Frequently Asked Questions

Orthoptic conditions

Woman's vision being tested with slit lamp.

Amblyopia

What is amblyopia?

Amblyopia occurs when the sight in one or both eyes is underdeveloped, leading to reduced vision.

What causes amblyopia?

The most common cause is strabismus, but it can also result from vision being blocked or one eye being more long-sighted or short-sighted than the other.

How do we treat amblyopia?

Treatment often starts with glasses to help the eye focus correctly. If reduced vision persists, patching or using eye drops called Atropine may also be needed to address visual development issues.

How does patching or using eye drops help my child’s sight?

Patching and eye drops work by encouraging the weaker eye to work harder. By covering or blurring the stronger eye, the weaker eye is forced to develop better vision. Glasses should be worn simultaneously if prescribed.

How much patching or eye drops will my child need?

The amount of patching or eye drops varies depending on your child’s age and the level of reduced vision. Your orthoptist will regularly monitor your child’s progress and create a tailored treatment plan to meet their specific visual needs.

Does patching really work?

Patching is effective when your child wears the patch as instructed. It is most successful when started at an early age. However, patching improves vision but does not correct a squint. Strabismus is treated with glasses and/or surgery.

Is atropine a good alternative treatment to patching for amblyopia?

Yes, atropine eye drops can be a good alternative for mild amblyopia. These drops blur the stronger eye, encouraging the weaker eye to work harder, similar to the effect of patching. Speak to a clinician to see if this is suitable for your child.

Will my child’s vision get better on its own?

No, untreated amblyopia can result in permanently reduced sight that cannot be corrected later in life. Early treatment is crucial.

What activities should my child do when wearing the patch or using eye drops?

Activities like reading, drawing, or playing with small toys are ideal. Since their vision will be reduced, consider any necessary adaptations to their environment or tasks.

How can I improve treatment success for my child?

Being actively involved in your child’s treatment helps improve results. Providing feedback to the healthcare team and supporting your child with fun and engaging activities during treatment can boost compliance and effectiveness.

How can I learn more about my child’s eyesight?

Speak with any eye care professional involved in your child’s treatment. They can answer specific questions and provide tailored advice.

Wearing glasses

How does the specialist know my child needs glasses?

Specialists use drops to enlarge the pupil and view the inside of the eye. By observing the light reflected off the back of the eye, they determine the required glasses’ strength.

What is long-sight?

Long sight, or hyperopia, is caused by the eye being too small. This results in light rays focusing behind the retina instead of on it. Long-sighted children may have reduced vision for both near and distant objects.

What is short sight?

Short sight, or myopia, occurs when the eye is too large, causing light rays to focus in front of the retina. Short-sighted children often have more difficulty seeing objects at a distance, although near vision can also be affected.

What is astigmatism?

Astigmatism occurs when the eye has an irregular shape, which affects how light is focused. This condition can cause blurred or distorted vision at all distances and is often present alongside long or short sight.

Can glasses alone improve my child’s vision?

In some cases, vision can improve with glasses alone. However, it may take several weeks of consistent use for noticeable improvements.

Should my child wear glasses all day?

In most cases, yes. If part-time wear is sufficient, your orthoptist will let you know.

Will my child always need to wear glasses?

This depends on factors like age, the strength of the glasses, and any other conditions. Consult your orthoptist for specific advice.

My child’s glasses look very strong. Is this normal?

If you’re not used to wearing glasses or wear them for a different condition, your child’s glasses might look unusual to you. Rest assured, they are prescribed specifically to help your child achieve the best possible vision.

My child says they see better without glasses, or the glasses seem misty. What should I do?

This is common when starting glasses. The brain and eyes are adjusting to working together with the glasses, which can take time. Persevere with the treatment, as this stage is crucial for progress.

Strabismus (or squint)

What is strabismus?

Strabismus is when one eye turns and stops aligning with the other eye. The eye may turn inwards, outwards, upwards, or downwards. This is sometimes referred to as a squint.

What causes strabismus?

Long-sightedness is a common cause, as the effort to focus without glasses can cause the eye to turn. In other cases, the cause may be unclear, but there’s often a family history of strabismus or glasses.

Is strabismus always treated the same?

No, there are many different types of strabismus and therefore many choices of treatment, some being more suitable for certain types than others. No two types of strabismus should be compared.

Will it get better on its own?

No, strabismus does not generally get better on its own, though in some cases it may improve as the child grows older.

Will my child need treatment?

Yes, treatment focuses on vision development, often involving glasses and possibly patching during early childhood. While some types of strabismus may improve with better vision, others may require surgery to straighten the eyes.

How long does treatment take?

This varies from patient to patient. Often, earlier intervention has better outcomes.

Leaflets

We’ve also produced a series of downloadable leaflets covering the topics above.