What is Lazy Eye?

health wellness

Lazy eye is a condition, where in most cases one eye does not see with the same visual acuity as the other eye, and poorly transmits visual information to the brain. If you cover the healthy eye, people with lazy eye or amblyopia will have a difficult time making out things, or may see very little at all. Sometimes cases are very minor and aren’t significantly noticed without performing a test where one eye is covered. The healthy eye may compensate for the lazy one, and cause very few changes to actual vision. In more severe case, depth perception is significantly affected.

There are three main types of lazy eye: strabismic, refractive or anisometropic, and form deprivation and occlusion. Strabismus is not lazy eye, but lazy eye may be caused by an eye that is strabismic, having a different focus point from the healthy eye. The eye without strabismus tends to take over and be dominant. Treatment of strabismus of any type is important so that both eyes are able to transmit visual images accurately.

If you have refractive lazy eye, your eyes send images to your brain at different speeds. The faster eye creates a much more accurate picture and begins to be favored. This form is corrected by glasses, and sometimes by using an eye patch over the dominant eye to help the mind readjust to relying on both eyes for sight.

If a single eye forms cataracts or has been injured to the point where seeing is affected, sometimes occurring in forceps delivery of infants, this is called form-deprivation or occlusion amblyopia. When possible, injury to the eye or cataracts are cleared to avoid permanent obstruction of vision in the affected lazy eye.

When the condition occurs in childhood, which is most common except for the development of cataracts or sustained eye injury, emphasis is on correcting any conditions creating poor eyesight, using glasses, visual exercises, and blocking the dominant eye. Lazy eye is best treated as soon as possible, with children under 5 usually having the best results for complete correction. Treatment later in life can be much more complicated since the condition is a brain disorder rather than a muscular one. Long dependence on a dominant eye creates greater difficulty in addressing the problem.

Still, many children who are treated after the age of 5 have a good chance of improving their vision. Even if vision is not completely normal, treatment will result in better vision than if treatment is not sought.

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Posted by: gnr
lucychandler,

those sound like good ideas, but i'd definitely consult an opthamologist for a proper diagnosis and plan of action to treat your eye. as a child, my husband had a lazy eye, and had to have therapy and patching of the good eye to strengthen the weaker one. for the most part, it's fixed, but he spent years wearing glasses. now, when he's tired, the weak eye will sometimes pull in. he was told that if he hadn't gotten treatment when he did, he could've lost sight to his weak eye permanently--the brain finally just shuts it off.

Posted by: lucychandler
I'm 17 and have had a lazy eye for all my life, I've never noticed it much until now, when I look in the mirror my left eye veers slightly inwards, it gets worse the more tired my eyes are, which is embarrassing at work when people look behind them thinking i'm addressing someone else when I say 'can I help you' :( .

As this article suggest it seems to be getting worse with age, my brains kind of sayin "right, thats your good eye, use it!" and completely blanks the left eye. it's to the point where I physically don't know how to use both eyes at the same time, seriously! However, I recently bought some coloured contact lenses, and put only one in, my good eye. I found that because i'd very slightly impaired my vision to the good eye, my left eye became much more active. I definitely think exercising the lazy eye is a sure-fire way to get it active and 'in-tune' with your brain again. I'm going to invest in that Nintendo DS game 'Sight Training', I think if I practice covering my good eye and just use my left to train with, i'll eventually be able to take the patch off and use both eyes at the same time. It's a theory in progress though, and it might take a while to get used to the function of using both eyes at the same time. I seriously don't want to end up looking like one of those people who's eye doesn't move at all, just sits there looking off into a different direction.

Posted by: anon6040
I am now 29 years old. I found my lazy eye problem when i was 8 having vision tests in school. But i paid no attention to it because i didn't think it would affect my life. I was astonished at the age of 27 when noted that my unhealthy eye-ball would shrink till it recognizes nothing. Is it true? Is it helpful if i have constant visual exercises or block the health eye using the unhealthy one alone?

I am so worried about it, could anyone here help me with it?

Thanks a lot.

Editor's reply: You may find more information on your condition in our article, What is Amblyopia?. It's also a good idea to visit an Ophthalmologist to get a correct diagnosis.

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Written by Tricia Ellis-Christensen

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