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New hope for adults with amblyopia (lazy eye)

By Professor Robert Hess

Robert F Hess ARTICLE IMAGE

Amblyopia is a visual developmental disorder in which the vision through one eye fails to develop properly in early childhood. The deficit is not in the eye itself but in the visual areas of the brain.

The disruption to early visual development can be due to a misaligned eye or an eye out of focus. Later, when the alignment is corrected by surgery or the focus corrected with lenses, the visual loss remains.

The treatment for the last 200 hundred years has involved patching of the fellow sighted eye, under the rationale of forcing the “lazy” eye to work.

Not too long ago, the patching was all day, but more recently, it has been restricted to 3-6 hrs a day.

In the majority of cases this does produce visual improvements, though there is a great deal of variability.

The cost in terms of inconvenience and psychological stress for the patient, usually a child at school age, is tremendous and the compliance is often low.

The end result after 6 months to 2 years of patching is certainly improved function in the majority of cases, but once the patch is removed the two eyes often don’t work together as they should, 3D vision is often not obtained and the fellow eye suppresses the amblyopic eye, which eventually leads to some reduction in acuity.

More significantly there is only a limited time-window in which the patching therapy works, kids are only patched up to the age of 12 years. There is no treatment offered to adults with amblyopia.

The current treatment approach is based on the assumption that amblyopia is the primary problem and the loss of binocular function is the secondary consequence.

The fact that reducing amblyopia with patching does not automatically lead to improved use of the two eyes together makes one question its validity.

There is reason to suspect the logic needs to be reversed, namely that the primary problem is that the two eyes, because of either an eye misalignment or an eye out of focus, stop working together with the secondary consequence being amblyopia. The link between disrupted binocular vision and amblyopia is suppression.

All amblyopes have some degree of suppression where the fellow sighted eye inhibits the functioning of the misaligned or out of focus eye to avoid the confusion resulting from a double or blurred image.

It seems perfectly feasible that over time this constant suppression leads to a more permanent loss of vision or amblyopia.

Recently we have developed tools for measuring suppression and shown that there is a direct relationship between suppression and amblyopia, consistent with the idea that the primary problem is the loss of binocular function with the secondary consequence the development of amblyopia.

This new way of thinking about the genesis of amblyopia leads one up a different treatment path, one that tackles the loss of binocular function as a first step with the expectation that the function through the amblyopic eye will improve as a consequence of the reduced suppression from the fellow eye.

With this new way of thinking about amblyopia in mind we developed a method of measuring the degree of suppression and arranging viewing conditions using dichoptic presentation (different images to each eye) where the suppression would be minimal.

Under these rather artificial (compared with natural viewing) viewing conditions we found that the two eyes were able to combine information normally. In other words, it was just the suppression that rendered that was a structurally intact binocular visual system into a functionally monocular one in amblyopic observers.

Furthermore, the more time the eyes worked together combining information (for the first time), the stronger their binocular capacity became and over time, the viewing conditions could be slowly moved in the direction of more normal viewing where both eyes sees the same images.

We (with my colleagues Drs Mansouri and Thompson) found that the binocular training only had to be done for 1 -2 hours a day for 4-6 weeks, after which the two eyes could work together under natural viewing conditions.

Once this was achieved we also showed that there were improvements in 3D vision, with some patients experiencing this for the first time.

The acuity of the amblyopic eye also improved as a result of eliminating the suppression from the fellow sighted eye. Even more remarkable all these results were obtained in adults, some of whom were middle aged, for whom there is no current treatment.

Robert F  Hess graphic

All of the above work was done in the laboratory using space consuming computer equipment. We then teamed up with our colleagues at McGill in Electrical Engineering (Drs Cooperstock, Long and Blum) and, using the same principle, converted it to a video game on an ipod. This introduced the first bit of fun into a treatment that has been anything but fun for the last 200years.

Tetris was used and it could only be played successfully if the amblyope truly combined the information from the two eyes because the information seen by each eye was different and both bits of information were used to play the game successfully.

We initially adjusted the dichoptic images for each patient to ensure that their suppression was minimal. As they successfully played the game, the viewing conditions were automatically adjusted in the direction towards normal viewing.

Depending on the patient and the degree of suppression, normal binocular function under normal everyday viewing conditions could be obtained within 4-6 weeks after 1 hrs of daily play.

The improvements in 3D vision and monocular acuity of the amblyopic eye were comparable to what we had found previously in the laboratory.

Initially we ran an in-office treatment study where we could ensure exact compliance and more recently we have run a take-home study and assessed compliance from the log files of the video game stored on the ipod. The compliance was excellent and the visual improvement comparable to our previous studies.

Very recently, we (Drs Li, Thompson, Chan, Yu and Hess) we assessed the current patching treatment with our dichoptic treatment. Amblyopic patients were divided into two comparable groups matched for the degree of amblyopia.

One group played tetris while being patched for 1 hrs a day for 2 weeks, the other group played tetris dichoptically (as described above) for 1 hrs a day for 2 weeks.

We measured 3D vision, degree of suppression and monocular vision. On all three measures, the dichoptic treatment was far superior to that of the monocular patching.

Furthermore, when the monocular patching group were crossed over to the dichoptic treatment, they too achieved comparable gains in each of these visual measures to that of the original dichoptic group, suggesting that the dichoptic approach, based on treating the binocular deficit, improves the function of the amblyopic eye more than the current patching approach.

Additionally, it does so with the extra benefit of having two eyes that work together that in turn ensures that any gains achieved in the function of the amblyopic eye will be maintained and not regress.

All of the above work was supported by a grant from the Canadian Institutes of Health (#53346) to RFH.

About Professor Robert Hess

Robert-F-Hess-250Professor Robert F. Hess is the Director of Research at the Department of Ophthalmology, McGill University, Canada, and founding Director of the McGill Vision Research Unit.

He is also an associate faculty member of McGill’s Departments of Psychology, and Neurology and Neurosurgery.

Prior to setting up the Unit in 1990, he was a Wellcome Senior Lecturer at the University of Cambridge’s Department of Physiology in the U.K. from 1982 to 1990, and a Meres Senior Fellow for Medical Research at St. John’s College, Cambridge, from 1977 to 1982.

Among Hess’ accolades are his winning of the Eldridge-Green Medal from the U.K.’s Royal College of Surgeons for his research in ophthalmology, and his invited deliveries of the prestigious Champness Lecture to the Worshipful Company of Spectacle Makers, the Clair Bobier Lecture in Vision at the University of Waterloo, Canada, and the Centenary Vision Lecture at Aston.

Aston also awarded Hess a DSc in 1998 in recognition of his outstanding contributions to vision science. He has published more than 320 peer-reviewed papers.

His broad research interests in normal visual processing include spatial, temporal, stereo, and motion processing, and he utilizes various techniques such as psychophysics, computational modeling, single-cell neurophysiology, evoked potentials, functional magnetic resonance imaging, transcranial magnetic stimulation, effective connectivity analysis and voxel-based morphometry.

Hess’ interests in clinical vision, centre on amblyopia, but he has expertise in the general area of low vision as well as normal visual function.

He has served on the editorial boards of renowned vision science journals, and was the founder and editor-in-chief of Clinical Vision Sciences in the 1990s.


Disclaimer: This article has not been subjected to peer review and is presented as the personal views of a qualified expert in the subject in accordance with the general terms and condition of use of the news-medical.net website.

Last Updated: Mar 25, 2014

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Comments
  1. Ángel Ferrero Ángel Ferrero Spain says:

    Hi there.
    I'm very interested in this treatment. I'm a 33yo amblyopic (weak left eye with 40% vision) and I'm from Spain.
    Here in Spain, amblyopia doesn't have any treatment at all, every single ophthalmologist says that amblyopia can only be treated before the age of 10 and the only therapy is patching the strong eye before the age comes.
    I don't know how can I get close to a treatment. I want to improve my visual acuity.
    Does anybody know how frustrating is it when your buddies talk about how amazing is Avatar in 3D and not really knowing WHAT does it mean... Or how frustrating is declining a movies evening because the movie you're going to watch is in 3D...
    How can I get to this treatment?
    I've been treated with Lasik in both eyes, this was good, but not enough.
    I'd appreciate any help.

    Thank you!

  2. Abdel wahab Abdel wahab Egypt says:

    Hello everyone , I'm from Egypt and I have an amblyopic eye ( right eye is 50 % ) and I wear glasses Frown I'm really interested in the treatment and I wish I would know anything about it .
    The doctors here would say even if your are 16 year-old-boy but the treatment is only for children under 9-10 years and that causes me depression  Frown( I wish to have a normal eye
    Can you help me please ?? Smile

  3. Margaret Moneys Margaret Moneys United Kingdom says:

    My 6 year old son suffers from a lazy eye, something I have had for 30 years but have had no option but to live with due to it not being picked up early enough.

    I really don't want my son to suffer due to this and after almost 2 years of wearing glasses and 3 monthly visits to the hospital he doesn't seem to be making any improvement and the next step is to wear a patch (something I would like to avoid if at all possible due to the psychological effects).

    How would I go about having my son involved in trials? The optician at the hospital isn't seem to be aware of this type of treatment in the UK.

    I would be grateful for any advice. Thanks

    • Gwynfryn Thomas Gwynfryn Thomas France says:

      Margaret, does your son fully understand that he needs to be concentrating on seeing things with his week eye? Things like trying to focus on large letters, at different distances? I went through this as a kid (still essentially blind in one eye) with the patches, and they kept repeating “you’ve got a lazy eye”, but I never got the notion of what I was supposed to do with it (boy, was I angry when it occurred to me in my teens, “too late”, as I was then told!). I can’t promise it’ll make any difference, but it should be worth trying! Isn’t it annoying that they mention their app/video game, but don’t provide a link to it: I want to try it right now, not after trolling the net, possibly unsuccessfully!

  4. Abhilasha Ahuja Abhilasha Ahuja Qatar says:

    Hi

    My name is Abhi and I am 45 years old.

    My right eye is Lazy from birth. My parents realized that I had a lazy eye when I was  16 years of age and going to the University. It was too late for the treatment the doctors said. The vision in the Lazy eye is 6/60 and the correct eye is 6/6.

    As it is very difficult to see with the lazy eye the thought of something happening to my good eye scares me a lot.I would really be interested in the treatment if possible in my case. Please advice weather this might work for me or not.

    thanks

  5. Aimee Henderson Aimee Henderson United Kingdom says:

    I remember having to be patched as a child. It really isn't what a young child needs in their day to day life. My right eye is still very weak, though the alignment was fixed at an early age. It would be great to see treatments like this available for adults. (Maybe I'll even be able to see a 3D film and see what all the fuss is about!)

  6. Brian Clancy Brian Clancy Ireland says:

    It's impossible to understand what this article is saying - typical of specialists.

  7. Will Do Will Do United States says:

    I have a lazy eye and something puzzling has occurred.   First a little history, I first noticed it when I was around 16.  I inquired about fixing it and I was told that I was too old.  To prevent squint, I tried to exercise my eye.  As the years went by I just adjusted to my lazy eye but I focused mainly out of my good eye.  I am 67 now and up until about 2 years ago I could not see anything clearly out of my lazy eye even with glasses.  For some reason the vision in my lazy eye improved.  The doctor said that I have cataracts so I decided to have them removed.  Before the cataract surgery the vision in my right eye was 20/80 with my glasses.  After the cataract surgery and implant my vision improved to 20/25.  I still cannot understand how my vision improved from being somewhat blind to 20/25.  My ophthalmologist was amazed at how much my vision had corrected.

  8. Richelle Danganan Richelle Danganan Philippines says:

    i have also a lazy eye on my left eye..i was 25 right now before i go to a doctor and they told me that i have a lazy eye..i cant read using my left eye and i only see a haft vision...and the doctor said that my optical nerve is damage and it can lead to total lost of vision..is it possible to correct my vision at my age..or to improved my vision..pls help...

  9. Ahmed Noman Ahmed Noman Islamic Republic of Pakistan says:

    hi, im 30 and from pakistan and i also have a lazy eye problem.. when i was a kid i remember doctors used to say i have a squint.. but just after recently when i read it on the web that its actually the lazy eye that im suffering from becomes really frustrating.. i couldnt see from one eye properly even though my eye sight is 6 by 6.. more frustrating is that the vision is reducing from the effected eye every year.. i can pray to God that everyone included myself who is suffering from this disease should get rid of it..
    plus i have been flying kites all my childhood but that couldnt help either. so i dont think playing games would work.. i think its all lies inside our brain and very much related with the nerves, we actually lack power and energy in our nerves attached to the effected eye...
    wish you all good health folks!
    regards,
    ahmed noman

  10. Tony Warren Tony Warren United States says:

    I'm 59 years old and as a child had two eye surgeries and did eye patching. Unfortunately my right eye is still suppressed. A possible treatment for adults with amblyopia would be amazing. Please sign me up even if it's just for a clinical trial.  Keep up the good work.

  11. Kimberly Marie Kimberly Marie United States says:

    I am 38. I have had a lazy eye since I was a baby . My right eye. I had muscle surgery as a baby. I wore the patch for a while in elementary school. It is getting worse now. I'd like to try this treatment. I could never pass a depth perception test or enjoy a 3d movie. I'm tired of people noticing. I also passed it down genetically to my daughter. She is 16 and her issue seems slight. I'm sure it will get worse with time. Contact me please.

  12. Margaret Melfa Margaret Melfa United States says:

    I am 47...i was born with esotropia, and have had 3 surgeries to keep my left lazy eye aligned...most recent surgery in 2001. My parent patched the good eye when i was under 3 yrs of age, but nothing really helped permanently. When i'm tired my weak eye drifts more, and it is hard for me to keep it focused. I only have one "good eye"...when i cover it, i can't read past the first line on the eye chart. I would love info on any types of new treatment available!!!

  13. Christopher Pa Christopher Pa Germany says:

    I have a mild amblyopia in my left eye (80% vision) and alternating strabismus since I was a baby. Is there a danger of double images when the supression is reduced? Or is it possible to restore the binocular function that is currently not working?
    Thanks!

  14. Katja Korenjak Katja Korenjak Slovenia says:

    Hi. I am 33 from Slovenia and also suffering from amblyopia on my right eye. For now my left eye is completely healthy and my vision is 100%, but the thought of something happening scares me, since my right eye vision is very poor.
    I too am interested in this treatment.
    Regards, Katja

  15. Hiren Adesara Hiren Adesara United States says:

    I am 28, and I have amblyopia. And would be love to sign up if there is ANY treatment for amblyopia. I live in california.

  16. Emanuel Ortega Emanuel Ortega United States says:

    Hello!  

    I'm 32 and also suffering from Amblyopia on my right eye. I am interested in information and treatment.

    Thank you!

  17. Mike Perez Mike Perez United States says:

    Hello I am 22 and have had Amblyopia since birth in my right eye. I did the patching method and received surgery at an early age but neither worked. I am very interested in any information for a treatment you could share. My email is perez.michael@outlook.com
    Thank you very much.

    • Bhuvan Chandra Sarakam Bhuvan Chandra Sarakam India says:

      Hello now I am 20 and have had Amblyopia since birth in my left eye but I came to know about it when I am 16 yrs where I am preparing for IIT JEE, by that time when I asked for solutions, doctors said time is up ,if i had went before 10yrs, 100% and before 15yrs , 50% rectification of problem could be done
      but they put me off saying i came very late and they advised me to do 6hrs of Patching but i got into IIT MADRAS , mechanical engg, now 4th yr, could not able to spend 6 hrs for patching but trying to manage for 1 or 1 1/2 hrs daily

      now after check up my power details are :
      right eye : 6/6 : -0.5 power
      left eye   :  6/36 : +5.5 or +6 approximately

      I did the patching method but not worked. I am also very much interested in any information for a treatment you could share. My email is bhuvansarakam@gmail.com

      Thank you very much.

      -bhuvan chandra
      08148797660
      4th year Undergraduate
      Mechanical Engg.
      IIT M
      india

  18. Enrique Acevedo Enrique Acevedo United States says:

    I am 46 and have been told that I could not even get Lasik on my good eye because their insurance would not cover the clinic if they screwed up and permanently damaged my good eye.  I thought I had no options until I read this article.  Did not get diagnosed early enough.  I would love to be a subject in your study.

  19. Israel Hlychho Israel Hlychho India says:

    Hi there, I'm 23 and I have amblyopic right eye. Doctors told me that the retina in my right eye is clouded by some white thing, which they are not sure of what it is. They told me that it could not be removed by surgery because there are so many risks in the process, and that the sight could be improved only upto 70%. So I am wondering if binocular training could bring me any improvement in my sights (of course for my right eye), because wearing glass tickles my face and does not work at all for my blurry vision, or any vision related problem in my right eye for that matter. I'd very much appreciate to receive your suggestions.

  20. Jo Carpenter Jo Carpenter je says:

    Hi, I am a 48 year old woman who has an amblyopic left eye. I went cross eyed at 2 and doctors removed a bit of muscle out of each eye. I was left with a lazy left eye. I was patched for a long time as a child and it was horrendous. Kept walking into things and it was so uncomfortable and very frustrating. Now that I am older, and I do a lot of computer work, my eyes get really tired but my poor lazy eye just closes now. It closes a lot, even in just a slight breeze too as it is so sensitive. I don't really understand the article as its written in doctor language, so I have emailed it to a doctor friend of mine to disseminate it for me. I would love to be part of a trial to see if your technique works. Please contact me if this would be at all possible. Many thanks and the best of luck to everyone out there, Jo

  21. Pam Newberg Pam Newberg United States says:

    Can you send me information as well?  We'd love to try this method for a 16 yr old.
    Thanks so much!

  22. Hi
    Oprea Stefan Oprea Stefan Romania says:

    Hello everyone, I am Oprea Stefan and I am 14 years old from Roumanian,Europe. Here we don t have a good tratament for amblyopia, my left eye is 50 with glasses, and my right eye is 100 (so he don t have problems) as I child I don t have money to do many things but I have a natural life style, I patched my eye 3 hours on day and I do exercices for my eyes, To be honest the result is very good I know I will have a normal eye, I think I see 3D, I mean when I was child my eye got patched too, I am sure I see 3D and I have a binocular vision too, but I want to be sure, so I will folow all natural trataments and I do what is in my power to see absoluty normaly, because I want to become a footballer and play in Europe. Hope all of you who see this comment will see normaly, I am sure you will. I am sorry for my bad english. Bye,bye!

  23. Dave S Dave S Canada says:

    Hi,
    I was born cross-eyed, had surgery to correct my eyes and wore a patch when I was very young. I hated the patch, and have been told I used to remove the patch often....
    I now have a lazy eye (right eye). I also have double-vision as a result of my eyes not working together. Not sure if other people here also have double-vision? It's something I've grown up (I'm 48). I'd like to have the correction done to my right eye (I am not so concerned about "better" vision in my right eye; I would like just to have my eyes aligned)... on a daily basis I get people turning their head to look behind them when I am talking to them (because they look at the lazy eye, which is pointing outward). I've tried to deal with this my entire life. My daughter (she's 5 1/2) will soon be asking why daddy's eyes aren't aligned. She'll probably turn her head too when I talk to her. I hate having to drive my vehicle when my wife is with me. Because I use my left eye for EVERYTHING, I tend to turn my head slightly to the right... so my left eye sees "Middle" (if that makes sense?). She has commented more times than I care to think about, "Keep your eyes on the road!". I have to then explain to her that I am. How embarrassing. Or when I turn to look at her, I have to turn my head far to the right (so I can see her with my left eye!) It makes me look as though I am peaking into the back seat!! Again.. how embarrassing. Or when I'm having a conversation with a co-worker... sometimes I can see the image from my right eye (double-vision, remember) and the eye is pointing outward... so not only do I see something off to the right, but my co-worker clearly sees my right eye off in la-la land. How embarrassing.
    I consider myself to be very thick-skinned... and I don't break down easily.. but talking about my lazy eye (and/or seeing somebody turn their head when I'm talking to them) can easily bring me to tears.

    During a recent visit to a NEW optometrist, she discussed the Prism fix for my eyes. Sadly, the glasses with the prism did nothing to bring in my right eye. He's a stubborn old cout...I'm staying out in Right Field!!!!!

    I was wearing a patch up to a while ago. It was just too difficult for me to go about my daily routine. So I stopped wearing the patch. Not to mention the wicked headaches I was getting.

    So let us rejoice all of us with lazy-eye!! Surely, if they can send men to outer space, they can find a cure/fix for lazy eye! Even when we are already into our adulthood.

    BTW: With contacts/glasses, I have 20/20 vision in my left eye and 20/200 in my right eye, so pretty much blind the right! Given the choice, I would rather have minimal vision in my eye versus being blind. I have never enjoyed a 3-D movie, and when my family and I visited Universal Studios, in California in 2012, I truly missed out experiencing the joy that my daughter was experiencing from the 3-D and 4-D movies! Literally everyone in the theatre would jump when things were "popping out of the screen", except for me.... I was left asking, "What happened?" How embarrassing.

    I'm not at a point in my life where I am considering having surgery to correct my lazy eye (for cosmetic reasons only.)

  24. Dave S Dave S Canada says:

    I'm interested!!!!!

  25. Lowell Thompson Lowell Thompson United States says:

    I am also interested in this treatment. I am 47 years old and have lived a great life in spite of my amblyopia. As I age my vision get worse (-7.50) in my good eye now. I was told I was about 20/400 in my right eye. If there is anything you could do for me I would greatly appreciate it.

  26. Dhia eddine Bedoui Dhia eddine Bedoui Tunisia says:

    Hi there, i'm very interested and excited about this,i'am a tunisian boy, 20 years old I got a lazy right eye and doctors in my country didn't give me any hope or solution about that, please doctor or anyone else who know something about this treatment no doubt that i'll travel for that I would like to get info on any types of this treatment available ( dhia.bedoui@hotmail.fr )

  27. RAJESH BAHL RAJESH BAHL India says:

    My daughter has Amblyopia in the right side eye. She is 17 years now and had gone through the path treatment when she was 6-7 years of age. She could not follow this treatment in proper way. She has squint in the same eye and Doctor says she can go for squint surgery for correction but the vision remains minimal with -20 number.

    Please advise if there is any possible treatment any where in the world through which she can have improved vision in the Lazy eye.

    As it is very difficult to see with the lazy eye the thought of something happening to the good eye scares us.

    Please advise in case this kind of treatment can work for my daughter.

    Rajesh Bahl
    91-9891000766
    India

  28. aman gupta aman gupta India says:

    Lazy eye treated well with playing of video games on ipad: my son 12 year was detected with lazy eye in left eye while right eye was normal. First doctor put glass after 3 month of wearing glass there was no change  eye sight. Then he put him on complete eye patch and glasses for 12 hrs a day and recommended some games like pass thread from pearls, drawing etc for 1-2 hrs a day. suddenly i read ur article but could not get special eye glasses.  Then i decided to buy his an i pad mini. and asked him to play different games and he played for at least 6-7 hrs a day while wearing patch and glasses. After one month we doctor..he asked us whether he played games he told and wore eye patch...we said no games as u told but he played video games. Doctor was annoyed and said nothing will happen. Be serious. But when he checked eye sight my son could read upto 7 lines ...a 6 line improvement. doctor was astonished to see this.. and continued the patch for another month...and we hope for more improvement....aman gupta +919815481547 india

  29. N King N King United States says:

    Everyone posting here, including myself, is interested in finding this treatment and would appreciate any information you can provide. I'm already disabled with unrelated chronic pain. If my healthy eye is damaged or otherwise loses vision, I'll also be blind. Give me a reason to hope.

    I'm interested in information about clinical trials.

    • Gwynfryn Thomas Gwynfryn Thomas France says:

      Isn't it frustrating that, after all this time, none of these doctors have thought of providing a link, it seems (this is my first visit)?
      I saw another video which claimed amazing results from a machine by Oculus (if memory serves; I’ll look it up) but I hope they provide them on lease, as I’ve no desire to pay for an expensive gamer I’ll have no use for other than improving my vision!

  30. Tabitha Lanuza Tabitha Lanuza United States says:

    I would love to find out about this treatment!

  31. arezou mh arezou mh Iran says:

    My name is Arezou Motamed Haeri, I had amblyopia as a child and it was because of genetic problems. My parents found out when I was 8 and mostly the ophthalmologist indicated that it cannot be cured.But at last 2 of them expressed that the problem can be cured and I started to do the treatment and at the age of 10 it was really gone and my physician told me that there is no need to even wear the glasses but now at the age of 31 another ophthalmologist recently told me that I still have the problem. either it`s not gone at all or it`s back after too many years which I think is impossible.  Now I just have some questions ; what will happen to my left eye which still has the problem? Am I loosing it ? And is there a way to have my vision back again,even by having amblyiopia or there is no way and I will get worse?
    Thank you

  32. Ridha H Ridha H Saudi Arabia says:

    Hi

    I hope that can be helpful....

    you can download the Lazy Eye Tetris application here
    http://lazyeyetetris.wordpress.com/download/

    Notice; I just saw this comment in some website, and I brought it to you guys that means when you are going to try to do this kind of practice you should put into consideration that your responsibility.

    Finally, I just want to remind all of you guys who have the amblyopia that at least we can see and feel the beautiful moment. However, there is people do not have the ability to see anything. Therefore, we should say thank you  god ( Allah ) for everything.

    Best wishes.

  33. Claudio Nascimento Claudio Nascimento Canada says:

    My name is Claudio, I live in Toronto. My left eye is ambliopic; if there is any reseanable thing I can do help the researches out, by all means do contact me. Please reply to this with your email address and I'll will write you back right after.


    Thank you.

    • Gwynfryn Thomas Gwynfryn Thomas France says:

      At the two posts above this one, that is, Claudio, and you will find links to two systems which claim to be able to help. It is often a good idea to read other peoples' comments...

  34. Adrian Donnelly Adrian Donnelly United Kingdom says:

    Now 62, and I have recently had a third operation to straighten the weak eye, as it started to drift. I would be happy for a trial!
    Adrian from England.

  35. Machteld Hendriks Machteld Hendriks Germany says:

    Dear professor Hess and amblyopia- suffering people.

    I am from The Netherlands, living in Germany,  and 49 years old. My lazy eye was discovered when I was 3 years old. I wasn't patched or for a short time. Can't remember precisely. I have a amblyopia caused by a different thickness of my left and right eye lenses. I have also hyperopia, astigmatisme, presbyopia according to the latest measuring and a strong brill prescription. I have no double vision,  my right eye surprises my left. To avoid to become worse I am very interesting in vision therapie and would like to know if the amblyopia app-treatment available is somehow?

  36. Gwynfryn Thomas Gwynfryn Thomas France says:

    If any of you have tried this, how well it worked, and how one obtains the device? I hope it's available for rent, as I've otherwise no use for an expensive gaming machine!

    Please watch this video on the subject:

    http://bit.ly/1wsbdMA

  37. Wendy Westmoreland Wendy Westmoreland United States says:

    Thank you for your hard work ! I am 47 years old live north of Atlanta Georgia  and  born with amblyopia. I see very well in my left eye and would like to improve my acuity in my weak eye which is 20/200 I would like to be used in any of your research or clinical trials.

  38. Wendy Westmoreland Wendy Westmoreland United States says:

    hi I need help I  am 47 years old and have had amblyopia in my right eye all my life . I have 20/200 in my right eye and want to improve my acuity in my lazy eye. I have good vision in my left eye. please consider me for any clinicals or research you may come into. I would like to know of anything i can do to better my acuity in my affected eye.. please email me also at westmoreland12@windstream.net thank you VERY much for all your research , your the greatest ! Westmoreland

  39. Brian Cary Brian Cary United States says:

    I am not diagnosed with amblyopia, but I do have a lazy eye. I still can see out of both eyes just one at a time. I can actually switch dominant eyes and it changes on its own day to day. It is annoying when talking to people and they ask me waht i was looking at. So I am very interested in treatment.

  40. Sam Khanna Sam Khanna Norway says:

    HI Docs,

    I am 29 yr Old from India, I got specs when I was 10 but doctor didn't told me its lazy eye and then I vision keeps on decreasing and Doc told me it will stop once u'll be 18 but it didn't worked so End up with number +11 in right eye and +4.5 in left eye, Still the vision is not accurate from right eye but doctor told me this is the max vision you can get. I want to get Rid of this Big Glasses, Can you please suggest anything to save my eyes for more damage !!!

  41. Dot Bird Dot Bird United Kingdom says:

    Please help, I am 53 and have had a lazy righty  eye since early childhood. Patching only helped for a short time and now as I am getting older my squint is getting worse, especially if I try an look at something a distance away, it is not as noticeable when you are close to me. I no longer look at people in the face or eyes when I talk to them, I walk around with my head down so no-one notices my squint, I am embarrassed to have any photo's of me taken as it is very noticeable in photos of yourself. Please can you help? I have been offered surgery to correct it cosmetically but I have  been told that I must be awake during it and I just couldn't stand it, I'm very squeamish when it comes to eyes. I am at a kiss, please help, thank you.

  42. Bruno Lopes Bruno Lopes Portugal says:

    Hello , I have lazy eye and at age 25 that I discovered when I did the tests to enter the security forces , something that could not get of course now I have 28 years. My lazy eye is the left , I see about 10 %, and the use of computers and glasses still the right is beginning to break to get tired and worse .. If there is treatment even if it is experimental, would like to offer me and try to correct , minimal use is certainly better than what I see with my left eye , would like an opinion and answer , thank you.

  43. Saideah Khan Saideah Khan United Kingdom says:

    I have lazy eye and its my right eye I'm 21 , I really hate because people always look at me differently and sometimes I get called names is there a way I can fix it please I really want to feel normal again and me treated normally

    • Susie Sandusky Susie Sandusky United States says:

      It's just not fair we suffer and no one cares your eyes are the first think everyone notices! Sorry for what you going through. Susie S

  44. Tia Bellisle Tia Bellisle United States says:

    Because of severe headaches as a kid, my physician sent me to the eye specialist. I was patched for a year and a half starting in 5th grade and was often called names like Captain Hook or patch. I've suffered severe nausea from motion issues because of amblyopia and when I get tired my lazy eye starts to wander. I am now 51 years old. I recently had lasik in the right, lazy eye and PRK in the left, dominant eye hoping that would even things out. It has only been 2 weeks, but the left eye appears to still be dominant and I am nauseous most of the day. I hope it settles!!! I am interested in your approach and would like more information please.

  45. Bud Greene Bud Greene Canada says:

    I have had a lazy eye all my life and am now 77.  Like all those above I have learned to live with it. Also I would dearly like to find a way to get involved with Dr. Hess's treatment. I have gone so far as to contact his office directly and have had no response so not sure what to do next. Keep trying I suppose.

  46. Chris Lafond-Hindson Chris Lafond-Hindson United Kingdom says:

    Hello, I am Chris 24 from the UK,
    I had my Eye patched all the way through primary school and also had glasses, I cant remember much apart from the double vision, I also remember getting told it worked and that i do not need Patches anymore. It was a good feeling as i can remember being terrorised about my "wob eye"
    They were wrong, My eye was not fixed and my double vision returned but it was too late to have anything done about it, I am now 24 and afraid to leave the house or go in public places as i am worried people will laugh, its really bad, what i would do to take a picture looking straight at the camera or to look someone straight in the eyes.. I think it has caused a mental scar from my past and there is NO treatment in the uk without coughing up thousands.I dont think the future is looking good Frown I even avoid walking on the pavement with traffic coming towards me and walk around looking at the floor. People say there are much worst things and i agree but the first thing anyone notices is your eyes. If anyone knows any treatment options for me or even just needs a chat contact me at christianlafond@live.co.uk would love to meet others like me!

  47. Joy Campbell Joy Campbell United States says:

    I have mild amblyopia in one eye, and in that same eye a macular pucker, which isn't extreme enough to warrant surgery thank God. I'm 66 years old. Can daily eye exercises help?

  48. raj dangol raj dangol Nepal says:

    I have amblyopia in one eye and i am 20 years old. Can it be treated or not?

  49. Susie Sandusky Susie Sandusky United States says:

    When I was born I could not see by age 2 they finally realized it and fit me for glasses I was so happy I could see my mom and dad! My eye sight was bad which required very thick lenses I was called pop bottle eyes binocular face I was spent on they were vicious to a tiny 7 year old. My right I start to get lazy so I had another thing to be picked on I was shy had no friends and was sad all the time. As an adult it had held me back I had the operation and it last a little bit. DURING THAT TIME MY WHOLE LIFE CHANGED! I became social got jobs so easily then the eye started to head to the outer corner wondering and I'm losing my eye sight im no beauty queen but to have eyes that look straight ahead would be awesome I would try anything and work hard. Any help or direction would be much appreciated.

    Sincerely

    Susie S
    Saint Joseph MO

  50. Dave Parkman Dave Parkman United Kingdom says:

    I am 62 and only in the last few months have learned the name for my condition. At about 4  years old I went into hospital for what I was told was a look at my eye. Early pics of me clearly show strabismus. I do remember wearing patches for a while at least.
    In the last few months I also read a book by Dr Susan R Barry on her struggle to overcome strabismus. I has much inspired me, so much so that I have begun trying things described in her book. I have achieved an improvement in the general quality of vision but without specialist knowledge further gain dosnt seem likely. Specialist in this field do exist in UK but are very expensive. My desire to approach such a specialist is held in check only by the dread of being told the condition is not likely to improve further

  51. Deise Scheffel Monteiro Deise Scheffel Monteiro Brazil says:

    Hello , my name is deise , I have a 3 year old daughter with amblyopia . It cover the good eye every day , knowing that suffering can not solve made ​​me very upset. What can I do , how to access this type of treatment ?
    I live in Brazil .
    Thank you
    Deise

  52. Shana Ellis Shana Ellis United States says:

    I am 45 years old. It was determined that I had amblyopia in my left eye when I was in the 4th grade. (You can't tell from looking at my eyes that anything is wrong, no turning of my bad eye) I did therapy for my eye everyday, patching the good eye and doing eye exercises for the bad eye. Later, the doc patched my bad eye  24/7 for about a month, at least, maybe longer, I can't remember. I think it was to strengthen my good eye since I would be dependant on it for my vision.
    Anyway, I don't see how this treatment works without patching the good eye since the brain shuts down the vision in the bad eye when the good eye is being used. At least, that's what my brain does.
    Does anyone else with this condition suffer from motion sickness, nausea when reading, surfing the web, or doing other eye-related activities? I do! And I suffer from headaches daily. And eye pain occasionally.
    Sure wish I could be helped!!! I am unable to drive in high traffick areas or on freewyas/interstates because I use only one eye and it makes it difficult to see when changing lanes frequently and quickly at high speeds. And of course, 3D movies are out!! I can't judge distances well  at all! And if I am attempting to pour something into a container, I have to be looking on top of the container, I can't hold it out in front of me and pour into it or I will end up missing the container Surprised. Anyone else relate to my problems?

  53. Muhammad Bah Muhammad Bah Malaysia says:

    Hello,

    My name is Muhammad Bah. I am 20 years old. I recently  found out that i have lazy eye condition because my good eye is getting poor. I can see fairly well during the day, but my night vision is getting worse and my eyes strain when reading. Any solutions?

  54. Stephen Morrison Stephen Morrison United Kingdom says:

    Hi I've had a lazy eye since birth and spent years going to hospital for tests and every time surgery was being thought about my eye improved although I never managed to practice the exercises. By 13 years old I'd had enough and opted to have surgery but it didn't have any lasting effect. Later in my twenties I started to have lessons in Alexander Technique and started to work on my lazy right eye myself. I then realised how much I was relying on my good left eye as my vision in my right eye when trying to read for instance was virtually non-existent. Anyway over years of very occasional practice in making myself try to read with my lazy right eye my sight has improved to the extent that it is almost as good as my left eye. Other things that have helped me are Craniosacral Therapy, Yoga (focusing the eyes on objects whilst doing Yoga) and daily basic Yoga eye exercises (circling the eyes in both directions) and Acupuncture. Although all these things cost money. The main thing for me seems to be to be really strict about practising daily in order to get some benefit. I like this article as it focuses on really improving vision by training the eye to brain mechanism to re-establish itself and not just on straightening the eyes.

  55. Joshua Ker Joshua Ker United States says:

    First, for those who basically get the gist of the article, you guys can go on over to Dr. Robert Hesse's webpage and shoot them a message @ mvr.mcgill.ca/.../clinicaltrial.html

    Scroll to the bottom of the page (also there is a video explaining the process).

    *IMPORTANT* - the trials are still in process and the research has not been finished, so this treatment still isn't available except through the clinical trials.

    If you are interested, you should go to the webpage listed above.

    For those who also want to understand the article, basically what the man is saying is that 1. patching only works for children under 12, and 2. it is questionable whether the results achieved by patching actually improve 3D viewing. Basically, patching relies on the idea of "training" the "weak" eye, but even though that has worked to varying degrees of success for children, but it may not actually be addressing the problem. The doctor suggests that the problem lies in the fact that the good eye suppresses the bad eye, and the resulting confusion in sight is because the two eyes are not working together. Patching the good eye only "trains" the bad one, but not the two together.

    His research has led him to believe that he can train the two eyes to work together by having the two see different images that the brain can combine to view a cohesive whole. As the brain practices putting these two images together, the eyes get more used to working together and sight nears that of normal clear vision.

    • Jim Berg Jim Berg United States says:

      When news of this therapy first hit the internet, people rushed out to create versions of Tetris that use old style 3d (blue/red) glasses to show the falling blocks in one color and collecting blocks in another.  LazyEyeTetris is one of those games trying to capitalize on this research.  When I read the article, I get the impression that there is more to it than that.  It sounds like the images are adjusted to show correctly to the player and over time as the player's vision improves, the images are moved gradually towards what would work for normal people to see 3d.  This would mean that LazyEyeTetris and other such games are likely a waste of time.

      Am I reading this correctly?  I would really love to see 3D at some point.

  56. Shrikant Kulkarni Shrikant Kulkarni India says:

    My son onkar -age 30 is suffering from lazy eye problem.  At the age of 3 or 4 he had an squint operation-left eye.  2/3 years back he suddenly detect the lazy eye problem in the left eye when he went to see movie. We are giving him various treatment but no success. His right eye sight : 100% where as left eye is 60% in working condition. Please suggest treatment or Doctor/treatment center in India .

  57. EatLikeULoveYourself Gough EatLikeULoveYourself Gough United Kingdom says:

    Hi, I've had a lazy eye since childhood which apparently improved with surgery, patching and exercises at home, all of which I did religiously, yet my eyesight in one eye is so poor, I know I don't have 3D vision and I would go so far as to say one of my eyes is partially sighted, I can see out of it but it's fuzzy at all distances and almost makes me feel like I have a headache if I force myself to look out of that eye.  I would be interested in trying this treatment.

  58. Kristina Kruk Kristina Kruk United States says:

    I am 31 year old woman and at age 13 was diagnosed with Amblyopia my left eye.  My vision in my right eye is 20/600.  I was told since I was 13 there is no treatment for me because I am was too old to wear a patch on my good eye.  Later on in my mid twenties, I started doing a lot of computer work and reading through school and my good eye became so fatigued all the time and I got horrible headaches.  I was given two pairs of glasses, one for reading and one for driving and these caused such horrible headaches that I actually had what they call an Ocular Migraine where my vision in my good eye went all white for almost 2 hours.  I thought I went blind for good turns out my good eye was completely overloaded and glasses do not help at all because when I look around it I see as if I have only one eye even though I can see very blurry in my bad eye only if my good eye is closed.  I am in college again and the horrible headaches and eye fatigue are back from all the reading and computer work.  I tried to go to my eye dr and have them fill out a form that says what my diagnosis is so I can get extended time to read for test and accommodations but I was told that none of their other patients need accommodations or complain of these problems with amblyopia.  I want to be a teacher so bad but everything is going digital and it is so hard to read for more than 10 minutes without falling asleep.  I am desperate for some help.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News-Medical.Net.
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