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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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I have a problem in my right eye. If I see an object, a small black color dot is appearing. What is the reason for this?
My father 64 years old has edima in eyes. He has been through 2 doses of avastin and 3 doses of ozurdex in both left and right eye, still the edema comes back. What could be the reason? he is diabetic but blood sugar levels are very much under control. Protein loss through kidneys have also been tested and no such exists, please advice.
Sir, I am suffering from headache and my eyes runs water when driving bike. What should be consulted doctor. Eye specialist or other department. Please suggest me. Thanks.
I'm 21 years old female. I am wearing specs for the past 9 yrs. It is possible to reduce my eye power by eating habits so that I do not need to wear glasses anymore?
I have sight to reduce the sight what I do can you tell me what to eat to reduce the sight any precautions.
I'm 22 yo and the thickness of my cornea in left eye is 473 with myopia of - 8.75 and in right eye the thickness is 482 with myopia of - 6.25. Kindly, suggest what treatment will suit me the most?
I'm 20 years old boy. I have a problem with my eyesight. Whenever I use any phone for long time, I feel pain in my eyes. Please give me suggestions what should I do?
Hi, My wife who is 36 years old having severe pain in her right eye and right part of her head, please advise which doctor should we consult.
I study a lot around 10-12 hrs a day and my eyes got pain and becomes red like when somebody do not sleep 2-3 days or like alcoholic person. After sleeping 7-8 hrs the condition is same reddish. What is the problem and cure of it. Please tell.
Due to stress my eyes are entering inside and looked very ugly. How to improve my eyes and how much tym it will take to normal position. Plzzzzz tell.
Sir I have a sister. She is blind by birth. Most of the times she remains restless. Sir she takes too much psychological pressure. This time she takes prolomet xl 25 and stalopam plus Kindly suggest no improvement yet seen by these drugs.
My age is 21 year. And my problem is I can't see clearly written on the board? Please suggest me any eye drops?
All of us agree that healthy habits are absolutely necessary for a high quality of life. It is another story that whether we put them into practice or not. These healthy habits have to be cultivated since childhood for keeping vital organs like eyes in a perfect condition. One's quality of life is closely linked to how well one see and one can take steps now to take care of one's eyes and preserve vision well into old age. Keep Your Eyesight Sharp and protect your eyesight with the five tips listed below:
Maintain a balanced and healthy diet. It has been scientifically proven that some foods can boost eye health and delay age-related eye changes. One must include eye-boosting vitamins and minerals in diet, such as lutein and zeaxanthin, vitamin C, Vitamin E; zinc and omega-3 fatty acids to keep one's eyes in best shape. Broccoli, corn, squash, peppers, spinach and kale are the best source for zeaxanthin and lutein whereas citrus fruits, melons, tomatoes and broccoli are great source of Vitamin C. Vitamin E can be found in legumes, wheat germ, nuts and seeds while one can get zinc in found in whole grains,
Salmon are a great source of omega-3.
Reduce Exposure in the sun - Sun's ultraviolet rays can increase the risk of developing cataracts, which is most common cause of age-related vision loss in adults. It is very essential to take precautions to shield one's eyes from the sun. One should wear UV protective eyewear or wide brimmed floppy hat for protection from sun.
Regular Exercise. Regular exercise keeps waistline trim and eyes sharp. Latest studies have shown that those who led an active lifestyle were seventy percent less likely to develop macular degeneration.
Go for Annual Eye Examination. Regular examination of eyes can give a surprising number of clues about ones overall health. Ophthalmologist can detect a broad set of problems ranging from hypertension to diabetes by doing a thorough examination of ones eye.
One only have one pair of eyes, so it is absolutely necessary to take the proper steps to care for them. By nourishing one's body with the right foods, getting regular exercise and going in for regular eye exams, one can keep vision sharp at any age.