What to do if you are born with amblyopia?

Now we live in a high-tech society. People are staring at mobile phones, computers and other electronic products all the time. There are more and more bespectacled boys and girls, but there are also many people who have eye problems since birth. Some people are blind, and some people have hereditary amblyopia, which causes an uncomfortable future for their children. They have to wear corrective glasses from an early age, making their parents feel desperate, sad and heartbroken. So today we will explain congenital amblyopia.

Congenital amblyopia or organic amblyopia (5%): It is caused by macular hemorrhage at birth, which leads to irregular arrangement of cone cells. It occurs before the baby's eyes are formed after birth, so the prognosis is poor. Although no obvious lesions can be found in the retina and central nervous system, some cases are still considered to be organic lesions because they cannot be detected by existing examination methods. This type is called constant amblyopia and is ineffective for treatment.

Departments: Pediatric Ophthalmology Ophthalmology Ophthalmology Refraction

Commonly used drugs: Mingmu Dihuang Pills and Lecithin Tablets

Western medicine treatment for amblyopia:

① Suppress the healthy eye from seeing near: drip 1% atropine solution into the healthy eye every day, wear corrective glasses, and add a 2.00 or 3.00 spherical lens to the corrective lens of the amblyopic eye. This will force the patient to use the healthy eye to see far and the amblyopic eye to see near.

② Suppress the dominant eye from seeing far: apply atropine drops to the dominant eye and overcorrect it with a 3.00 spherical lens so that it cannot see far clearly but can see near; wear a full corrective lens for the amblyopic eye to see far.

③ Complete suppression: Put atropine in the dominant eye and wear an undercorrected lens, generally minus 5.00 spherical lens (negative lens or reduced positive lens can be used); the amblyopic eye wears a corrective lens. This makes the dominant eye unable to see either near or far.

④Selective repression:

A. For those with excessive accommodative convergence: apply atropine drops to the dominant eye, wear corrective lenses, and wear bifocal lenses in the amblyopic eye to facilitate near vision and reduce or eliminate esotropia when looking at close objects.

B. Maintain and consolidate the therapeutic effect: alternately suppress both eyes. Atropine was stopped for the dominant eye, and two pairs of glasses were fitted, one pair for the right eye with a 3.00 spherical overcorrection, and one pair for the left eye with a 3.00 spherical overcorrection. The two pairs of glasses were worn alternately every other day. The child uses his right eye to see far away one day and his left eye to see far away every other day to prevent recurrence of amblyopia.

During the treatment, children are advised to pay attention to healthy diet and not be picky about food, increase vitamin intake, eat appropriate amounts of fruits and fresh vegetables, and increase the recovery of the retina. Even if the treatment process is difficult and long, the child's future is very important, and for the sake of the child, we all have to work hard together.