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Eye laziness is a condition that occurs in early childhood and can be defined as insufficient vision of an eye. Eye laziness is seen in 3 out of 100 people. Because lazy eye can be treated only if it can be detected at a young age, parents should be extremely sensitive and ensure that their children have an eye examination at an early age.
How Does Normal Vision Improve?
Babies can see only when they are born. As they use their eyes, their visual potential increases. In the first 9 years of life, the visual system develops completely and there is no significant change afterwards. If an eye cannot see the full capacity despite all the corrections, this has some negative effects on the person's life. For example, in some professions (military service, piloting etc.), people with lazy eye cannot take part.
When should the eye examination be performed?
All children should be examined by an ophthalmologist before the age of 4, although there is no problem. In the meantime, from the birth, both the observations of the family and the pediatrician's some observations, if necessary, very early in the eye examination can be done.
What can lead to eye laziness?
Eye Laziness can occur in any situation that prevents normal use of the eyes. In most cases, the cause of lazy eye can be hereditary. Especially children with lazy eye in their families should be examined by an ophthalmologist.
There are 3 main reasons for lazy eye.
Strabismus: Laziness usually occurs in the floating eye.
Refractive Defects: Due to the high refractive error present, if one eye sees more blurry than the other, this eye cannot complete its visual development and becomes lazy. This is the type of lazy eye that is most difficult to detect because there is apparently no problem with the eyes. When families detect a shift in the eyes of their children, they provide immediate examination, but in other cases, usually the eye examination is delayed until the school period and in this case it is often too late. For this reason, all children before 4 years of age should have an eye examination with or without complaints.
Blurring of the eye tissues, which should be transparent: Cataracts are the main causes of this condition. This type of lazy eye is the earliest developing lazy eye. Therefore, each newborn should be subjected to the red reflection test which is an extremely easy test by an absolute pediatrician and should be examined urgently by an ophthalmologist in case of an abnormality. Because this type of lazy eye develops very early and very deep. Congenital cataract should be treated surgically as soon as possible.
How is Eye Laziness Diagnosed?
This is often quite difficult. Because the visual examination of children is quite difficult before 3.5-4 years. In younger children and infants, a lazy eye is tried to be detected by a number of methods, such as evaluating the response to manual closure of the intact eye by the doctor. In the examination before the age of 4, the ophthalmologist basically does the following. Inspects eyes for any slippage. Then, if there is any turbidity in the transparent environment, the pupil is expanded with a drop and the refraction values of both eyes are measured. The important point here is whether or not there is a refractive error in one eye, well above the other. High refractive errors in both chambers are also taken into account. Apart from the refractive error examination, the retina (visual membrane) and optic nerve (visual nerve) examination is also performed and the examination is completed.
How is Eye Laziness Treated?
In lazy eye, the treatment is based on the use of the weak eye. This is done by closing the intact eye with a special bandage for weeks to months. First it is prescribed as necessary. The child starts to use it and closure treatment is done. In strabismus, if a surgical intervention is to be done, first of all, eye laziness is tried first. A certain period of closure treatment is performed before the surgery, surgery is applied, and then closure is continued for a while. Unfortunately, families can stop closing because they think that everything goes well after slipping. Surgical intervention alone cannot relieve the lazy eye. Your ophthalmologist will explain to you how the closure should be done and what should be done during the closure. After that, it is entirely up to you. Children don't like the closure. And they refuse. However, this period as a parent can be experienced successfully with your care and patience. You should approach these days with patience, considering the difficulties they will face due to the presence of lazy eye throughout their lives.
Low vision is a preventable problem.
The most important point in success is the diagnosis of lazy eye. If early diagnosis and regular treatment are performed, normal vision is often achieved. Closing after 9 years of age is of no use. It is necessary to act very quickly in eye laziness caused by cataracts. Surgical and closure treatments should be performed in early infancy.
Let us remind you that before the age of 4, all children should have an eye examination with or without complaints.