by Alison N. Haughton, MA
Amblyopia, often called lazy eye, is a reduction of vision in one eye that is not correctable with glasses.
There are 5 types of amblyopia:
Amblyopia is caused when the brain prefers one eye to the other. The brain’s preference can weaken and reduce vision in the eye that is less used.
Genetic and environmental factors do not cause amblyopia.
Amblyopia is more common in children under 10 years old with:
Amblyopia can also occur in adults.
Some people with amblyopia may not have symptoms. In those with symptoms, amblyopia may cause:
Symptoms vary depending on severity.
You will be asked about your symptoms and medical history. An eye exam will be done. Since amblyopia tends to occur in young children, the tests performed will depend on age and ability to respond.
Tests to evaluate the eyes may include:
The sooner amblyopia is treated, the more favorable the outcome.
Treatment includes correcting visual obstructions, such as cataracts and other visual abnormalities.
Talk to your doctor about the best option for you. These may include:
Atropine drops or ointment is placed in the non-amblyopic eye. This causes the sound eye to become unfocused and forces the use of the lazy eye.
Occlusive therapy involves using a patch over the unaffected eye, forcing the use of the lazy eye.
Bangerter foils are another option. The foils, which are made of thin vinyl, are placed over an eye glass lens, covering the unaffected eye. Just like with the patch, this forces the weaker eye to become stronger.
While there are no current guidelines to prevent amblyopia, vision screening can help to detect the condition at an early age. Children under age 3-5 years should be examined for eye problems.
Eye Smart—American Ophthalmology
National Eye Institute
Canadian National Institute for the Blind
Canadian Ophthalmological Society
Amblyopia. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T114848/Amblyopia . Updated January 8, 2016. Accessed December 13, 2017.
Amblyopia. American Association for Pediatric Ophthalmology and Strabismus website. Available at: https://www.aapos.org/terms/conditions/21. Updated March 2017. Accessed January 2, 2018.
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Sakatani K, Jabbur NS, et al. Improvement in best corrected visual acuity in amblyopic adult eyes after laser in situ keratomileusis. J Cataract Refract Surg. 2004;30(12):2517-2521.
5/28/2010 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T114848/Amblyopia : Pediatric Eye Disease Investigator Group Writing Committee, Rutstein RP, Quinn GE, et al. A randomized trial comparing Bangerter filters and patching for the treatment of moderate amblyopia in children. Ophthalmology. 2010;117(5):998-1004.
2/4/2011 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T114848/Amblyopia : US Preventive Services Task Force. Vision screening for children 1 to 5 years of age: US Preventive Services Task Force recommendation statement. Pediatrics. 2011;127(2):340-346.
Last reviewed November 2018 by EBSCO Medical Review Board Michael Woods, MD, FAAP
Last Updated: 12/13/2017
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