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D N Y A N E S H W A R B H A G W A N P O T F O D E
Amblyopia (lazy eye)
Defination
Partial or total loss of vision in
one or both eye, in the absence
of any organic disease of
ocular media, retina and
visual pathway.
 Amblyopia is a vision development
disorder in which an eye fails to achieve
normal visual acuity, even with
prescription eyeglasses or contact lenses.
 Amblyopia begins during infancy and early
childhood. In most cases, only one eye is
affected. But in some cases, reduced visual
acuity can occur in both eyes.
Type of amblyopia
Strabismus amblyopia
Stimulus deprivation amblyopia
Anisometropic amblyopia
Isoametropia amblyopia
Meridional amblyopia
Strabismus amblyopia
 Prolong uniocular suppresion in
children with unilateral costant squint
who fixate with normal eye.
Stimulus deprivation amblyopia
 Develops when one eye is totally excludede from
seeing early in life.
 Congenital and traumatic cataract
 Complete ptosis
 Dense central corneal opacity
Stimulus deprivation amblyopia
Anisometropic amblyopia
 Occur in higher degree of refractive error than the
fellow eye.
 It is more common in aniso-hypermetropic than the
anoso-mypic children.
Iso-ametropic amblyopia
 It is bilateral amblyopia occurring in children with
bilateral uncorrected high refractive error.
Meridionial amblyopia
 Its occur in children with uncorrected astigmatic
refractive error.
 It is selective amblyopia for specific visual meridian.
Risk factor
Factors associated with an increased risk of lazy eye
include:
 Premature birth
 Small size at birth
 Family history of lazy eye
 Developmental disabilities
Clinical characteristics
 1) visual acuity
 2) Effect of neutral density filter
 3) Crowding phenomenon
 4) fixation pattern
Sign and symptomes
 An eye that wanders inward or outward
 Eyes that appear to not work together
 Poor depth perception
 Squinting or shutting an eye
 Head tilting
 Abnormal results of vision screening tests
Treatment of amblyopia
 Treatment of amblyopia started as early as possible
 Yonger the child better prognosis
 Occlusion therapy
 Remove Opacity in the media
 Correct Refractive error
Occlusion therapy
 Occlusion of affected eye to force use of
Remove opacity in the media
 Corneal opacity
 Cataract
 Vitreous opacity
Correct refractive error
 Refractive error if any should be fully corrected.
Complication
 Untreated, lazy eye can cause permanent vision loss
Toxic amblyopia
 Tobacco
 Ethyl alcohol amblyopia
 Methyl alcohol amblyopia
 Quinine amblyopia
 Ethambutol amblyopia
Thank you

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Amblyopia (lazy eye)

  • 1. D N Y A N E S H W A R B H A G W A N P O T F O D E Amblyopia (lazy eye)
  • 2. Defination Partial or total loss of vision in one or both eye, in the absence of any organic disease of ocular media, retina and visual pathway.
  • 3.  Amblyopia is a vision development disorder in which an eye fails to achieve normal visual acuity, even with prescription eyeglasses or contact lenses.  Amblyopia begins during infancy and early childhood. In most cases, only one eye is affected. But in some cases, reduced visual acuity can occur in both eyes.
  • 4. Type of amblyopia Strabismus amblyopia Stimulus deprivation amblyopia Anisometropic amblyopia Isoametropia amblyopia Meridional amblyopia
  • 5. Strabismus amblyopia  Prolong uniocular suppresion in children with unilateral costant squint who fixate with normal eye.
  • 6. Stimulus deprivation amblyopia  Develops when one eye is totally excludede from seeing early in life.  Congenital and traumatic cataract  Complete ptosis  Dense central corneal opacity
  • 8. Anisometropic amblyopia  Occur in higher degree of refractive error than the fellow eye.  It is more common in aniso-hypermetropic than the anoso-mypic children.
  • 9. Iso-ametropic amblyopia  It is bilateral amblyopia occurring in children with bilateral uncorrected high refractive error.
  • 10. Meridionial amblyopia  Its occur in children with uncorrected astigmatic refractive error.  It is selective amblyopia for specific visual meridian.
  • 11. Risk factor Factors associated with an increased risk of lazy eye include:  Premature birth  Small size at birth  Family history of lazy eye  Developmental disabilities
  • 12. Clinical characteristics  1) visual acuity  2) Effect of neutral density filter  3) Crowding phenomenon  4) fixation pattern
  • 13. Sign and symptomes  An eye that wanders inward or outward  Eyes that appear to not work together  Poor depth perception  Squinting or shutting an eye  Head tilting  Abnormal results of vision screening tests
  • 14. Treatment of amblyopia  Treatment of amblyopia started as early as possible  Yonger the child better prognosis  Occlusion therapy  Remove Opacity in the media  Correct Refractive error
  • 15. Occlusion therapy  Occlusion of affected eye to force use of
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  • 18. Remove opacity in the media  Corneal opacity  Cataract  Vitreous opacity
  • 19. Correct refractive error  Refractive error if any should be fully corrected.
  • 20. Complication  Untreated, lazy eye can cause permanent vision loss
  • 21. Toxic amblyopia  Tobacco  Ethyl alcohol amblyopia  Methyl alcohol amblyopia  Quinine amblyopia  Ethambutol amblyopia