Can Amblyopia Progression Be Controlled in Children? - Ophthalmology

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Can amblyopia be controlled to prevent worsening?


Dear Doctor,
My son is almost six years old.
He was diagnosed with congenital amblyopia by an ophthalmologist before he turned three, and he has been wearing glasses since then.
Previously, his right eye was measured at over 600 degrees of myopia, while his left eye had astigmatism of 250 degrees and myopia of over 100 degrees.
Despite several years of correction, there has been no change.
However, during a check-up at the end of March this year, it was found that his right eye has deteriorated to 800 degrees of myopia, and his left eye is now at 400 degrees of myopia, while the astigmatism in his left eye has remained unchanged.
I see my son struggling with his homework every day, and it breaks my heart.
Currently, his prescription is approximately 550 degrees for the right eye and 250 degrees of astigmatism and 100 degrees of myopia for the left eye.
Can you please help him?
Sincerely,
Bing-Kan's Mother

Bingkan Mama, 30~39 year old female. Ask Date: 2007/04/09

Dr. Feng Jiefan reply Ophthalmology


Hello: According to the description, the patient has refractive issues caused by high myopia combined with astigmatism.
Generally, visual development should improve with the use of corrective lenses, provided there are no congenital structural abnormalities such as cataracts.
Therefore, the vision with glasses should reach the level of peers of the same age.
The mother's concern seems to be about the progression of myopia rather than amblyopia.
The increase in myopia can be attributed to both congenital genetics and environmental factors, of which we can only control the environment.
This includes vision care, reducing eye strain, maintaining good posture, limiting computer use, and watching less television.
Additionally, seeking assistance from an ophthalmologist for pharmacological support may be beneficial.
With effort, we believe there will be positive results.
Sincerely, Dr.
Feng Jie-Fan, Ophthalmologist.

Reply Date: 2007/04/09

More Info


Amblyopia, commonly referred to as "lazy eye," is a condition where one eye does not develop proper vision, leading to reduced visual acuity in that eye. It is crucial to address this condition early in childhood, as the visual system is still developing. In your case, it appears that your son has been diagnosed with amblyopia and has been wearing corrective lenses since he was three years old. However, the recent increase in his prescription indicates that his condition may not be improving as hoped.

To answer your question about whether amblyopia progression can be controlled in children, the short answer is yes, but it requires a multifaceted approach. Here are several strategies that may help manage and potentially improve your son's condition:
1. Consistent Use of Corrective Lenses: It is essential for your son to wear his prescribed glasses consistently. This helps to correct refractive errors and can improve visual input to the brain, which is crucial for visual development.

2. Occlusion Therapy (Patching): One of the most common treatments for amblyopia is occlusion therapy, where the stronger eye is patched to force the weaker eye to work harder. This can help improve the vision in the amblyopic eye. The duration and frequency of patching should be determined by an eye care professional based on your son's specific needs.

3. Vision Therapy: In some cases, vision therapy may be recommended. This involves a series of exercises designed to improve coordination and visual processing skills. A trained optometrist or ophthalmologist can provide a tailored program for your son.

4. Regular Eye Examinations: Frequent check-ups with an eye specialist are vital to monitor your son's vision and adjust treatment as necessary. If his vision is deteriorating, it may indicate that the current treatment plan needs to be reassessed.

5. Addressing Underlying Issues: Sometimes, amblyopia can be exacerbated by other issues such as strabismus (crossed eyes) or significant differences in refractive error between the two eyes. If your son has any of these conditions, they may need to be treated in conjunction with amblyopia.

6. Encouraging Visual Activities: Engaging your son in activities that promote the use of his weaker eye can also be beneficial. This could include games that require focusing on objects at different distances or using visual aids that encourage him to use both eyes.

7. Nutrition and Overall Health: A healthy diet rich in vitamins and minerals can support eye health. Ensure your son is getting adequate nutrition, including foods high in omega-3 fatty acids, vitamins A, C, and E, and zinc.

8. Limit Screen Time: Excessive screen time can strain the eyes. Encourage breaks and outdoor play, which can be beneficial for eye health.

It is understandable that you feel concerned about your son's vision and the recent changes in his prescription. It is essential to communicate openly with your eye care provider about your concerns and explore all available treatment options. Early intervention is key in managing amblyopia, and while it may not be possible to completely reverse the condition, significant improvements can often be achieved with the right approach.

In conclusion, while amblyopia can be a challenging condition, there are effective strategies to manage and potentially improve your son's vision. Regular follow-ups with an eye care professional, adherence to prescribed treatments, and supportive home practices can make a significant difference in his visual development.

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