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Disease's > Binocular Vision Problems > Amblyopia

Amblyopia is a lack of developed
central vision, and it usually occurs in only one eye. This eye
is called amblyopic. About two to three percent of people
have this condition, and it is often accompanied by strabismus.
While amblyopia can be present in eyes that appear normal, the most
common cause for amblyopia is a misaligned or turned eye.
This condition is known as strabismic
amblyopia and it is the easiest form for a parent to detect, as
one or both of the child's eyes look off in different directions.
When one eye is misaligned, the brain suppresses the image it receives
from the eye. The child may also tilt his or her head or turn his
or her face to try and obtain a single image.
For certain types of strabismus,
the eyes may appear normal, but cross as the child looks at an object
close up or far away. Some forms of strabismus may be familial.
One symptom of amblyopia is overall poor visual acuity and sometimes
blurry images are seen.
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The blurry right-hand
elephant illustrates the problem
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Amblyopia generally develops before
age six. Trauma to the eye at any age can also cause amblyopia,
as well as a strong uncorrected refractive error (strong Myopia
or Hyperopia)
and strabismus.
The visual system of the child is not fully developed at birth.
The visual brain cells of a child are developing during their first
decade of life. Any insult to the child's vision during this time
period can lead to amblyopia. Childhood is the best time to correct
amblyopia, because visual results are better with earlier treatment.
Untreated amblyopia may lead to
a total lack of vision in the affected eye. The brain "turns off"
the blurred or crossed eye and sees only with the stronger eye.
Amblyopia is unrelated to other eye health problems.
An unequal refractive error in one
or both eyes may also cause amblyopia. For example, one eye may
be nearsighted while the other is farsighted, or one eye may have
astigmatism while the other sees normally. These forms of amblyopia
are known as anisometropic or isoametropic amblyopia.
This form of amblyopia may be difficult to detect, because both
eyes usually appear normal.
Unfortunately, anisometropic amblyopia
is most often diagnosed later in childhood when it is harder to
correct. A third kind of amblyopia is deprivation amblyopia.
This occurs when normally clear eye tissue becomes cloudy, preventing
light from passing through and depriving the brain of a visual image.
Looking through a cloudy lens or cornea
is like trying to look out a window partially or fully covered by
wax paper.
The reasons for cloudy eye tissue
can vary: A child may be born with a cloudy lens or develop one
as a result of a blow to the eye. Other disorders that can cause
amblyopia include glaucoma,
eye tumors, eye inflammation
or ptosis, which
is drooping of the eyelid. These conditions can also deprive the
brain of a clear visual image.
Once your doctor determines what
is causing your child's amblyopia, he or she will treat both the
condition causing the amblyopia and the amblyopia itself. That is,
the doctor will attempt to restore the normal equal function of
both eyes, prevent one eye from dominating the other and restore
depth perception. Treatment for amblyopia may occur before, after
or during treatment for the underlying condition.
In a nutshell the main causes of amblyopia are:
- Squint (Strabismus)
- Unequal refractive error (anisometropia)
- Stimulus deprivation
- Squinting or completely closing one eye to see
- Blurry Images
- Overall poor visual acuity
- Eye strain
- Headaches

Amblyopia is not treatable with
eyeglasses or contact lenses unless the cause is uncorrected vision.
Treatment options include vision therapy, the correct prescription
for Myopia or Hyperopia, or surgery. Vision therapy exercises the
eyes and helps both eyes work as a team. Vision therapy for someone
with amblyopia forces the brain to see through the amblyopic eye
to restore vision.
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Placing a patch over the
stronger eye to use only the weaker eye also helps. Sometimes
patching continues for weeks or months to teach the weaker
eye how to see. If your amblyopia is caused by a strong uncorrected
refractive error or a large difference between the refractive
errors of both eyes, wearing glasses or contact lenses with
the correct prescription helps the eyes focus properly. You
may still need to wear a patch along with your new prescription.
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Patch over the stronger eye
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Surgery is usually the last option
for treatment, as it will correct only an underlying physical problem,
such as strabismus, and not the amblyopia itself. Treating amblyopia
is important, because the condition will not go away on its own.
In fact, untreated amblyopia can lead to permanent visual problems
and lack of depth perception. Keep in mind that if the stronger
eye develops disease or becomes injured later in life, you'll be
dependent on the untreated amblyopic eye, which provides very poor
vision.
The success of amblyopia treatment
largely depends upon the motivation of parents and the cooperation
of the child. Patching of the better eye, especially when the amblyopic
eye has very poor vision is not tolerated well by the child. The
parents have to understand the importance of this treatment and
should explain the same to the child to ensure better cooperation.
The other factors that determine
the success of treatment are:
- The severity (depth) of amblyopia
- The age at which the treatment is started: The
earlier the treatment is started, the better are the results
- Any other complicating factor in the eye preventing
sufficient gain of vision, e.g., glaucoma, cataract, retinal or
optic nerve disorders
For information on Therapies, Medications and Surgery
of Amblyopia:
If you have additional questions
or would like any further information, contact your ophthalmologist.
Source(s): All above information
is based on: an article written by Gretchyn
Bailey, allaboutvision.com, an article Dr. Christie L. Morse,
drkoop.com and other information, images collected/created from
various other sources. All rights reserved by respective owners.
For our full credit and copyright
information please view our Credit
List.
Disclaimer: Any information displayed here is just for educational
purposes, and may not be taken as an expert advice and should not
be applied in life without consulting your eye doctor/specialist. We here
by take no responsiblity of the accuracy of the above content as they have
been taken from various sources.
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