Diagnosis
Your doctor will conduct an eye exam, checking for eye health, a wandering eye, a difference in vision between the eyes or poor vision in both eyes. Eyedrops are generally used to dilate the eyes. The eyedrops cause blurred vision that lasts for several hours or a day.
The method used to test vision depends on your child's age and stage of development:
- Preverbal children. A lighted magnifying device can be used to detect cataracts. Other tests can assess an infant's or toddler's ability to fix his or her gaze and to follow a moving object.
- Children age 3 and older. Tests using pictures or letters can assess the child's vision. Each eye is covered in turn to test the other.
Treatment
It's important to start treatment for lazy eye as soon as possible in childhood, when the complicated connections between the eye and the brain are forming. The best results occur when treatment starts before age 7, although half of children between the ages of 7 and 17 respond to treatment.
Treatment options depend on the cause of lazy eye and on how much the condition is affecting your child's vision. Your doctor might recommend:
- Corrective eyewear. Glasses or contact lenses can correct problems such as nearsightedness, farsightedness or astigmatism that result in lazy eye.
- Eye patches. To stimulate the weaker eye, your child wears an eye patch over the eye with better vision for two to six or more hours a day. In rare cases, wearing an eye patch too long can cause amblyopia to develop in the patched eye. However it's usually reversible.
- Bangerter filter. This special filter is placed on the eyeglass lens of the stronger eye. The filter blurs the stronger eye and, like an eye patch, works to stimulate the weaker eye.
- Eyedrops. An eyedrop of a medication called atropine (Isopto Atropine) can temporarily blur vision in the stronger eye. Usually prescribed for use on weekends or daily, use of the drops encourages your child to use the weaker eye, and offers an alternative to a patch. Side effects include sensitivity to light and eye irritation.
- Surgery. Your child might need surgery if he or she has droopy eyelids or cataracts that cause deprivation amblyopia. If your child's eyes continue to cross or wander apart with the appropriate glasses, your doctor might recommend surgical repair to straighten the eyes, in addition to other lazy eye treatments.
Activity-based treatments — such as drawing, doing puzzles or playing computer games — are available. The effectiveness of adding these activities to other therapies hasn't been proved. Research into new treatments is ongoing.
For most children with lazy eye, proper treatment improves vision within weeks to months. Treatment might last from six months to two years.
It's important for your child to be monitored for recurrence of lazy eye — which can happen in up to 25 percent of children with the condition. If lazy eye recurs, treatment will need to start again.
Preparing for your appointment
Your child's doctor might refer you to a doctor who specializes in treating eye disorders in children (pediatric ophthalmologist).
Here's some information to help you get ready.
What you can do
Make a list of the following:
- Symptoms, including any that may seem unrelated to the reason why you scheduled the appointment, and when you noticed them
- All medications, vitamins and supplements your child takes, including doses
- Key medical information, including other conditions or allergies your child has
- Your family history of eye problems, such as lazy eye, cataracts or glaucoma
- Questions to ask your doctor
For lazy eye, questions to ask your doctor include:
- What is the likely cause of my child's lazy eye?
- Is there another possible diagnosis?
- What treatment options are most likely to help my child?
- How much improvement can we expect with treatment?
- Is my child at risk of other complications from this condition?
- Is this condition likely to recur after treatment?
- How often should my child be seen for follow-up visits?
What to expect from your doctor
Your doctor is likely to ask you questions, such as:
- Does your child appear to have problems seeing?
- Do your child's eyes appear to cross or wander?
- Does your child hold things close to see them?
- Does your child squint?
- Have you noticed anything else unusual about your child's vision?
- Have your child's eyes been injured?