Amblyopia defined

Amblyopia is also known as lazy eye. It is a condition, usually found in children, in which one or both eyes do not develop properly. An easy way to explain this is that the "eye-brain" connection does not communicate properly; therefore, the child does not know what clear vision is...or what 20/20 vision is. The eye anatomy itself is normal, but the neural pathway to the brain is not normal, causing decreased vision.

Prevalence of amblyopia

Amblyopia is one of the most common treatable forms of vision impairment in children. Its prevalence is as high as 3-5% in some studies. It is most common in infants and young children and it is imperative that this condition is caught early.  Even though this condition can be treated sucessfully at any age, progress is easier with earlier treatment.

Causes of amblyopia

The causes of amblyopia are varied. A very common condition that can cause amblyopia is strabismus, a misalignment of the eyes. This occurs when one eye has an abnormal turning in or out, causing the brain to stop using the misaligned eye. Other causes may come from a high prescription such as nearsightedness, farsightedness, or astigmatism. In the case of these conditions, the eye’s vision is out of focus and so the brain turns off that image. Eye disease processes can also cause amblyopia. One of these conditions is known as a cataract. A cataract is a condition of the lens of the eye developing an opacity so that light cannot pass through. Abnormal retinal conditions and hereditary factors can also cause amblyopia.

Treatment of amblyopia

Traditionally, treatment for this condition is the use of patching of the stronger eye.  Even though we still use this treatment at times under a limited basis, we have newer, more effective treatments available.

Vision therapy

Vision therapy has been proven to be successful in the treatment of amblyopia. Vision therapy, or VT, incorporates a series of vision training procedures that helps improve eye movement control, visual acuity, depth perception, and eye coordination. Vision therapy can be done in an office or home setting.

Signs and symptoms of Amblyopia

Amblyopia is often found due to poor visual acuity in one eye or the lack of a strong red reflex in one eye.

Another sign of amblyopia is an eye that turns in or out. A symptom that may be indicative for amblyopia is if the child prefers the vision out of one eye.  This can sometimes be detected when occluding the better eye--the child may become fussy and upset because she cannot see out of the lazy eye.