Can Vision Therapy Help Correct Amblyopia in a 17-Year-Old? - Ophthalmology

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Correction issues for amblyopia in the left eye?


Hello, doctor.
I am 17 years old and recently went to an ophthalmologist to get new glasses because my prescription was insufficient.
I discovered that I have amblyopia in my left eye (with corrected vision of less than 0.6).
The ophthalmologist mentioned that I have been relying on my right eye for vision, which has led to amblyopia in my left eye.
I would like to ask if occlusion therapy would be effective for me at this age, or if there are other methods available for training and correction?

Wen, 10~19 year old female. Ask Date: 2015/11/28

Dr. Gao Pilin reply Ophthalmology


Hello Wen: At the age of 17, treatment for amblyopia may be less effective since visual development is already complete.
Currently, there are no specific methods available for training or correction.
Patching therapy may also have limited effects.
However, it is still recommended to obtain glasses with adequate prescription.
The ophthalmology department at Puzi Hospital in Taiwan is open from Monday to Friday, 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Best regards, Gao Pi-Lin.

Reply Date: 2015/11/28

More Info


Amblyopia, commonly known as "lazy eye," is a condition where one eye has reduced vision that is not correctable by glasses or contact lenses. It typically develops in childhood, and the earlier it is diagnosed and treated, the better the chances of improvement. However, the question of whether vision therapy can help correct amblyopia in a 17-year-old is complex and depends on various factors.

At the age of 17, the visual system is largely developed, and while some studies suggest that treatment can still be effective in older children and even young adults, the success rates are generally lower compared to younger children. Traditional treatments for amblyopia often include patching the stronger eye (in your case, the right eye) to encourage the weaker eye (the left eye) to work harder. This method can help improve the visual acuity of the amblyopic eye, but it requires consistent effort and motivation from the patient.

In addition to patching, vision therapy can be employed. Vision therapy is a structured program of visual activities designed to improve visual skills and processing. It may include exercises to enhance eye coordination, focusing abilities, and visual perception. While vision therapy can be beneficial, its effectiveness in treating amblyopia in older adolescents is still a subject of research. Some studies have shown that older patients can experience improvements, especially when combined with other treatments like patching or the use of atropine drops in the stronger eye to blur vision temporarily.

At your age, it is essential to have realistic expectations. While some improvement is possible, it may not reach the same level as it would have if treatment had started earlier in childhood. The key to success will be your commitment to the treatment plan and regular follow-ups with your eye care professional.

In addition to patching and vision therapy, there are other options you might consider. For instance, some practitioners use pharmacological treatments, such as atropine drops, which can help improve vision in the amblyopic eye by temporarily blurring the vision in the stronger eye. This method can be particularly useful for individuals who may not be compliant with patching.

It's also important to address any underlying issues that may contribute to amblyopia, such as refractive errors (like significant uncorrected hyperopia or astigmatism). Ensuring that you have the correct prescription for your glasses is crucial, as wearing the appropriate lenses can help improve overall visual function.

In summary, while treating amblyopia at 17 years old may present challenges, it is not impossible. Engaging in a comprehensive treatment plan that includes patching, vision therapy, and possibly pharmacological interventions can yield positive results. It is vital to maintain open communication with your eye care provider, who can tailor a treatment plan to your specific needs and monitor your progress. Regular follow-ups will help assess the effectiveness of the treatment and make necessary adjustments. Remember, the earlier you start, the better your chances for improvement, so take proactive steps toward your vision health.

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