All About Amblyopia

Image of girl with eye patch.

Amblyopia, also known as lazy eye, is a visual disorder caused by abnormal vision development, often occurring during infancy. Patients with amblyopia have reduced vision in one eye, because it is not working properly in conjunction with the brain.

With early detection and proper treatment, loss of vision can be avoided for many children. However, when left untreated, amblyopia can cause significantly decreased visual acuity — including legal blindness.

What Causes Amblyopia?

When one eye sees clearly and the other does not, the brain tries to overcompensate for the one that does not see as well. Essentially, the brain begins to ignore images sent from the eye that does not see as well as its counterpart. The brain begins to favor the stronger eye over the other, and the eye that is not being used properly develops increasingly poor visual acuity, becoming the amblyopic eye.

Amblyopia can be caused by a variety of pre-existing conditions that prevents the amblyopic eye from focusing clearly.

Types of Amblyopia

Common types of amblyopia include the following:

Strabismic amblyopia is the most common type of amblyopia and is caused by poorly aligned eyes. If one eye is misaligned, the brain ignores visual input from that eye. This causes underuse in the eye with poorer visual acuity, leading to amblyopia in that eye, or lazy eye.

Refractive amblyopia can occur despite perfect eye alignment. In this case, amblyopia is caused by unequal refractive errors in the eyes. For example, one eye may have uncorrected nearsightedness or farsightedness while the other eye does not. In these cases, the brain depends on the eye with the less severe uncorrected error to see, and ignores the images transmitted from the other eye. This causes amblyopia in the underused eye.

Deprivation amblyopia is amblyopia caused by something that obstructs light from entering a baby’s eye. A congenital cataract is frequently responsible for this form of amblyopia, and proper treatment is necessary to support continued visual development.

Treatment

Amblyopia is not correctable with glasses or contact lenses alone. However, vision therapy is often an appropriate treatment option.

Vision therapy involves an individualized treatment program that is designed to correct or improve visual deficiencies. Vision therapy includes different techniques and eye exercises (depending on the vision deficiency being treated), such as patching the stronger eye to force the brain to pay attention to signals transmitted from the amblyopic eye, eye alignment exercises and eye teaming activities, which help correct and enhance the brain’s ability to communicate with the eyes. It has been found to be far more successful in treating amblyopia than eye surgery or corrective glasses alone.

The earlier a child with amblyopia enters vision therapy, the better. Research has long since disproven the popular belief that older children or even adults with amblyopia cannot be helped; however, it is best to begin treating amblyopia as soon as possible.

Location

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Hours of Operation

We are closed for lunch daily from 12:00 PM to 1:00 PM

Brier Creek Vision Care

Monday:

8:00 AM - 5:00 PM

Tuesday:

8:00 AM - 5:00 PM

Wednesday:

8:00 AM - 5:00 PM

Thursday:

8:00 AM - 5:00 PM

Friday:

8:00 AM - 5:00 PM

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Excellent office. Staff is helpful and polite when dealing with my special needs child. They understand when he needs break and how to redirect to another technique to achieve goal. Would highly recommend to others!"
    Jennifer, Raleigh, NC
  • "I needed an eye doctor to see me for my concussion issue that effected my eyesight. There isn't many who are able to assess. Dr. Durham knew just how to work with my case in a gentle manner to help keep me calm. I finally have hope for healing now."
    Elizabeth 3/15/19 - Answer to Prayer
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    Susan 3/16/19 - Amazing
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  • "Dr. Durham and her staff are the best and most knowledgeable dealing with brain injuries. Highly recommended!"
    Kristina 3/11/19 - Absolutely the best!
  • "Thought exam was personal, deteilrd and fully explained. Staff were prompt, kind, snd professional. I’d recommend Dr. Durham’s clinic to anyone needing eye care."
    Thomas 3/10/19
  • "The staff was very polite and extremely patient with my condition. Very specific about my condition and caring to help me recover. We will have a long road to recovery together."
    Elizabeth 3/11/19
  • "Didn't have to wait. Very thorough eye exam."
    Sandy 3/7/19 - Great eye checkup
  • "My visit was more than I could of asked for. I told my friends about my visit to the future. Dr. Dunham was extremely knowledgeable, concerned and determined to get it right, Her staff seemed to respect her greatly. staff was trained very well and gave me the confidence they knew what they were doing.
    I have already told my friends about my visit to the future."
    Patricia 2/24/19 - Everything was perfect.
  • "My daughter and I have have had great experiences at Brier Creek Vision! Dr. N. Is fantastic!! The office staff is super friendly, accommodating and very pleasurable to work with. Eye glass frames are plentiful and the opticians are helpful, suggestive and patient! Thanks to everyone for making all of visits wonderful!!"
    Cynthia 2/14/19 – Great Experience
  • "Dr Nakagawara is open, friendly and extremely knowledgeable. Karim Glover in the optical dispensary took great care in explaining and helping me to get great value on a new set of prescription sunglasses that will do much more than my previous set. Extremely happy.
    Loved the Optician!"
    Thomas 2/22/19 - Great Doctors and Team...
  • "I cannot tell you how happy I am with Brier Creek Vision. Everyone from the moment you enter, all the way through the appointment, is knowledgeable friendly and caring. I receive excellent and professional care. Highly recommend!"
    Helen 2/21/19 - Excellent care
  • "Went from 20/30 to 20/20! The sky is the limit with dr Patel. Will continue to bring both my kids here...."
    Temidayo 2/17/19 - Dr Patel Rocks!!!!
  • "I have had nothing but amazing experiences here! The entire staff is very friendly and knowledgeable. I have never walked away unsatisfied."
    Shelby 2/14/19 - Awesome!
  • "This office has all of the latest equipment and skills to take care of your eyes."
    Wales 2/6/19 - Great eye care!
  • "The atmosphere in the office is very pleasant and welcoming. I always feel comfortable in both the waiting room and the exam rooms. Selecting glasses is also a breeze, as the staff is extremely helpful and knowledgable."
    Kris 1/31/19 - Amazing Experience
  • "Our family visit was over the top. The entire staff took their time and made sure each and everyone's exam was through. No pressure to buy glasses. Our experience with Dr. Nakagawara was outstanding!!"
    Melissa 1/31/19 - Recommend
  • "I always have the best visit at Brier Creek Vision. My Doctor, Esther Nakagawara, is the best at what she does! She handles the procedures with care, caution and concern, explains well and has the best solutions to keep your eyes healthy. The staff is accommodating, patient and very kind to everyone; they never mind answering questions. The opticians are helpful in assisting with the selection of eyecare that looks good and works the best for you. I have told many people about my positive experiences at Brier Creek Vision and recommended this office as well."
    Kailah 1/30/19 - The Best in Eyeccare!!
  • "My family and I have been patients of Brier Creek Vision for 2 years. Dr. Nakagawara is a very caring and skilled OD who communicates, teaches and plans well. The staff and optometrists are inviting, knowledgeable and very helpful. We have recommended BCV to all our friends and family!"
    Cynthia 1/30/19 - Highly recommend
  • "I was thrilled to learn about the new Shaw lens concept to treat my daughter's amblyopia!"
    Molly 1/30/19 - Excellent Experience