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Amblyopia (Lazy Eye)
Hi..My son diagnosed with Lazy Eye from first year. We were given patching for some time and had surgery for his crossed eyes. Later given patching and his vision improved. We discontinued patching for some time and his lazy eye problem started again. He is now 4+ . We were asked to give patching for 4 hours/day but that didn't helpimproving his vision. Doctor suggested to apply drops on good eye for 2 months. That way he can use the lazy eye fully. Due to this, the good eye got affected and power is increased. Doctor asked to discontinue that treatment. Now everyday we are giving patching for 6 Hours and recently tested his eyes and there is no improvement.
Any of you faced similiar problem like vision not improving on Lazy eye ? what kind of action you have done to improve the vision??. I am more scared because he is growing and may not be able to get his vision. Any alternate treatments are available to jump start the vision of the affected eye? Your help on this greatly appreciated !! Manny
As you know, if lazy eye isn't properly corrected you can go blind; I have retained full function in my bad eye and my eyes look straight. So from my POV, surgery & corrective glasses worked very well and were a lot easier to deal with than having a patch over my eye for years. --Hope this helps
my son was diagnosed with Lazy eye when he was 5. the doc said(consulted 2 docs & both said this), the earlier u try to rectify the better it is but the chances of improvement is much higher till the age of 11. so please keep trying. Also the cause for lazy eye might matter in recovery too. in some cases (like ours) surgery is not an option the only way is to do eye patch. and fortunately aT 7 it has reduced quite a lot. he can read with his week eye almost as much as the other eye. Here are a few things to keep in mind.
1. you have to be very strict/disciplined about patching. sometimes the kids try to see thru the wholes in the patch.
2. While our doc in the US said it was good enough to patch 2hrs/day we didn't see much improvement in it. When we were vacationing in India we visited my parents eye doc who strongly suggested we patch more often. So we increased it to all evenings and all the time he watched TV or read books or anything that required eye concentration. this helped a lot.
3. another piece of advise i got from a parent which helped as well is doing eye exercise. have ur child look up straight and concentrate at ur fingers while u move them from right to left and back. and repeat the saME FROM top to bottom. Make sure that he doesn't move his head up and down or side wAYS but simply move his eyes round. Shree
I have a 1 year old daughter that has a lazy left eye and she has been doing that since she was 6 months old, and i am not shure what i should do she does'nt do it all the time just maybe 89% of the time exspecialy when she is looking at you from ferther away.
I do have an eye Doctors appionyment for her on Nov/28/08 but i am hoping i can find out what i can do and what they might do for her since i really dont want her wearing glasses i dont want her going throu school being made fun of so i want to know if there is anything eles they can do? like lazer eye surgery??
Please any advice will help me, poeple or always asking me why she is crossing her eyes at them she for some reason does it more to poeple she does'nt know?? i really dont know why sounds weird i know, but she does'nt do it all the time i have tons of pictures of her with her eyes normal and i see her alot with her eyes going back to normal but then she will do it again only that left eye? if you have been throu the same thing let me know what you have done and what the doctors did? and anyone that just knows somewhat about this ''lazy eye'' problem? Thanks
Early intervention with glasses and possibly surgery is the only way to treat lazy eye. If you don't treat the lazy eye now, your daughter will definitely have lazy eye, possibly worse than it is now, for the rest of her life. The eyes are constantly changing as children grow so laser surgery to completely eliminate glasses is not an option.
My daughter has worn glasses since she was one year old and she does not get made fun of at all. Most people comment on how cute her glasses are. I also wore glasses since I was 5 years old. I can maybe remember that once or twice in my life some insensitive person may have said something to me. Once or twice in 30+ years! I'm sure by the time your daughter (and mine) are old enough, they can decide for themselves if they want contacts or surgery or whatever. get over yourself
As a child, I was sent for eye exercise therapy, and my straight eye was also patched for awhile to try to strengthen the muscles in the crossed eye and make it work harder. I was teased about having 'cross-eye', I was teased about the patch, and I was teased later about having glasses when I finally got them in kindergarten. True, your daughter may be teased if she ends up getting glasses, but if not, she will probably be teased about her 'lazy eye'. The important thing is that she gets the treatment she needs for her problem. I am so glad that you have an eye appt for her so you find out the options that are available. There are better surgeries available now for children with this condition, too, so I think there is lots of hope that this problem can be corrected. Since she's only one, I would imagine they would wait until she is a little older to make a decision. Meanwhile please be assured that it is not something she is purposely doing. You've noticed it more when she is trying to look right at you, or when she is looking at you from a distance - these are just situations in which this condition is more noticeable. If people make comments you should tell them she does not have control over the muscles in that eye. It is very common for it to be more noticeable when a person is stressed or tired. That's when mine is generally most obvious, too. I also have many pictures where my eyes look perfectly straight ('normal') and others where the lazy eye is very obvious. Please do not blame her or reprimand her for it. She needs so much encouragement, especially since she is also shy. I wish you both a happy outcome! Signed, Are you looking at me?
Based on my experience, save your daughter from feeling self conscious and save her sight - have the surgery when she is young. Anon
My son had a bad cold late March and a result was one of his eyes looked lazy/inward. FYI: He is almost 2. I went to see Eugune Stern early April in Oakland and he said it was from this cold and that his nervous system just has to work harder. He asked that I come back once my son was all better since he still had a little of the cold at that time. I just went to see him on Monday, since my sons eye has not improved, he confirms again it is not lazy eye, that his eyes are healthy. The options were: glasses(which would be removed in a minute by my son), daily drops which would act like glasses(which would be a chore and stressful on my son and me), or to wait it out. He encouraged me to wait it out. Of course, not an option I can appreciate. I am afraid we will lose this window of correction I have read about. Any thoughts or refernces on docs?? Again he does not have lazy eye or ambro....but the treatments may be the same. Thanks concerned mom
I suggest you go to UC Berkeley infant toddler clinic to have your child examined properly, and get some good advice. 642-2020 is their number. Call fast, their appointments are hard to get, and the longer you allow this to continue, the more your child's vision will be affected. Eye Doctor
Can anyone recommend a good optometrist for my son? He has been diagnosed with one eye that is weaker and is not being corrected completely by glasses. We've been going to the UC Optometry but are thinking of switching over to a private doctor with more experience and consistency than the students. Someone in Oakland or Berkeley would work for us. Also any other thoughts on dealing with patching are welcome!! Leah
One doctor in Walnut Creek saw the amblyopia when our daughter was three, four and five and did not patch. I recently read studies that indicated patching is much more effective before age 5. ( I can send you references if you e-mail the moderator)
We tried patching with David Bui in Alameda when she was six and despite patching reliably there was no change after six months. We were then referred to Susan Day for surgery, who is the person you really want to talk to, I have found.
She is having my daughter wear glasses with -125 and a slight prism for six months to see if it will work, and if it doesn't she will schedule surgery.
I am still a little mad at myself for not reading the studies earlier, so I would know to make sure she got patched early enough.
In any case, you may want to get two opinions before you go any further.
we learned recently that our four-year-old has severe amblyopia without strabismus. her vision's 20/400 and 20/40 uncorrected. we had no idea! we'd like to hear from other parents with similarly affected kids. please let us know if you have stories, experience, recommendations, or warnings to share. thanks. david and andrea
-My mother was not diagnosed until adulthood, she wears glasses with one lens MUCH thicker than the other.
-I was diagnosed at about 10 years old and was told I was too old to wear a patch so was told to wear glasses full time to correct/alleviate problem. (Which I must admit I did not do that often). I now wear contact lenses and there is still a pretty significant difference in vision for each eye. (Heaven forbid I mix up my lenses!)
-My nephew was diagnosed very early, like your daugher. His doctor had him wear a patch on his stronger eye during most of the day, then switch to the weaker eye for the rest, all while wearing glasses. His vision has greatly improved/evened out using this old fashioned method. He doesn't even wear glasses anymore.
If you end up using a patch like my nephew, don't worry too much about what other kids say. They have some pretty cool looking patches these days! My nephew had quite a variety to choose from in fabrics/patterns/graphics. Almost like playing dress up!
Hope this is somewhat helpful. Best wishes! Anon
there are plenty of people out there who do fine with untreated amblyopia. your child has already learned how to compensate for it and will continue to. the warning is that you must take extra care to protect the ''good'' eye. wear polycarbonate lenses, wear protective eyewear for sports, etc. there maybe some career choices that will not be possible for a person with significant amblyopia.
There is an active yahoogroup which deals with this issue. They were very helpful when I first started exploring the issues around 'lazy-eyes'.
To enroll send an email to: LazyEye-subscribe at yahoogroups.com
They also have an archive of messages that you can check out. Evaa
Hindsight is 20/20 (pun intended)
Important to know about amblyopia:
--has to be addressed before age 5, otherwise the weaker (''lazy'') eye will not accept any more visual messages and ''go to sleep'' (become blind, partially blind, or mostly blind)
--you should be seeing a ped. ophthalmologist (not an optometrist)
--best area ped. ophthalmologist (and considered one of the top in the country) is William Goode, M.D.--various locations: San Ramon, Walnut Creek, SF, Marin County, Stanford.; he has a lovely bedside manner, clnically and surgically brilliant, and, somehow, manages to run on time
--in treating amblyopia (patching, glasses, etc.) you are not only preserving the vision of the eye but you are also preserving stereopsis (the ability to see 3-D), and lessening the issue of not only a functional issue but also a cosmetic issue (often the untreated eye will turn out/in from lack of seeing/use. Often there is a ptosis (drooping of upper eyelid) associated with amblyopia.
--finally, amblyopia has a strong familial presentation; I had it (was treated successfully at an early age), my father and maternal grandmother had amblyopia as well. Consequently my children were (are) screened for it by Goode.
This requires as early intervention as possible.
G Advocate of Early Intervention
selection from article: Amblyopia: Eye Drops Could Be as Effective as Patching
Amblyopia, or “lazy eye,” is the most common cause of visual impairment in children. For years the standard treatment for this disorder has been to patch the unaffected eye in order to stimulate use of the “lazy” eye. In a recent study, researchers found that atropine eye drops, given once a day, worked as well as patching. This research finding may lead to better compliance with treatment and improved quality of life in children with amblyopia. The results appeared in the Archives of Ophthalmology.
After six months of treatment, researchers found that the drug atropine, when placed in the unaffected eye once a day, works as well as eye patching and may encourage better compliance. Compliance is an important factor in the success of amblyopia therapy.
''These results are important because they provide an effective alternative treatment that helps prevent permanent vision impairment for children with amblyopia,'' said Paul A. Sieving, MD, PhD, director of the National Eye Institute, one of the Federal government's National Institutes of Health and the agency that sponsored the study. ''Amblyopia is currently treated by wearing an eye patch over one eye for weeks to months. Children us -ually do not like this treatment approach because of quality of life issues, such as irritation of the skin and teasing by other children. This new study found that atropine eye drops had a higher acceptance rate and better compliance by children and their parents than did patching. This may well become a new standard treatment for some forms of amblyopia.'' susan
Good luck, and please take care of lazy eyes early and talk to your child about it! anon
early intervention is the key. i would recommend going to see dr. deborah orel-bixler at the UC Berkeley School of Optometry Clinic. she is kind, great with kids and makes things go as painlessly as possible. she is also a kid specialist. When you make an appointment (642-2020 or make an appointment via online http://www.caleyecare.com/), make sure you request dr. orel-bixler in the infant/toddler clinic.
hope that helps. judy
Most importantly, the earlier lazy eye is addressed, before 5 years of age, the greater the chance of reclaimed vision. After age 5, the eye, essentially, goes to ''sleep'' because the brain will not recognize visual input. As well, because there are different types of amblyopia, there are different protocols for dealing with the problem--patching as well as other things. Good luck
Physi Patched successfully at a wee age
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