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I am having a listening problem in winter season only and also my eyes got red when I wash my face. Please help me.
Do you think the corporate spectacle sellers (including online) with a chain of shops the optician at the corner of your road can diagnose and treat you for your eye vision problem completely accurately (even a simple case like myopia)?
Think again. Once the damage is done, it is mostly irreversible.
Signs of near sightedness (myopia)- include blurring of vision, genetic predisposition if mothers and fathers are myopic, squinting (bhengapan), eye strain headache, feeling fatigued when driving or playing sports, malignant myopia where the vision loss can be rapid due to elongation of eyeball and is irreversible. Similarly there are various reasons for presbyopia, astigmatism.
In case of compound power, it is purely the competence of optometrist which will help in determining the power of lens. Many cases are coming up with wrong power calculation. It is advisable to consult an eye surgeon before going to a spectacle shop. Once the eye power has increased, it cannot be lowered without surgical intervention.
It's for the patient to decide whether he considers optometrist (guys with degree in power calculation sitting in corporate and local eye shops, authorized to calculate eye power, competent enough to diagnose even these condition completely and afford to miss the retinal detachment and silent diseases like glaucoma or other associated eye pathology if they are present in eyes.
The patient's power will increase through incorrect or incomplete diagnosis and harm his eyes. It's your eyes, always consult an experienced eye surgeon before you go to any spectacle shop to buy your spectacles?
There are silent and irreversible disease in family like glaucoma/kala motia which have a family history, it is the duty of the doctor to ask history of such disease.
Can you expect your local optician to ask such history? if he misses your glaucoma by not checking your eye pressure, you vision loss is irreversible.
The guy sitting in spectacle shop may sell you a branded eyeglasses, give a very good deal and pamper you with snacks but what purpose it serves if the some part of your diagnosis is missed and causes irreversible loss of vision.
The optometrist is trained just in power calculation and dispensing of contact lenses. He is not trained to diagnose and treat any eye disease, look behind the lens through indirect opthalmoscope, use instruments like slit lamp.
He is incompetent to treat any eye disease like amblyopia/lazy eye.
If he is giving medicine/drugs along with dispensing of spectacles, he is most probably committing a crime.
If you are going to optometrist first, it purely depends on his training and expertise whether he is able to suspect any associated pathology or not and refers you the eye surgeon and if he misses it or makes a wrong diagnosis, the loss is yours and only yours. Lastly the optometrist will be never held responsible for wrong diagnosis.
The doctor's prescription caries a legal value and he will always advice in patient's best interest.
Dr Arjun Kumar Singh
Hello doctor. I am 24 years old. I had nevus of ota under my left eye. I have completed my 8 laser sessions. My doctor has prescribed me mustela xl cream. I want to know can I use it forever? Does mustela xl have any side effects in the long run? Will it harm my face? Please let me know. I also want to know does q switch laser cause any harm in the long run?
I have got milia on my face on both sides just below the eyes. I extracted these several times but recurred after some time. please help me.
I have red eye out for the first time in the UK and Ireland and Wales with registered number is still collecting shopper reviews at this stage.
Hello doctors! I'm having very dry skin and very dry chapped tearing lips and also sunken eyes. My eyes are getting inside socket. No matter how much I drink water this issue is not resolved. And I don't know which specialist should I visit for this.
I have many problems so watch TV per day so many water like eyes so please help me and so big problem early morning so chip chip eyes so please help me.
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.