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What is Anisometropia

Anisometropia is an eye condition which the two eyes have unequal power. One eye can be nearsighted or, farsighted or can have a combination of both. This condition is called antimetropia. Generally a difference in power of two diopters or more is the accepted anisometropia.

This condition occurs when your eyes have different refractive powers, that can result your eyes to focus unevenly. Normally Anisometropia occur when the two eye are a different size or different shape than the other. This condition causes unsymmetrical curvatures, unsymmetrical farsightedness, or asymmetric nearsightedness.

One of the most common causes of amblyopia that is also known as Lazy Eye, is Anisometropia.

Causes:

We still do not know completely what the causes of anisometropia are.  But having different eye sizes can be a major factor.

Anisometropia influences our binocular vision. Any individual with anisometropia normally see a larger image with one eye and a smaller image with the other eye and causes blurry vision. Therefore, one of the eyes may become weaker than the other that cause the brain to favor the stronger eye. This can cause amblyopia if the anisometropia is not caught and treated early. People with untreated anisometropia may experience symptoms like headaches, nausea, dizziness, visual discomfort and poor depth perception.

Although anisometropia can be present from birth and it is not typically discover until childhood. About 6% of all children between the ages of 5 and 18 suffer from anisometropia.

There are three types of anisometropia:

Simple Anisometropia

This is when one eye is
affected while the other eye has no refractive error. The eye can be either nearsighted or farsighted.
This kind of anisometropia can be treated using spactacles. Simple
anisometropia causes one eye to see a clear image and the other eye sees blurry
image.

Compound Anisometropia

This is when both eyes are
myopic or nearsighted, although there will be a significant difference in their
refractive errors. This causes one eye to see a more blurred image than the
other.  This
form of anisometropia causes both eyes to see blurry images, but one eye’s
vision will be significantly blurrier.

Mixed Anisometropia

Mixed anisometropia occurs when both eyes have refractive errors but one is myopic (nearsighted), and the other is hyperopic (farsighted).

Treatment & Management Options

Anisometropia needs to be treated as soon as it is diagnosed. If treatment is delayed the brain may decide to favor the eye that presents a clearer image over the other eye, leading to dependence on the stronger eye. If this occurs, the non-favored eye will become increasingly weaker.

Anisometropia can be treated using a variety of methods, which are determined based on the severity of the condition. Treatments can include corrective lenses, contact lenses, or laser eye surgery. For corrective lenses or contact lenses to be effective they will need to be different prescriptions so that each eye can have its visual needs met.

Individuals with large degrees anisometropia
typically cannot rely on corrective lenses for treatment. Eyeglasses have a
magnifying effect, which can significantly change the size of the image seen by
each eye. As such individuals with large degrees of anisometropia may find that
eyeglasses negatively affect their binocular vision.

If you have questions, you can talk to our team for recommendations. To book an appointment for an eye exam to see an optometrist, call us at 905-832-6262. 

Please click here for more info.

Our Maple optometrist Location:

Eyes on Eyes Optical

9929 Keele St, Unit 110, Maple, ON L6A 1Y5,    Tel: 905-832-6262


LazyEye

Lazy Eye

Lazy eye is an early childhood condition in which a child's eyesight does not develop as it should in one eye. Lazy eye is also known as Amblyopia.

When a child has lazy eye, the brain only focuses on a good eye more than the other, practically ignoring the lazy eye. If that eye is not activated properly, the nerve cells responsible for vision do not mature normally.

Lazy eye affects approximately %2 of all children in north of America. Lazy eye is the most common cause of partial or total blindness in one eye.

  • Lazy eye is not a problem with the eye. The term "lazy eye" is misleading because the eye is not lazy. In fact, it is a developmental problem in the nerve connecting the eye to the brain, not a problem in the eye itself. Lazy eye can be caused by a number of factors, including a muscle imbalance or eye disease. Cure can be effective if it begins earlier when child is younger.
  • Symptoms of lazy eye includes blurred vision and poor depth perception. After child is 8 years of age, vision improvement drops somewhat but still can be effective.
  • Many children who have unequal vision, or an isometropia, do not know they have an eye problem because the stronger eye and the brain compensate for the shortfall. The weaker eye gets progressively worse, and amblyopia develops.
  • A child with near-sightedness, far-sightedness, or astigmatism will be prescribed glasses.  The child with Lazy eye have to wear spectacle at all the time so that the specialist can monitor how effective they are at improving the vision problems. Spectacles may also correct an eye turn. Sometimes, glasses can solve the lazy eye, and no more treatment is required.

How to Fix Lazy Eye or Amblyopia

Early treatment of lazy eye is usually easy with wearing eyeglasses, vision therapy, Atropine drops, eye patching. Detection and correction before the age of two or at younger age is considered to get the best result.   Neuroscience has proven that the human brain can change at any age, so lazy eye is treatable at any age. Studies on neuroplasticity of the brain in adults are now showing that therapies can improve the vision in lazy eye conditions in older children and adults.

Treatment of amblyopia after the age of 17 is not dependent upon age but requires more effort including vision therapy. Every patient with lazy eye deserves an attempt at treatment.

Exercises help to correct vision.  Usually the stronger eye may be patched, and the weaker eye stimulated with a range of vision-intensive activities, such as coloring, dot-to-dot drawing, word games, or building Lego, depending on the age of the child. People with Lazy eye, recommend to do an eye exam every year with optometrist or Ophthomologist. Eye examination for people with lazy eye is covered by Ohip.