amblyopia

Amblyopia, or "lazy eye," is the most common cause of visual impairment in children. It happens when an eye fails to work properly with the brain. The eye may look normal, but the brain favors the other eye. In some cases, it can affect both eyes. Causes include:

• Strabismus - a disorder in which the two eyes don't line up in the same direction
• Refractive error in an eye - when one eye cannot focus as well as the other, because of a problem with its shape. This includes nearsightedness, farsightedness, and astigmatism.
• Cataract - a clouding in the lens of the eye

It can be hard to diagnose amblyopia. It is often found during a routine vision exam.

Treatment for amblyopia forces the child to use the eye with weaker vision. There are two common ways to do this. One is to have the child wear a patch over the good eye for several hours each day, over a number of weeks to months. The other is with eye drops that temporarily blur vision. Each day, the child gets a drop of a drug called atropine in the stronger eye. It is also sometimes necessary to treat the underlying cause. This could include glasses or surgery.

NIH: National Eye Institute

Even if your eyes feel healthy, you could have a problem and not know it. That's why regular eye exams are so important. Refractive errors are the most common type of vision problem that makes it hard to see clearly. But some eye conditions or diseases don't have any symptoms and can lead to a permanent loss of vision.

Some common eye diseases and conditions include:

• Cataracts, which happens when the clear lens in the front of your eye becomes cloudy. Cataracts are common as you get older and can lead to vision loss.
• Optic nerve disorders, which includes glaucoma. Glaucoma usually happens when the fluid pressure inside your eyes slowly rises.
• Retinal disorders, which are problems with the nerve layer at the back of your eye.
• Macular degeneration, which is a disease that destroys your sharp, central vision.
• Diabetic eye problems, which can cause vision loss and blindness.
• Conjunctivitis, which is an infection also known as pink eye. It can cause pink or red itchy eyes. Some types of pink eye can spread very easily.

Some eye conditions and diseases do not always have symptoms. Early detection through a comprehensive dilated eye exam could help your eye care provider detect diseases in the early stages. Proper treatment could help slow or prevent vision loss.

Get regular eye exams and call your eye care professional right away if you notice any of these symptoms:

• A sudden change in vision
• Everything looks dim
• Flashes of light
• Eye pain
• Double vision
• Fluid coming from your eye
• Inflammation (swelling)

Getting older increases your risk of some eye diseases. Other things that may put you at a higher risk of some eye diseases can include if you:

• Are overweight or obese
• Have a family history of eye disease
• Are African American, Hispanic, or Native American
• Have certain health conditions such as Diabetic eye problems, or high blood pressure

Treatment may depend on the eye condition or disease but can include:

• A new prescription for eyeglasses or contacts
• Use of bright lights or magnifying lenses for reading and other activities
• Medicines
• Prescription eye drops or ointments
• Laser treatment
• Surgery

Depending on your eye condition or disease, treatment may slow vision loss but may not restore vision. Talk to your provider about what treatment is best for you.

Your best defense is to have regular checkups. Be sure to tell your provider if any eye diseases run in your family.

You can also help take care of your vision by making lifestyle changes to lower your risk of health conditions that can cause vision problems. This could include by:

• Protecting your eyes from the sun
• Wearing protective eyewear while using tools or playing certain sports
• Getting regular physical activity
• Staying at a healthy weight
• Quitting smoking (or not starting)
• Eating a healthy diet

NIH: National Eye Institute

Vision impairment is the loss of vision. It includes blindness, which means that you have lost all or most of your sight. It also includes low vision, which means you have some vision, but the vision loss makes it hard to do everyday activities. You may have trouble reading, shopping, cooking, writing, and watching TV. Low vision can't be fixed with glasses, contact lenses, medicine, or surgery.

Aging doesn't cause vision loss on its own. But many diseases that are more common in older adults can cause it. The leading causes of low vision and blindness in the United States are age-related eye diseases such as macular degeneration, cataracts, and glaucoma. Other eye disorders, eye injuries, and birth defects can also cause vision loss.

Vision impairment is diagnosed with a dilated eye exam. Early warning signs of a vision problem can include not being able to see well enough to:

• Do everyday tasks like reading and driving
• Recognize people's faces
• Tell the difference between colors
• See the television or computer screen clearly

You can have these symptoms even though you are wearing glasses or contacts.

There are several types of low vision. Which type you have depends on the condition that caused your low vision.

Common types of low vision include:

• Central vision loss (not being able to see things in the center of your vision)
• Peripheral (side) vision loss (not being able to see things out of the corners of your eyes)
• Night blindness (not being able to see in low light)
• Blurry or hazy vision

Low vision is permanent. Glasses, medicine, and surgery can't cure low vision. But sometimes they can improve your vision, help you do everyday activities more easily, or keep your remaining vision.

Your treatment options will depend on the condition that caused your low vision. Ask your eye doctor which treatments might help you. They may recommend vision aids or vision rehabilitation, which might make everyday activities easier.

Vision rehabilitation teaches you how to live with your vision loss. It may include:

• Showing you how to use a magnifying device or screen readers for reading
• Helping you set up your home so you can move around more easily
• Employment and job training
• Assistive devices, like lighting and reading stands

Your provider may suggest other resources, such as transportation and household services, to help you cope with your vision loss.

The sooner vision loss or eye disease is found and treated, the greater your chances of keeping your remaining vision. Whatever the cause, lost vision cannot be restored. But it can be managed. A loss of vision means you may have to reorganize your life and learn new ways of doing things. Your provider may make suggestions to help make life easier. These may include:

If you have some vision:

• Visual aids such as magnifiers
• Telescopic glasses or monoculars for seeing distance
• Large print books
• Clocks with larger numbers
• Brighter lights
• Anti-glare sunglasses or glare shields

If you have no vision (blindness):

• Devices like text-reading software and braille books

You can help take care of your vision by:

• Having regular comprehensive eye exams by an eye care professional
• Wearing sunglasses and protective eyewear to protect your eyes
• Making lifestyle changes to lower your risk of health conditions that can cause vision problems:
  • Getting regular physical activity
  • Staying at a healthy weight
  • Quitting smoking (or not starting)
  • Eating a healthy diet

NIH: National Eye Institute