What is Lazy Eyes (Amblyopia) ?

"Doctor, will my child develop a lazy eye?" This is a common concern among parents. Let's delve into the details of "lazy eye" or "amblyopia" for a better understanding.

Understanding Lazy Eye

Lazy eye, also known as amblyopia, is a condition where one eye has weaker vision than the other. The affected eye perceives images less clearly than the healthy eye. Typically, this condition manifests in children, from infancy up to around 6 or 7 years old. Without proper and timely treatment, it can lead to permanent, uncorrectable vision issues. No corrective measures, be it glasses, eye drops, surgery, or eye patches, can fully restore vision.

Recognizing Lazy Eye Symptoms

In the natural course of development, a child's eyes grow and mature from birth. However, any irregularities in one eye's function that hinder its full utilization can result in a lazy eye. The brain adapts by favoring the stronger eye, which compromises the weaker eye's development. As a result, the weaker eye never fully matures.

Lazy eye can be effectively treated when parents observe their child's behavior and promptly seek medical attention. Unfortunately, some parents are unaware of what lazy eye entails, leading to missed opportunities for treatment. In most cases, if treatment is delayed until a child is over 7 years old, the chance of fully correcting vision decreases significantly or may become non-existent.

Causes of Lazy Eye

Lazy eye can stem from various factors, including:

Crossed or Strabismic Eye: Children with crossed eyes, where one eye turns inward, may struggle with clear vision. The brain may suppress the image from the misaligned eye.

Unequal Refractive Errors: When one eye has significantly different refractive errors (nearsightedness or farsightedness) than the other, the brain may prioritize the clearer image.

Eye Conditions: Other eye conditions, such as congenital cataracts, glaucoma, drooping eyelids, or bleeding into the vitreous humor (jelly of the eye), can cause poor vision and contribute to lazy eye.

Lazy eye is treatable, and early intervention is paramount. If you suspect your child may have lazy eye, do not hesitate to consult a healthcare professional for an evaluation and appropriate treatment.

What Causes Eye Floaters and Dark Spots in Vision?

Eye floaters—tiny strands or dark spots that appear in your vision—are usually caused by vitreous degeneration. They are not dangerous but can be bothersome. Floaters occur when the vitreous gel deteriorates, causing collagen fibers to clump together into small strands or specks that cast moving shadows in your vision, especially when looking at bright backgrounds. Most floaters do not require treatment and tend to become less noticeable over time. However, if they significantly affect your vision or are accompanied by serious symptoms, they can be treated with laser therapy, cryotherapy, or vitrectomy. Eye floaters, often described as small dark specks or thread-like shapes drifting across your vision, are very common. They occur when tiny fragments of tissue float within the vitreous gel inside the eye. Although floaters are usually harmless, some cases may indicate underlying eye conditions that require proper evaluation and treatment. To ensure safety and prevent complications, let’s explore their causes, symptoms, and recommended care. What Are Eye Floaters or Vitreous Degeneration? Vitreous degeneration commonly occurs with age, especially in middle-aged and older adults. The vitreous, once a clear gel, gradually liquefies and forms tiny fibrous clumps that appear as floaters—dark spots, strands, or cobweb-like shapes—particularly noticeable against bright backgrounds. Some people may also experience Posterior Vitreous Detachment (PVD), a condition where the vitreous pulls away from the retina. This may cause flashes of light similar to lightning. If symptoms worsen or are accompanied by retinal problems, an eye doctor should evaluate the condition promptly. Causes of Eye Floaters Floaters or vitreous deterioration can result from several factors beyond aging, including lifestyle habits and eye health conditions: Aging – The most common cause. Vitreous fibers shrink and clump as we get older. Nearsightedness (Myopia) – People with high myopia may develop vitreous degeneration earlier and at twice the rate of those with normal vision. Diabetes – Diabetes can damage retinal blood vessels, causing new vessels to grow into the vitreous, which may rupture and bleed. Eye surgery – Cataract or glaucoma surgery may alter the vitreous structure, leading to clumping. Vitreous hemorrhage – Trauma or injury can cause bleeding in the vitreous, appearing as dark spots. Inflammation – Infections, autoimmune disorders, or certain cancers may trigger inflammation in the vitreous or retina. Symptoms of Vitreous Degeneration Many people first notice floaters drifting across their field of vision. Common symptoms include: Seeing dark spots, strands, or cobweb-like shapes that move with eye movement Floaters appearing more prominently in bright environments Flashes of light, similar to camera flashes or lightning, caused by vitreous traction on the retina Who Is More Likely to Develop Eye Floaters? Although floaters are generally harmless, certain groups are more prone to developing them: Adults aged 50 years or older Individuals with high myopia (more than -6.00) People who frequently strain their eyes Those with a history of eye injury or eye surgery When to Seek Immediate Medical Attention Floaters are usually benign, but sometimes they indicate more serious issues such as retinal tears or retinal detachment. Visit an ophthalmologist immediately if you notice: Frequent or sudden flashes of light A rapid increase in floaters A curtain-like shadow or dark area blocking part of your vision Diagnosis Eye doctors begin with a medical history and symptom review, then examine the front of the eye using a slit-lamp microscope. Eye-dilating drops are used to examine the vitreous and retina in detail to assess visual clarity and retinal health. Treatment for Eye Floaters In most cases, floaters fade or become less bothersome over time. However, if they affect vision or are associated with retinal problems, treatment options include: Laser Treatment Laser therapy breaks up or moves vitreous clumps away from the line of sight. It may help in cases where floaters are clearly defined and not too close to the retina.However, research shows that the benefits may not always outweigh the risks, so it is not suitable for everyone. Cryotherapy Cryotherapy uses extreme cold to seal retinal tears and prevent retinal detachment, which sometimes accompanies floaters in certain patients. Vitrectomy Recommended only for severe floaters or when accompanied by retinal tears or detachment. The surgeon removes the deteriorated vitreous and replaces it with saline or other solutions. The body naturally regenerates vitreous gel over time. Prevention Tips While floaters cannot be completely prevented, proper eye care can reduce risks: Avoid rubbing your eyes forcefully and protect them from impact Avoid prolonged eye use in dim environments Avoid sleeping with bright lights on Get annual eye examinations, especially for older adults Wear protective eyewear when working in construction, factories, or with hazardous materials Summary Eye floaters occur when deteriorated fibers or tissue in the vitreous cast shadows on the retina. Common with aging or eye trauma, floaters are typically harmless but may sometimes signal retinal issues.Bangkok Eye Hospital offers comprehensive vitreous and retinal examinations by expert ophthalmologists to diagnose issues accurately and provide proper care. If you notice unusual symptoms, schedule an appointment promptly for peace of mind and long-term eye health. Frequently Asked Questions (FAQ) Can eye floaters go away on their own? Floaters rarely disappear completely, but most people adapt over time, making them less noticeable. They generally do not affect vision or overall eye health. How long do floaters last? Floaters may persist for months or even years, but the discomfort usually decreases as your brain adapts. Can I use artificial tears if I have floaters or vitreous degeneration? Yes. Artificial tears can relieve dryness or discomfort, although they do not eliminate floaters themselves.