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

Cataract can be defined as the clouding of the natural lenses in the eyes. This is caused by the clumping of protein in the eye lens. Cataract is a common eye disorder and the leading cause of loss of vision in people who are past their fortieth birthday. Cataract can occur in one or both eyes. When diagnosed properly, cataract can be treated with surgery to prevent blindness.

Depending on where and how they develop, there are many types of cataract. The most common amongst these are:

1.        Subcapsular cataract

These occur at the back of the eye lens. Diabetic patients are very susceptible to this kind of cataract.

2.        Nuclear cataract

Yellowish-brown cataract that form in the center of the lens are called nuclear cataract. This is usually seen in cataract caused by ageing.

3.        Cortical cataract

Cataract in the lens cortex are known as cortical cataract. These are wedge shaped and whitish in color. Spokes protruding out of these opaque wedges can be seen moving towards the center of the eye.

4.        Congenital cataract

Though they are not common, babies can also have cataract. Cataract formed at birth or within the first year of a baby's birth are known as congenital cataract.

5.        Secondary cataract

Cataract is one of the known side effects of diabetes and glaucoma. Some steroids and medicines are also linked to cataract.

6.        Traumatic cataract

If your vision becomes cloudy years after an eye injury, it could be a traumatic cataract. It can take several years for this to happen.

7.        Radiation cataract

Exposure to radiation can also lead to cataract. This is seen sometimes in patients who have undergone radiation therapy to fight diseases like cancer.

Though the type of cataract might differ from person to person, the symptoms are usually the same. Some of the common symptoms of cataract are:

1. Blurred vision
2. Reduced night vision
3. Increased sensitivity to light and glare
4. Seeing halos around lights
5. Colors appearing faded
6. Double vision

A reading test is the first step towards diagnosing cataracts. This is followed by tests to measure the eye pressure. Your doctor will also need to dilate the pupil to check the condition of the optic nerves and retina.

Surgery is the safest way to remove a cataract. Surgery is usually recommended when cataract begin inhibiting your daily life such as preventing you from driving, interfering with reading etc.
 
In most cases, this can be done as an outpatient procedure. The earlier it is diagnosed, the easier it is to treat. Hence, if you notice any of the symptoms mentioned above, get your eyes checked at once. The surgery is a day-care surgery only, so a person can go home the same day.

Is Your Vision Clouded? It Could Be Cataracts

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?

The ability to see is one of our greatest powers and it needs to be valued and looked after. Sometimes this involves wearing glasses to improve our vision. Spectacles not only help us see better but also prevent straining and further deterioration of the eye muscles. Here are a few signs to watch out for that will indicate your need for spectacles. Keep in mind however that a comprehensive eye exam is the only way to determine the power required for your spectacles. 

-  Blurred vision
Blurred vision or the inability to focus on something in the distance is one of the first signs or eye deterioration. When it comes to children, watch out for complaints of inability to read the writing on class blackboards.

-  Frequent headaches
Unexplained headaches that come and go could be a sign that you need glasses. These headaches can usually be felt at the end of a long day or after watching television. 

-  Constant squinting
Squinting is a natural way to improve vision. This is because the act of squinting reduces extra light and light scattering thus allowing us to see something clearer. Thus, if you notice yourself squinting more than usual it is time to schedule an eye exam.

-  Difficulty working on a computer
Struggling to read figures and words on a computer screen is usually a sign of poor vision. Try adjusting your screen angle and the distance of the screen from your eyes to see if your vision improves or worsens. 


-  Difficulty adjusting to lights
Sudden increased sensitivity to lights can be a sign of many eye disorders with vision problems being the most common. 


-  Eye strain
Occasional pain in the eyes after a long day or as a result of an allergic reaction is nothing to worry about. However, if this pain persists for a few days, it could be an indication that you need spectacles. 
Deterioration of vision is usually a very gradual process and so you may not realize when it begins. However, the earlier you start wearing corrective glasses to improve your vision the easier it will be to control the deterioration of the eye muscles and you may even be able to rectify your condition completely. So, do not ignore any of these warning signs. Even if you do not have any of these symptoms, it is a good idea to get a thorough eye examination at least once a year.

Common Signs You Need Glasses

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?

Hypertension is a killer disease whose symptoms develop late when the damage is in advanced stages. Hypertensive Retinopathy is one such disease.

It damages the retina of eyes. Since retina is responsible for vision formation, Hypertensive Retinopathy can result in loss of vision. It is of grave concern that in most cases, Hypertensive Retinopathy is diagnosed later.

This is due to the fact that there are often no symptoms in the early stages of the disease. In some cases, where symptoms do manifest, patients may experience pain in the eyes, reduced vision, or headache.

What Happens in Hypertensive Retinopathy

People suffering from long term hypertension are susceptible to Hypertensive Retinopathy. Long-term hypertension affects the small and narrow blood vessels that join arteries to capillary blood vessels taking blood to different parts of the eye. These blood vessels become narrow with time if hypertension in the eyes continues unabated. This narrowing is more common in young adults compared to older people. Such unabated systemic hypertension also leads to leakage of fluid. This is why in some cases of Hypertensive Retinopathy, patients may experience exudation. Ultimately, Hypertensive Retinopathy may lead to damage to retinal blood vessels.

Risk Factors

Long standing hypertension is the number one risk factor for Hypertensive Retinopathy. People who are suffering from longer hypertension become most susceptible for this ailment.

However, studies have shown that hypertension for more than 5 years can even make people susceptible to this ailment.

Diagnosis

Diagnosis is done by Funduscopic Examination. The doctor would look at the eyes of the patient through an Ophthalmoscope which has different lenses. The Ophthalmoscope illuminates the retina and the doctor looks at the retina with different lenses. He can get a view of the retina, including blood vessels and optic nerve disks.

Findings of Diagnosis

For a person suffering from Hypertensive Retinopathy, this examination is likely to show:

Constriction of the arterioles.

Changes in the walls of retinal blood vessels.

Flame-shaped hemorrhages in the retina.

Yellow and hard exudates.

Spots in the shape of cotton wool.

Swelling of the optic disc.

Treatment

The primary treatment for Hypertensive Retinopathy is controlling blood pressure of the eyes. Some lifestyle changes like reducing the intake of salt, avoiding tobacco, etc., may bring down or control systemic hypertension in the eyes. In many cases, doctors may just recommend lifestyle modifications. Nevertheless, it completely depends on the extent of the damage and whether or not there is any fluid accumulation.

If the doctor feels that lifestyle modification is not enough, he may go for medicines that help the patients to control blood pressure effectively.

If the problem is in advanced stages and there is fluid accumulation behind the retina, the doctor may go for Intravitreal injection or Laser Therapy to control the edema.

Conclusion

Eyes are one of the most significant part of the body, this is why it is important for people to take care of it. In case of disease like Hypertensive Retinopathy, one must consult a doctor before opting any treatment or medicines.

Hypertensive Retinopathy - Everything About It!

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