Amblyopia

(Lazy Eye)

Definition

Amblyopia, often called lazy eye, is a condition that occurs when there is a reduction of vision in 1 eye that is not correctable with glasses.There are two common types of amblyopia:
  • Anisometropic amblyopia—Vision in one eye differs from the other. This is often caused by a large difference in eyeglass prescription. The difference may be caused by 1 eye being more nearsighted or farsighted than the other, or by large differences in astigmatism .
  • Strabismic amblyopia— Visible misalignment (crossing) of one eye.
Strabismic Amblyopia
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The sooner amblyopia is treated, the more favorable the outcome.

Causes

Amblyopia is caused when the brain prefers (favors) one eye to the other. The brain’s preference (liking) for one eye over the other can weaken and reduce vision in the eye that is less used.There are no apparent genetic or environmental factors that can be attributed to causing amblyopia.

Risk Factors

Amblyopia is more common in children under 10 years old with:
  • Crossed eyes
  • A large difference in sight between the 2 eyes that may be:
    • Unnoticed
    • Detected by a large difference in eyeglass prescription
  • Visual blockage such as a cataract, droopy eyelid, or corneal scarring
Amblyopia can also occur in adults.

Symptoms

Some people with amblyopia may not have symptoms. In those that have them, amblyopia may cause:
  • A droopy (the inability to fully-open) eyelid that blocks the pupil
  • Headaches
  • Blurry vision
  • Excessive squinting or closing of the eyes
  • Repeatedly closing of one eye in bright sunlight
  • Crossing of one eye, generally the eye that is less used will excessively turn toward the nose
Symptoms vary depending on the extent of the amblyopia.

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