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

LASIK stands for Laser In-situ Keratomileusis. This is a common eye surgery that helps in correcting vision problems. During this procedure, the cornea of the eye is cut across by a medical expert to raise the tissues and reshape them to correct vision. LASIK is suitable for patients who have shortsightedness, long sightedness or who suffer from astigmatism.

Here are the 5 benefits that a LASIK surgery offers:

1. Improved vision

A study reveals that 95% of the people who underwent this surgery achieved uncorrected visual acuity of 20/40 and 85% of the people achieved 20/20 vision. This procedure ensures that a patient achieves enhanced vision.

2. Quick results and recovery

This surgery enables you to return to your normal schedule immediately the day after the surgery. You can have clear and improved vision within a day.

3. Long- lasting outcomes

A minimum timeframe of 3 months is required for the eyes to adjust, after which LASIK results are permanently noticeable in a patient. No follow up procedures are required unless something wrong went with the surgery. The patient will continue to have improved vision unless there is any normal loss due to illness or aging.

4. No need of glasses

You no longer require glasses as your vision turns to normal post-LASIK surgery.

5. Goodbye contact lenses

LASIK surgery will help eliminate the need for contacts. You will be able to avoid all the problems pertaining to wearing a contact lens, including lens solution.

5 Benefits of Lasik Surgery

Bloodshot eyes aren't exactly the best feature of a person! When a person's eyes are bloodshot, it is quite easy to 'see' that something is wrong! Eyes are possibly the most delicate organs of the body, and are all the more vulnerable to infections such as 'subconjunctival haemorrhage'. However, as dour as such terms may sound, there is a lot which really should be known about them!

The eye has a thin layer which goes by the name of the conjunctiva, which covers a part called the sclera. Many a times, especially in the case of children, if an injury unfortunately occurs in the eye, there are chances that it may form subconjunctival haemorrhage.

The reason why this occurs is that there are some of the very small blood vessels in a person's eye break. The reason for this, apart from an injury could also be on account of a sudden increase in the blood pressure of the person. This usually takes place due to some very strenuous lifting exercise but also can occur due to laughing or sneezing!

The occurrence of a subconjunctival haemorrhage can also be closely linked to the consumption of pills which thin the blood such as aspirin.

Treating Subconjunctival Haemorrhage

Now, considering the fact that such a haemorrhage has the potential to look quite scary, it may be natural for a person to react proactively. However, in many cases this is not required at all. As a matter of fact, the issue clears up within a couple of weeks at the maximum and a week and a half, on average. If this does not happen to be the case, it is a signal that a medical professional should take a look at the patient's eye.

In many instances, a person may not even get to know that he or she is suffering from a subconjunctival haemorrhage as there is no effect on the vision of the person and he or she would probably get to know that this is the case by taking a look in the mirror or being informed of his or her eye looking red.

In order to treat a subconjunctival haemorrhage in an effective manner, the first thing to be done by a person is to avoid any medication which could be causing it. Also, it is quite important not to rub one's eye as this really does slow down the healing process.

Artificial tears help soothe the eye but they do not hasten the rate of repair. A subconjunctival haemorrhage may occur, but if a person follows the right steps, his or her vision can consistently remain 20/20!

All About Subconjunctival Haemorrhage

Amblyopia or Lazy eye is the eye condition in which vision is reduced and cannot be corrected with glasses or contact lenses. All the images seen by the amblyopic eye are not fully acknowledged by the brain. It always affects only one eye, but may be accompanied with reduction of vision in both eyes. It can cause loss of vision, including loss of depth perception and two-eyed 3D vision. It's treatment can yield improvements at any age, but early detection can offer the best chances for a cure. Recent research has proven that lazy eye treatment can be successful in older children and adults. Comprehensive vision examinations are required for infants, toddlers, and pre-school children for the detection of lazy eye or amblyopia.

When the brain parts related with visual processing do not function properly, problems arise with such visual functions as the perception of movement, depth perception and fine detail (acuity, clear eyesight and sharp vision). Amblyopia is the most prevalent neurological defect of vision in children and adults resulting from developmental problems in the brain. Any interference with clear vision in either eye during the first six years or 'critical' period of visual and brain development can cause a lazy eye.

Constant strabismus or the constant turn of one eye in any direction, be it inward turn or crossed eye is one of common causes of amblyopia. The differences in vision or it's prescription between the two eyes leads to refractive amblyopia. Sometimes congenital disorders or a physical blockage of an eye due to trauma, drooping lids, cataract or a blocked tear duct can also lead to amblyopia. Many parents and children are not aware of any symptoms, as amblyopia usually occurs in one eye only and a lazy eye condition can exist without a noticeable eye turn. The visual acuity tests in addition to the 20/20 eye test charts and eye examination with cycloplegic drops by ophthalmologists are necessary to detect lazy eye.

Vision therapy for the eyes and brain is a highly effective non-surgical treatment for lazy eye. It is a progressive program of vision exercises customized to fit the visual needs of each patient. It is conducted at the clinic and occasionally supplemented with exercises to be done at home or workplace. It improve visual comfort, ease, and efficiency and change how a patient processes or interprets visual information. When considering treatment options, it is important to understand that lazy eye results from neurological deficit or problems in the brain and surgery for lazy eye is performed on the muscles on the outside of the eye. Most of the cases, lazy eye surgery provides cosmetic benefits and does not improve the patient's vision, hence options for vision improvement should be exhausted before eye muscle surgery is considered.

Lazy Eye or Amblyopia - Symptoms and Cure

Astigmatism is a typical vision problem that occurs when the shape of the cornea is distorted due to injuries or other causes. With astigmatism, the lenses of the eye or the cornea curves. This irregular curve can change the way light refracts or passes through your retina. This causes hazy, fluffy, or twisted vision. Farsightedness and partial blindness are two different sorts of issues with the way light goes to your retina. Farsightedness is called hyperopia. Partial blindness is called astigmatism.

Types: There are two types of Astigmatisms. These are:

1. Corneal astigmatism
It happens when your cornea itself is distorted.

2. Lenticular astigmatism
Lenticular astigmatism happens when your lens is distorted.

Risks: Astigmatism can happen in youngsters and grown-ups. Your danger of creating astigmatism might be higher if you have any of the following:

1. A family history of astigmatism or other eye issues like dislocation of the cornea.
2. Scarring or diminishing of your cornea
3. Excessive partial blindness, which makes foggy vision at a separation
4. Excessive farsightedness, which makes hazy close-up vision
5. A past of eye surgeries, for example, cataract surgery (surgical expulsion of a blurred focal point)

Symptoms; The side effects of astigmatism include:

1. Hazy, Bended, Or Fluffy Vision At All Separations (Close-Up And Far Away)
2. Trouble seeing during evening
3. Lazy eye
4. Squinting
5. Irritation in the eye
6. Cerebral Pains

Diagnosis:

Visual Acuity Assessment Test

Patients are required to read letters from a graph at a particular distance to decide how well they can see the letters.

Refraction Test

A refraction test uses a machine called an optical refractor. The machine has various remedial glass lenses that are used to read an outline while looking through lenses on the optical refractor.

Treatment:

Keratometry

Keratometry is a route for your specialist to measure the bend of your cornea. They will do this by taking a look at your eye through a keratometer.


Corrective Lenses

Remedial eyeglasses and contact lenses prescribed by a specialist are the most well-known and least obtrusive solution for astigmatism.


Orthokeratology

Orthokeratology is a treatment that uses contact lenses to correct the deformation and flow of your cornea. You will wear inflexible contact lenses for certain time-periods. It is easier to wear them while you are sleeping and remove them during the day.


Surgery

Your specialist may suggest refractive surgery if your case is a serious one. This kind of surgery includes use of lasers or little blades to reshape your cornea. This will correct astigmatism permanently. The three basic surgeries for astigmatism are:

1. Laser in situ keratomileusis (LASIK)
2. Photorefractive keratectomy (PRK)
3. Spiral keratotomy (RK).

All these surgeries might carry some risks depending upon the symptoms of your problem. As innovation advances, it is very important for the patient to explore more options before choosing which refractive surgery is a good fit for him or her.

Types and Treatment for Astigmatism

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