Lazy Eye: Causes and Concerns for Your Teen - Ophthalmology

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Suspected amblyopia?


Hello, doctor.
I would like to ask about my 15-year-old son.
Recently, he mentioned that he has noticed that one of his eyes seems to lack strength and feels like it is "drooping" when he is in a relaxed state, but he does not experience this symptom during his normal daily activities.
After searching online, it seems to be related to "lazy eye." Could this be caused by any unhealthy lifestyle habits? He has not experienced similar symptoms before.

Zhang Yicheng, 10~19 year old female. Ask Date: 2023/12/18

Dr. He Jianxian reply Ophthalmology


Dear Mr.
Zhang Yicheng,
The medical term for "lazy eye" is amblyopia.
If your child has amblyopia, it should have been detected at a young age, not at this point.
A more likely scenario is the presence of latent strabismus, where the eyes may deviate and appear unfocused when attention is not concentrated.
Sincerely,
Director He Jianxian, Ophthalmology Department, Nantou Hospital

Reply Date: 2023/12/18

More Info


Lazy eye, or amblyopia, is a condition that typically develops in childhood and can lead to reduced vision in one eye. It occurs when the brain and the affected eye do not work together properly, causing the brain to favor the other eye. This can result in the affected eye becoming weaker over time. Your son's description of his eye feeling "weak" or "droopy" when he is not focused could indeed be indicative of amblyopia, especially if he has not experienced these symptoms before.

Several factors can contribute to the development of lazy eye. One common cause is strabismus, where the eyes are misaligned and do not point in the same direction. This misalignment can cause the brain to ignore the input from one eye, leading to amblyopia. Another cause can be significant differences in refractive error between the two eyes, such as one eye being more nearsighted or farsighted than the other. In some cases, conditions like cataracts or other eye diseases can also lead to amblyopia if they obstruct vision in one eye during critical periods of visual development.

Regarding lifestyle factors, prolonged screen time, poor posture, and lack of outdoor activity can contribute to eye strain and may exacerbate existing vision problems. However, these factors alone are not typically direct causes of amblyopia. It is essential to note that amblyopia is often a developmental issue rather than one caused by lifestyle choices.
If your son is experiencing these symptoms, it is crucial to seek an evaluation from an eye care professional, preferably a pediatric ophthalmologist. They can perform a comprehensive eye examination to determine if amblyopia or another vision issue is present. Early detection and treatment are vital, as the earlier amblyopia is diagnosed, the more effective the treatment can be. Treatment options may include corrective lenses, patching the stronger eye to encourage use of the weaker eye, or vision therapy exercises.

In addition to professional evaluation, encouraging healthy eye habits can be beneficial. This includes limiting screen time, ensuring proper lighting while reading or using devices, and promoting outdoor activities, which can help reduce eye strain and improve overall eye health.

In summary, while your son's symptoms may suggest amblyopia, it is essential to consult with an eye care professional for a proper diagnosis and treatment plan. Early intervention can significantly improve outcomes and help your son achieve better vision.

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