Amblyopia Health Dictionary

Amblyopia: From 3 Different Sources


A permanent defect of visual acuity in which there is usually no structural abnormality in the eye. In many cases, there is a disturbance of the visual pathway between the retina and the brain. The term is also sometimes applied to toxic or nutritional causes of decreased visual acuity, as in tobacco–alcohol amblyopia.

Amblyopia will develop if there is a marked discrepancy between the images received by the brain from each eye while vision is developing during early childhood. The most common cause is squint. Failure to form normal retinal images may also result from congenital cataract, and severe, or unequal, focusing errors, such as when one eye is normal and there is an uncorrected large degree of astigmatism in the other. Toxic and nutritional amblyopia may result from damage to the retina and/or the optic nerve.

To prevent amblyopia due to squint, patching (covering up the good eye to force the deviating eye to function properly) is the usual treatment. Surgery to place the deviating eye in the correct position may be necessary. Glasses may be needed to correct severe focusing errors. Cataracts may be removed surgically. After the age of 8, amblyopia cannot usually be remedied.

Health Source: BMA Medical Dictionary
Author: The British Medical Association
Defective vision for which no recognisable cause exists in any part of the eye. It may be due to such causes as defective development or excessive use of tobacco or alcohol. The most important form is that associated with SQUINT, or gross di?erence in refraction between the two eyes. It has been estimated that in Britain around 5 per cent of young adults have amblyopia due to this cause.
Health Source: Medical Dictionary
Author: Health Dictionary
n. poor sight, not due to any detectable disease of the eyeball or visual system, known colloquially as lazy eye. In practice this strict definition is not always obeyed. For example, in toxic amblyopia, caused by tobacco, alcohol, certain other drugs, and vitamin deficiency, there is a disorder of the *optic nerve. The commonest type is amblyopia ex anopsia, in which factors such as squint (see strabismus), cataract, and other abnormalities of the optics of the eye (see refraction) impair its normal use in early childhood by preventing the formation of a clear image on the retina. This in turn leads to a cortical visual impairment.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Lazy Eye

An ambiguous name for the visual defect that commonly results from squint (see amblyopia).... lazy eye

Orthoptics

Techniques used mainly in children to measure and evaluate squint, including eye exercises, assessment of monocular and binocular vision, and measures to combat amblyopia.... orthoptics

Double Vision

Also known as diplopia, the seeing of 2 instead of 1 visual image of a single object. It is usually a symptom of a squint, especially of paralytic squint, in which paralysis of 1 or more of the eye muscles impairs eye movement. Other causes include a tumour in the eyelid or a tumour or blood clot behind the eye. Double vision can also occur in exophthalmos, when the eyeballs protrude because of an underlying hormonal disorder. A child with squint needs treatment to prevent amblyopia (lazy eye). In adults double vision needs immediate investigation.... double vision

Eye, Disorders Of

Many eye disorders are minor, but some can cause loss of vision unless treated. (See also cornea, disorders of; retinal detachment.)

Squint is sometimes present at birth. Rarely, babies are born with microphthalmos. Other congenital disorders that affect the eye are nystagmus, albinism, and developmental abnormalities of the cornea and retina.

Conjunctivitis is the most common eye infection and rarely affects vision. Trachoma or severe bacterial conjunctivitis can impair vision. Corneal infections can lead to blurred vision or corneal perforation if not treated early. Endophthalmitis (infection within the eye) can occur as a result of eye injury or infection elsewhere in the body.

Narrowing, blockage or inflammation of the blood vessels of the retina may cause partial or total loss of vision.

Malignant melanoma of the choroid is the most common cancerous tumour of the eye. Retinoblastoma is a cancerous tumour of the retina that most commonly affects children.

Various vitamin deficiencies (particularly of vitamin A) can affect the eye. This may lead to xerophthalmia, night blindness, or, ultimately, keratomalacia.

Uveitis may be caused by infection or an autoimmune disorder such as ankylosing spondylitis and sarcoidosis.

Macular degeneration of the retina is common in the elderly, as is cataract.

Glaucoma, in which the pressure inside the eyeball becomes raised, can lead to permanent loss of vision. In retinal detachment, the retina lifts away from the underlying layer of the eye.Ametropia is a general term for any focusing error, such as astigmatism, myopia, or hypermetropia. Presbyopia is the progressive loss with age of the ability to focus at close range. Amblyopia is often due to squint.... eye, disorders of

Eye, Lazy

A popular term for amblyopia or a convergent squint.... eye, lazy

Occlusion

Blockage of a passage, canal, opening, or vessel in the body.

This may be due to disease (for example, a pulmonary embolism) or medically induced.

Occlusion also describes eye-patching for amblyopia, and the relationship between the upper and lower teeth when the jaw is shut.

(See also malocclusion.)... occlusion

Ptosis

Drooping of the upper eyelid. The condition may be congenital, occur spontaneously, or be due to injury or disease, such as myasthenia gravis. Ptosis is usually due to a weakness of the levator muscle of the upper eyelid or to interference with the nerve supply to the muscle. Severe congenital ptosis is corrected surgically to avoid the development of amblyopia.... ptosis

Squint

An abnormal deviation of 1 eye relative to the other. Many babies have a squint because the mechanism for aligning the eyes has not yet developed. A squint that starts later in childhood is usually due to breakdown of the alignment mechanism. Longsightedness is a common factor. In some cases, the brainsuppresses the image from the deviating eye, leading to amblyopia.

In adults, squint may be a symptom of stroke, diabetes mellitus, multiple sclerosis, hyperthyroidism, or a tumour. A squint in adults causes double vision.

Treatment in children up to 6–7 years may include covering the normal eye with a patch to force the child to use the weak eye. Deviation of the squinting eye may be controlled by glasses and/or surgery. Sudden onset of a squint in adults may have a serious underlying cause and must be investigated promptly.... squint

Vision, Disorders Of

The most common visual disorders are refractive errors, such as myopia, hypermetropia, and astigmatism, which can almost always be corrected by glasses or contact lenses. Other disorders include amblyopia; double vision; and disorders of the eye or optic nerve, of the nerve pathways connecting the optic nerves to the brain, and of the brain itself.

The eye may lose its transparency through corneal opacities, cataract, or vitreous haemorrhage. Defects near the centre of the retina cause loss of the corresponding parts of the visual field (see macular degeneration). Floaters, which are usually insignificant, may indicate a retinal tear or haemorrhage, or they may herald a retinal detachment. Optic neuritis can cause a blind spot in the centre of the visual field.

Damage to the brain (for example, from a stroke) may cause visual impairment such as hemianopia, agnosia, visual perseveration (in which a scene continues to be perceived after the direction of gaze has shifted), and visual hallucinations.... vision, disorders of

Vitamin B Complex

A group of watersoluble vitamins comprising thiamine (vitamin B1), riboflavin (vitamin B2), niacin, pantothenic acid, pyridoxine (vitamin B6), biotin (vitamin H), and folic acid. Vitamin B12 is discussed above.

Thiamine plays a role in the activities of various enzymes involved in the utilization of carbohydrates and thus in the functioning of nerves, muscles, and the heart. Sources include whole-grain cereals, wholemeal breads, brown rice, pasta, liver, kidney, pork, fish, beans, nuts, and eggs.

Those susceptible to deficiency include elderly people on a poor diet, and people who have hyperthyroidism, malabsorption, or severe alcohol dependence. Deficiency may also occur as a result of severe illness, surgery, or injury.

Mild deficiency may cause tiredness, irritability, and loss of appetite. Severe deficiency may cause abdominal pain, constipation, depression, memory impairment, and beriberi; in alcoholics, it may cause Wernicke–Korsakoff syndrome. Excessive intake is not known to cause harmful effects.

Riboflavin is necessary for the activities of various enzymes involved in the breakdown and utilization of carbohydrates, fats, and proteins; the production of energy in cells; the utilization of other B vitamins; and hormone production by the adrenal glands. Liver, whole grains, milk, eggs, and brewer’s yeast are good sources. People who are susceptible to riboflavin deficiency include those taking phenothiazine antipsychotic drugs, tricyclic antidepressant drugs, or oestrogen-containing oral contraceptives, and those with malabsorption or severe alcohol dependence. Riboflavin deficiency may also occur as a result of serious illness, surgery, or injury.

Prolonged deficiency may cause soreness of the tongue and the corners of the mouth, and eye disorders such as amblyopia and photophobia.

Excessive intake of riboflavin is not known to have any harmful effects.

Niacin plays an essential role in the activities of various enzymes involved in the metabolism of carbohydrates and fats, the functioning of the nervous and digestive systems, the manufacture of sex hormones, and the maintenance of healthy skin. The main dietary sources are liver, lean meat, fish, nuts, and dried beans. Niacin can be made in the body from tryptophan (an amino acid). Most cases of deficiency are due to malabsorption disorders or to severe alcohol dependence. Prolonged niacin deficiency causes pellagra. Excessive intake is not known to cause harmful effects.

Pantothenic acid is essential for the activities of various enzymes involved in the metabolism of carbohydrates and fats, the manufacture of corticosteroids and sex hormones, the utilization of other vitamins, the functioning of the nervous system and adrenal glands, and growth and development. It is present in almost all vegetables, cereals, and animal foods. Deficiency of pantothenic acid usually occurs as a result of malabsorption or alcoholism, but may also occur after severe illness, surgery, or injury. The effects include fatigue, headache, nausea, abdominal pain, numbness and tingling, muscle cramps, and susceptibility to respiratory infections. In severe cases, a peptic ulcer may develop. Excessive intake has no known harmful effects.Pyridoxine aids the activities of various enzymes and hormones involved in the utilization of carbohydrates, fats, and proteins, in the manufacture of red blood cells and antibodies, in the functioning of the digestive and nervous systems, and in the maintenance of healthy skin. Dietary sources are liver, chicken, pork, fish, whole grains, wheatgerm, bananas, potatoes, and dried beans. Pyridoxine is also manufactured by intestinal bacteria. People who are susceptible to pyridoxine deficiency include elderly people who have a poor diet, those with malabsorption or severe alcohol dependence, or those who are taking certain drugs (including penicillamine and isoniazid). Deficiency may cause weakness, irritability, depression, skin disorders, inflammation of the mouth and tongue, anaemia, and, in infants, seizures. In very large amounts, pyridoxine may cause neuritis.

Biotin is essential for the activities of various enzymes involved in the breakdown of fatty acids and carbohydrates and for the excretion of the waste products of protein breakdown. It is present in many foods, especially liver, peanuts, dried beans, egg yolk, mushrooms, bananas, grapefruit, and watermelon. Biotin is also manufactured by bacteria in the intestines. Deficiency may occur during prolonged treatment with antibiotics or sulphonamide drugs. Symptoms are weakness, tiredness, poor appetite, hair loss, depression, inflammation of the tongue, and eczema. Excessive intake has no known harmful effects.

Folic acid is vital for various enzymes involved in the manufacture of nucleic acids and consequently for growth and reproduction, the production of red blood cells, and the functioning of the nervous system. Sources include green vegetables, mushrooms, liver, nuts, dried beans, peas, egg yolk, and wholemeal bread. Mild deficiency is common, but can usually be corrected by increasing dietary intake. More severe deficiency may occur during pregnancy or breastfeeding, in premature or low-birthweight infants, in people undergoing dialysis, in people with certain blood disorders, psoriasis, malabsorption, or alcohol dependence, and in people taking certain drugs. The main effects include anaemia, sores around the mouth, and, in children, poor growth. Folic acid supplements taken just before conception, and for the first 12 weeks of pregnancy, have been shown to reduce the risk of a neural tube defect.... vitamin b complex




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