxidant effect that protects the eye against free radicals and treating macular degeneration.

Shilajeet (Asphaltum): This herb is associated with anti-aging properties. It restricts the degenerative process in the eye that result due to the advancing age.

Ashwagandha (Withania somnifera): For managing macular degeneration in India, this herb is used to regenerate macula and helps in restoring the vision.

Giloy (Tinospora cordifolia): This herb protects the eyes from free radicals and prevents blindness due to macular degeneration.

Amalaki (Phyllanthus emblica): It is a source of vitamin C that prevents the deterioration of the retina and macula.

Take Away

Macular degeneration is caused due to the deterioration of the central part of the retina. It is caused either in the  dry  form or  wet  form. Dry AMD is common in people. Ayurveda can help in regenerating and restoring the functioning of retina and help is improving overall vision.





Macular Degeneration - Have Ayurveda For It!

In order to see clearly, the eyes need to be constantly lubricated. This function is performed by small glands located in the eyelids known as meibomian glands. These glands secrete oil onto the surface of the cornea through tiny openings on them. Malfunctioning of this gland can create an excessive amount of oil.

When oil accumulates on the eyelids, it encourages the bacteria present in the eye and the skin around it to multiply leading to inflammation. This condition is known as meibomianitis. Adults are at a higher risk of suffering from this condition as compared to children.

Some of the factors that could trigger meibomianitis are:

Allergic reactions
Fluctuation of hormones associated with puberty and adolescence
Acne and other skin conditions
Lice or mites on the eyelashes
Unsanitary contact lens solution
Contaminated eye makeup
Certain medications such as isotretinoin for acne that increases bacteria on the eyelids
However, in some cases, a clear trigger factor may not be identifiable.
Some of the characteristic symptoms of this disease are:

Dry eyes
Constant watering from the eyes
Inflammation and reddening of the eyelids
Burning sensation in the eyes
Itchiness
Flaking of skin around the infected eye
Heightened sensitivity to light
Excessive blinking
Crusting of eyelashes
Blurred vision
Frequent formation of sties
Loss of eyelashes or abnormal growth of eyelashes
Regular cleaning of the eyes with warm water and abstaining from the use of contact lenses and eye makeup can help reduce irritation and manage the inflammation. Additionally, the doctor may also prescribe antibiotics or steroids in the form of pills, eye creams or drops. Artificial tears may also be recommended to patients exhibiting dry eye symptoms.

Meibomianitis - 8 Things That Can Trigger It!

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?

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