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Ocular Disease: Amblyopia


What is Amblyopia?

Commonly referred to as "lazy eye"; amblyopia is a condition caused by lack of normal sight development during early childhood, usually prior to 6 years of age. As the visual system in a child develops, it is important that both eyes be utilized equally. With amblyopia, often one eye will develop normally while the other does not.


Symptoms

Some symptoms include a noticeable favoring of one eye and/or bumping into objects routinely on one side. Because it is often difficult to gauge the visual acuity of a child, the condition may appear asymptomatic.


Risk Factors

  • Family History
  • Strabismus
  • Cloudiness in one eye
  • Large refractive difference
  • Cataracts
  • Age < 6 years
Treatment

Treating amblyopia involves strengthening the weaker eye in addition to any underlying cause. A patch may be used to cover the strong eye thereby encouraging the child to depend upon and strengthen the weaker eye. Similar methods include placing drops that blur vision in the stronger eye, the use of prescription lenses with prisms, and visual therapy. Visual therapy aids the child by instructing him/her to use both eyes together, and helps to prevent recurrence.

In certain circumstances where the cause itself is not correctable by these methods (e.g. cataracts), surgery may be necessary. 

Prevention

Early detection and treatment significantly increase the successful treatment of amblyopia. It is important to note that a child will not out-grow this condition. Treating a pre-teen, teen, or even an adult is much more difficult and is often less effective.

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