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MaryTara Wurmser
BellaOnline's Vision Issues Editor

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Amblyopia (Lazy Eye) 101

It is estimated that 2-5% of the population has Amblyopia - that is more than 1 in 50 children and 1 in 20 preschool age children. While Amblyopia affects vision, it is actually a neurological condition. Biologically the eye works, but the brain shuts down (partially or fully) the functionality.
There are 2 types of Amblyopia:

Anisometropic amblyopia

Amblyopia resulting from a prescription difference between the right and left eye. In cases where one eye is strong and the other is weak, the strong eye does all the work and the weak eye is left to perish.

Strabismic Amblyopia

Amblyopia as a result of Strabismus (misaligned eyes) which could be an eye that turns or "floats".


If left untreated Amblyopia will result in blindness in the amblyopic eye

With early detection, treatment of Amblyopia can reverse this condition - preventing blindness.

Treatment Methods:

1. Prescription Glasses

Glasses are usually the first course of treatment for children with amblyopia but they will not correct the situation entirely.

2. Occlusion via an Eye Patch or Atropine Drops

The use of eye patches to occlude vision in the good eye to force the brain to use the weaker eye to see. Atropine drops are often used in alternative to an eye patch - the drops blur vision.

3. Vision Therapy

Exercises done in a clinical or home setting that specifically target working the eyes in an attempt to regain binocular vision.

4. Surgery

Surgery will not correct Amblyopia alone. However, if eyes are misaligned or a muscular condition exists surgery can be done to straighten out the eyes in the case of Strabismus, Exotropia, Esotropia.

Amblyopia can be treated at any age. A common belief is that Amblyopia if not treated by the age of 7 will be set in stone and unable to be corrected. As with any medical condition, early detection is key. Younger children do have the highest rate of success with the reversal of Amblyopia but older children (above the age of 7) respond favorably to occlusion as well. Results may be slower and less dramatic but progress can be made to regain sight and reverse amblyopia is older children and even in adults.


Amblyopia Kids
Pediatric Vision Screening
Enfant VEP Vision Testing System
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Content copyright © 2009 by MaryTara Wurmser. All rights reserved.
This content was written by MaryTara Wurmser. If you wish to use this content in any manner, you need written permission. Contact MaryTara Wurmser for details.

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