Lazy Eye

LAZY EYE

What is Amblyopia?
Amblyopia (Lazy Eye) is the medical term for an eye problem more generally called “lazy eye.” Amblyopia is triggered due to reduced vision in one eye. Often that eye has not been sufficiently used through childhood. Amblyopia frequently is a result from a refractive error. In these cases, it is caused by two eyes producing a difference in image quality (i.e., one eye focuses much better than the other).
If amblyopia is not treated, the weaker eye may eventually become useless, rendering loss of vision in the affected weaker eye. However, early medical diagnosis and treatment can help bring back vision in the weaker eye. Although amblyopia normally only affects one eye, both eyes can be affected if they are both deprived of receiving clear visual images. Amblyopia treatment can be beneficial at any age.
Lazy eye may trigger strabismus (i.e., crossed eyes), which involves an imbalance of the eyes. It is far better to deal with refractive error before treating strabismus or immediately after squint surgery. Otherwise, the problem can recur.

Amblyopia or Lazy eyes can cause…..

Some of the most typical symptoms of amblyopia are:

– Poor depth perception

– Eyes that turn in or out
– Eye pressure
– Migraines

– Squinting or closing one eye while watching TV or reading as a natural, reflex action
– Turning the head while looking at an object


Amblyopia and Treatment Options
Correction of refractive error is of the utmost importance. Glasses and contact lenses have been conventionally used. If the child cannot use either, then laser vision correction may be an alternative. Removing cataracts which block vision may be required.
The lazy eye may be stimulated by exercise. At the same time the other eye can be surprised by fogged glasses, dilating it with atropine or covering it.
Dr. Khanna treated a 26-year-old patient with lazy eye. He carried out Lasik eye surgery to correct the high anisometropia. The young man was able to transform his driver’s certificate from a one to a two eyed vehicle driver. He also treated the kids’ mother with PIE treatment. She was in her fifties. There is no upper age limit for this treatment, and we have personally treated patients as old as in their 70s. Even though textbooks and some doctors recommend an upper limit of 11 years of age. It is true, the quicker treatment is done, the much better the outcomes.
It is important to understand that not all lazy eyes are treatable. If there is optic nerve damage, then the outcome may not be excellent. Likewise, if macula of the retina is impacted the diagnosis is not positive. In such cases low vision treatment might be needed. That is why professionals need to examine you or your kid as early as possible.
If you suspect your child may have amblyopia, Dr. Khanna can detect and also treat this visual impairment. There are a number of advanced tests to be done. These might not be readily available at your neighborhood eye doctor at Walmart or Costco.
How to fix a Lazy Eye is an enquiry frequently posed by young parents. Lazy Eye is a term made use of to define an eye that cannot see to its complete potential. You might realize, normally an eye must see 20/20. That indicates that an individual standing at 20 feet ought to see what a regular person sees at 20 feet. If a normal individual can see at 40 feet what you see at 20 feet than your vision is 20/40. If after correction with glasses or contact lenses the vision does not enhance to 20/20 than the eye is called as Lazy. The medical nomenclature is Amblyopia.
Allow us to explain why an eye becomes lazy. The function of an eye is to transfer information from the surrounding world to the brain. The eye concentrates the light reflected from various objects on the macula. Electric signals created are transferred to the brain by the optic nerve. A specific area of the brain called the occipital lobe transforms these neuroelectric signals into vision. Any kind of defect in this process brings about an Amblyopic or Lazy Eye. There are three main types of Lazy Eye as follows:
The first kind is Neurological. This takes place when there is a obstruction in the neurological pathway or the brain. If the optic nerve is not developed, or the conduction pathways are deformed, the light is not transmitted to the brain. Also, the brain might be underdeveloped as a result of infections or genetic causes. This is one of the most tough kind; presently this is not amenable to treatment.
The second kind is deprivation amblyopia. If the light is stopped from reaching the macula, it fails to reach the brain. There are numerous causes for this. Cornea might be non-transparent. There might be a cataract in the lens. The jelly behind the lens might be fibrotic as well as hazy. The bright side is that treatment can be provided. The earlier it is set up, there are much better chances of fixing the lazy eye. Cataract procedure may need to be carried out even before the baby is one year old.
The third kind is refractive Amblyopia. The reason is nearsightedness, farsightedness or astigmatism. When the eye is really small or large or has astigmatism substantially more than the corresponding other eye it risks developing Amblyopia. Here the light reaches the macula and messages are delivered to the brain, so the basic bricks of vision continue to be in place. However, the messages are misshaped. Because the brain keeps getting information it has the very best chance of recovery.


How to Take Care of a Lazy Eye triggered by Refractive Error
The way to do this is to fix the refractive error. The accurate procedure would be influenced by the age as well as the refractive power. If the numbers are in the range of Lasik eye surgery, this may be the easiest procedure. In such circumstances, Lasik may even be carried out on children as young as 6 years. Often an artificial lens might need to be implanted over the natural lens. If the individual is over fifty years old, a presbyopic implant might be the very best choice.
Curing Lazy eyes is possible in specialist surgical hands. Education about Lazy eyes is essential as ignorance can cause learning disabilities in children. Lazy eye is also technically referred to as Amblyopia.
Recently, a mother and her daughter came to our office. They both said they had lazy eyes, and previous doctors had said nothing could be done in their cases. Actually, the mother claimed her eye doctor cautioned her that no one should ever touch her eye. Well, we transformed that unnecessary caution into sight!
Lazy eye is an eye which is not working to its full capacity. This is caused when an eye has a greater prescription compared to the other eye. This might be since the eye is smaller sized causing farsightedness or longer, leading to nearsightedness or asymmetric causing astigmatism. The image from this eye is not sharp, as a result the brain suppresses it. You may ask “suppose the patient used glasses or contact lenses?” and that’s an excellent question. The refractive error is typically so much that with correction the image, shape and/or size is substantially different, resulting in dissimilar images which cannot be superimposed by the brain.
This is different than a lazy eye. In such scenarios, the vision nerve called optic nerve or other elements of the neuro-visual pathway are not developed. Current technology cannot take care of these issues, but we really hope that future generations will have the ability to treat these problems.
We will restrict our discussion to Lazy eyes caused by refractive errors. Allow us to turn our attention to what has actually been the treatment modality for the last hundred years followed by taking a look at application of modern technology to fix this disorder. Generally, one of the most usual treatments has been to recommend glasses as well as patching the “good eye” so the weak eye is forcibly required to see. Children despise it and also get terrified when they cannot see well out of the Lazy eye. It is senseless to consider patching without fixing the underlying problem. It’s like compelling a person to walk on a damaged leg to make it more powerful. We do not do this, do we? Rather we fix the fracture and after that start the rehabilitation.
We initially carry out a really thorough eye examination to figure out the refractive state of the eye. We do scans of the cornea, nerves as well as macula to confirm they are normal. The treatment differs based on age, yet children as young as eleven can have laser vision improvement in a normal laser suite. Younger children might need an anesthetist. If the prescription is way higher for laser vision correction, then an implantable collamer lens might be used. In patients older than forty-five, PIE or Presbyopic Implant in Eye is used.

The quicker the eye is remedied, the better the possibilities of correcting both eyes. Surprisingly, what older books taught is that there is no cut off age to restore lazy eyes, nonetheless patients in their seventies have had Lazy eye improved by our interventions. Every so often we are also surprised to see the Lazy eye overtake the good eye and become the more powerful one.
If we do not interfere, the lazy eye can deviate out or bring about squinting or strabismus. Before any kind of squinting surgical procedure is undertaken, the lazy eye needs to be taken care of.  Otherwise, the eye may again move away.
To recap, Refractive Amblyopia has the very best possibility of improvement. This is possible in youngsters, young adults as well as also older people.