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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:
- 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.
- 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.
I am 50 years female, yesterday night I slept when I woke up next morning I saw too much swelling on eyes. I want to know the reason of swelling. What should I do. Please tell me the medicines to get rid of this problem because I am working women. I couldn't open my eyes due to swelling.
I have gas problem and bloating in stomach after the food and also small bumps sometime in body and my eye blurred vision sometimes. I'm scared because it's cause of aids please help some one. And also I loss my body weight please help.
I am 17years and I am getting wet dreams frequently which results in decrease in my eye sight. What should I do? And also will it stop in coming future and my decreasing eyesight will stabilize?
I am recently suffering from colour blindness, I did not have this problem before, anyone please kindly suggest me what to do.
Hello sir, My eye pain in last seven day continue way? And head pain also. Please tell me what would be the reason and how it can be cured?
Your eyes are one of the most important sense organs, which help in perceiving up to 80 percent of all major impressions. All your important daily activity like reading, internet surfing, driving etc are done with the help of your eyes. You should never take your eyes for granted. There are many ways in which you can take care of your eyes to ensure that you see and experience the world at its very best.
- Quit Smoking: Smoking makes you vulnerable to a majority of health related problems. When it comes to the health of your eyes, smoking can place you at a risk of uveitis (inflammation of the middle layer of your eye which includes ciliary body, iris and choroid) and cataracts (clouding of the lens in your eyes leading to a blurry vision).
- Wear sunglasses: Proper sunglasses can protect you from the harmful ultra violet (UV) rays of the sun. You should still use sunglasses even if your contact lenses offer UV protection. Too much of UV rays can cause pingeucula (yellow bump on the eyeball) and other serious eye problems. Polarized lenses can help to give your eyes proper protection while driving.
- Screen time: Minimize the amount of time staring at the computer screen as it can cause
- Anti- Glare: Use an anti-glare screen on your computer at work so that the strain and pressure on your eyes are less.
- Regular exercise: Exercise such as walking can prevent degeneration of the macula (present in the center of the retina in your eyes) which typically occurs by the time you reach the age of 60.
- Don't Ignore: You should look at changes in your vision as an early warning sign. The changes would include difficulty to see in low light, hazy and double vision, along with abnormal swelling and severe pain in your eyes.
You should visit your eye doctor for check ups at least once every two years. Eye diseases like diabetic retinopathy have no early warning symptoms and can only be diagnosed through a comprehensive eye exam. You should also ensure that the prescription for your contact lenses and eye glasses are up to date.
In case you have a concern or query you can always consult an expert & get answers to your questions!