Amblyopia (Lazy Eye)

What is amblyopia? What is a lazy eye? Amblyopia, "lazy eye", is the partial loss, more or less, of the vision in one eye, being generally monocular.

It may be, less commonly, bilateral, for existing major defects of refraction in both eyes, especially severe astigmatism, and also by a series of tables that present with "trembling", involuntary eye movements, called "nystagmus".

What could be the cause?
The most common source is the presence of strabismus in which the child more frequently fixed counter amblyopic eye or lazy, that strabismus may be evident, manifest aesthetically, or may be small, microstrabismus and can go unnoticed, and at both lack of early detection, increase the risk of amblyopia.

Another common cause is the anisometropia, or graduation unlike a golden eye, which can promote developmental delay visual capacity of the eye with greater defect, favoring amblyopia of the eye.

Causes eye own as the onset of disease in its own right that prevent visual development, including congenital cataract is the most common.

How is it diagnosed?
For any suspicious symptoms: eye deviation, white spot in the pupil ("apple of the eye"), intense photophobia ("light damage", etc.); When there are multiple causes, we recommend to take your baby to ophthalmologic early revision.

Assessment of Visual Acuity ("what you see") the baby or toddler is essential in order to evaluate a lazy eye.

This assessment can be made by your eye doctor since the first months of the child's life, do not wait to know when the child is older, 1-2 years, and can contribute to making your visual acuity.

Rating by her ophthalmologist refractive state, need optical correction, or not, or significant differences between the two eyes, anisometropia.

How is amblyopia, lazy eye?

Two objectives:

  • 1. Get maximum visual acuity.
  • 2. Maintenance of this recovery.

It should be clear, not only achieved success in recovering visual acuity, but to get it once achieved should not perish, must fight for their maintenance. Recovery Treatment should be:

The most accepted method is the occlusion patches directly on the eye. The pattern of occlusions vary depending on the case and extreme vigilance must be careful to go by attaching it to the needs of the moment. You should know that during this treatment can occur, the child twist one eye or the other regardless, and visual acuity of the sound eye, to be covered, may decrease, either of these two situations are easily solvable.

Maintenance Treatment:

  • You will be directed to stabilize visual acuity achieved, the procedures are several, occlusions or so-called "penalties" soft methods occlusions over the good eye, special optical corrections, pupillary dilation (apple of the eye).
  • Your ophthalmologist will recommend in each case the way forward.

What should you know?

  • Early treatment will get better results
  • The assessment of what you see your baby, can be determined from the first months of life.
  • Recovery treatment will vary in the degree of amblyopia.
  • We can not forget the consolidation treatment of the proceeds.
  • The child should be checked periodically and as often as you need it to twelve years old
  • His collaboration as parents, must be total, the success of treatment, 90%, is in your hands, correctly following the guidelines ordered by your ophthalmologist.
  • Success will be better, the younger the patient, the better the visual acuity before treatment initiation