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Amblyopia (Lazy Eye)

Amblyopia, which is also called “lazy eye”, is a disorder that affects the visual development in children. Amblyopia is difficult to correct just with the use of contact lenses, or eyeglasses. Ambylopia can cause vision loss if it is not treated early and properly. This vision disorder affects 2-3% of the population.

What are the symptoms of Amblyopia?

Usually children that are born with amblyopia, the symptoms start in early childhood. Some signs of amblyopia in children are squinting, closing one eye in order to see better, poor general vision, headaches, and eyestrain. Usually caretakers such as parents, caregivers, doctors, or nurses notice these symptoms and recommend the child for treatment.

What are the causes of Amblyopia?

Strabismus is usually the cause of amblyopia. Strabismus is the eyes aligning incorrectly. Amblyopia can also be caused when there is a large difference between the eyes in refractive errors (prescription much higher in one eye than the other). For example, one eye is nearsighted, while the other is farsighted. If amblyopia is not treated, the brain will learn to disregard the vision in the eye with amblyopia. The eye that is disregarded does not grow with clear image and vision loss can be permanent. This is why it is very important to get early treatment and take your child to see your eye doctor if any signs are apparent.

How is Amblyopia treated?

There are several treatments for amblyopia, depending on the cause. Often children are treated using vision therapy, which usually includes a patch on the better eye. Other treatments are atropine eye drops, correct prescription eyeglasses, or surgery.

Vision Therapy

Vision therapy consists of eye exercises, which aim to teach the eyes to work together. In cases of amblyopia, the exercises require the brain to recognize the affected eye, which restores vision in that eye. Some doctors place a patch over the more functional eye, which forces the less functional eye to work harder and become stronger. The patch is generally worn for a few hours a day. Depending on the severity of the condition, treatment can last for weeks or months. Some children refuse to wear a patch, in those cases, a prosthetic contact lens is available. These contact lenses look like the regular eye, and are designed to block vision in that eye.

Atropine drops

Some doctors use atropine eye drops to treat amblyopia. These drops blur vision in the child’s better eye, forcing the weaker eye to work harder and get stronger. In the morning, one drop is instilled under eye doctor’s instructions. The advantage to this method of treatment is that the patch is avoided.

Prescription eyeglasses

If your child has developed amblyopia because of uncorrected vision, sometimes all that is needed is a pair of eyeglasses. When there is strong uncorrected prescription, or when there is a large difference in prescription between the two eyes, sometimes amblyopia can result. Your eye doctor may recommend eye patch therapy in addition to corrective lenses.

Surgery

Strabismus surgery is usually required if the amblyopia is due to a large eye turn. This type of surgery aligns the eyes and corrects the problem within the eye muscles. After the surgery the eyes will able to focus better. Additional vision therapy may be required after strabismus surgery.

Amblyopia must be treated as early as possible as there is no chance that it will resolve by itself. Untreated amblyopia can lead to permanent vision loss in that eye and reduced depth perception. Amblyopia needs to be treated promptly so that your child can have the best vision possible in childhood and later in life. When amblyopia is diagnosed and treated before age 9, the weaker eye can often develop significantly better vision. The most critical time to treat amblyopia is from 3 to 6 years of age. If you or anyone sees any signs of amblyopia, go to your eye doctor to find the best treatment for your child.

As of Tuesday evening, March 17, the Centers for Disease Control and Prevention have recommended all routine eye care be deferred until further notice in order to slow the transmission of COVID-19 throughout our community.

We will remain available to triage eye emergencies as well as help you with routine matters during this challenging time.

During this period of social distancing and quarantine, we must all do our part by restricting activities outside the home except for getting medical care.

⦁ Routine Eye Exams: If you are scheduled for a routine eye examination appointment for the remainder of March and early April, we will reschedule your appointment. As of March 18, 2020, we will begin rescheduling routine eye examination appointments for April 8, 2020 and beyond.
⦁ I need to replace my glasses. What do I do? Please contact us at phone number: 916-971-3937, text number: 916-919-8877, or info@seeustosee.com. We may be able to extend your prescription during this time and will help you with your eyewear needs.
⦁ I’m nearly out of contact lenses. What do I do? Please contact us at phone number: 916-971-3937, text number: 916-919-8877, or info@seeustosee.com. We may be able to extend your prescription during this time, and/or place an order for your contact lenses and have them shipped to your house.
⦁ I need a refill on the medication prescribed to me by the practice. What do I do? Please contact us at phone number: 916-971-3937, text number: 916-919-8877, or info@seeustosee.com. We can transmit a refill for your prescription directly to your pharmacy so that you have the medication that you need.
⦁ What about an eye emergency? What can I do? If you have an ocular emergency, we are, as always, available to help you at any time. Call 916-919-8877 and wait for instructions at the end of the message.

Drs. Schauffele & Fleischmann will do their best to accommodate emergencies in the office whenever possible.

We have asked the majority of our staff to stay home until further notice to protect them, our patients, our community, our nation, and our planet. Despite the financial and emotional hardships this will cause, we ask every one of you to do the same.

Together we will weather this storm.