Amblyopia: Genetic Factors and Contact Lens Concerns - Ophthalmology

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I would like to ask a question about contact lenses?


I am not sure if amblyopia is hereditary.
My mother has it, and I also have it.
My mother said it might have been passed down to me, which is why there is a significant difference in the prescription between my left and right eyes.
My left eye is noticeably less clear than my right eye.
I used to wear glasses while studying, but it didn't seem to improve my vision, so I stopped wearing them for a while, thinking it didn't make a difference.
I completely neglected my eyesight.
Now, due to work, I wear contact lenses.
I work 12 hours a day and use daily disposable lenses.
Sometimes, when I take them out, my eyes feel extremely sore and fatigued, with slight redness and bloodshot appearance.
On my days off, I don’t wear contact lenses at all, thinking it would be a good rest for my eyes.
Recently, I’ve been wondering if wearing glasses would be better for me.
However, I often feel that glasses don't look good on me, yet I hope to improve my vision.
I feel very conflicted.
Can I wear glasses for just a few hours a day? Would that be ineffective? Contact lenses are very convenient for me.
Previously, when I visited an optical shop, the owner said my astigmatism is quite severe.
I am worried that my vision might deteriorate quickly in the future or that I might develop glaucoma or even blindness.
I realize now how important my eyes are.
What should I do? Can the doctor help me? I apologize for having so many questions.
Thank you for your help!

Xiao Ruo, 20~29 year old female. Ask Date: 2010/04/17

Dr. Xie Wenzhen reply Ophthalmology


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: What is your best corrected vision with glasses? If your corrected vision is 0.8 or above and you are currently 21 years old, you should not be overly concerned about amblyopia.
Additionally, wearing glasses is generally better than wearing contact lenses, especially if you have severe astigmatism or significant vision deterioration.
There is no direct correlation between glaucoma or blindness and these conditions; it is more important to focus on the care and maintenance of your optic nerve in the future.
Lastly, I wish you peace and happiness!

Reply Date: 2010/04/17

More Info


Amblyopia, commonly referred to as "lazy eye," is a condition where one eye does not achieve normal visual acuity, often due to a lack of proper visual stimulation during early childhood. It can indeed have genetic factors, as you mentioned, since your mother has it, and you also experience significant differences in visual acuity between your eyes. This condition can be hereditary, meaning that if a parent has amblyopia, their children may also be at risk of developing it. The genetic basis of amblyopia is complex and can involve multiple genes that affect eye development and function.

In your case, the significant difference in vision between your left and right eyes suggests that amblyopia could be a contributing factor. The fact that you have not seen improvement with glasses in the past may indicate that the amblyopia was not adequately treated during the critical period of visual development, which typically occurs in early childhood. Treatment for amblyopia is most effective when initiated early, as the brain is more adaptable during this time.

Regarding your concerns about contact lenses, wearing them for long hours, especially in a work environment that requires prolonged focus, can lead to eye fatigue and discomfort. The symptoms you describe, such as redness, irritation, and a feeling of strain, are common among contact lens users, particularly if the lenses are worn for extended periods without breaks. It is essential to give your eyes regular rest, especially if you experience discomfort. If you find that your eyes feel better without contact lenses, it might be worth considering a balance between wearing glasses and contacts.

You mentioned that you feel conflicted about wearing glasses due to aesthetic reasons. However, it is crucial to prioritize your eye health. Glasses can provide a break for your eyes from the strain of contact lenses, especially if you wear them for long hours. You can certainly wear glasses for a few hours a day, but keep in mind that consistent use of corrective lenses is essential for managing amblyopia and preventing further deterioration of your vision.

If you are concerned about the long-term effects of your current vision issues, such as the risk of glaucoma or blindness, it is vital to consult with an eye care professional. Regular eye examinations can help monitor your eye health and detect any potential issues early. They can also provide personalized advice on the best corrective options for your situation, whether that be glasses, contact lenses, or other treatments.

In summary, amblyopia can have genetic factors, and it is essential to address it early for the best outcomes. While contact lenses offer convenience, they should not replace the need for regular eye care and the use of corrective lenses as needed. Prioritize your eye health by consulting with an eye care professional, and consider a balanced approach to wearing glasses and contact lenses to ensure your vision remains stable and healthy.

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