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How to Fix Lazy Eye in 2024 – To Patch or to Play?


5 min


How to fix lazy eye

Lazy eye, or amblyopia, is a condition characterized by reduced vision in one eye due to the brain and eye not working together properly. This condition affects about 3 out of every 100 children and, if left untreated, can lead to worsening vision over time. Fortunately, various treatments are available to correct lazy eye, especially when initiated at a young age. Let’s see how to fix lazy eye!

Why Lazy Eye Happens?

Lazy eye occurs when one eye becomes weaker than the other, causing the brain to favor the stronger eye and ignore signals from the weaker eye. This imbalance can lead to poor depth perception and other vision problems.

Amblyopia typically affects only one eye but can sometimes impact both eyes. Such amblyopia is called bilateral amblyopia.

Causes of Lazy Eye

Several factors can lead to amblyopia, including:

  • Refractive errors: Significant differences in vision clarity between the two eyes, such as nearsightedness, farsightedness, or astigmatism.
  • Strabismus: Misalignment of the eyes where one eye turns inward, outward, upward, or downward.
  • Visual deprivation: Conditions like cataracts or drooping eyelids that obstruct vision in one eye.

Lazy Eye Signs and Symptoms

Identifying lazy eye early can be challenging but is crucial for effective treatment. Common signs include:

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  • Tendency to bump into objects on one side.
  • Eye that wanders inward or outward.
  • Eyes that do not seem to work together.
  • Poor depth perception.
  • Squinting or closing one eye.

How to Fix Amblyopia: Detection and Diagnosis

Routine eye exams are essential for detecting lazy eye, especially in young children. The American Optometric Association recommends eye exams at 6 months, 3 years, and then regularly from ages 6 to 18. Early detection and treatment of lazy eye are crucial.

The best results are often seen when treatment starts before age 7-8, but improvements can still be achieved in teenagers and adults.

How to Fix Lazy Eye: Treatment Options

Eye Patching

Wearing an eye patch over the stronger eye forces the weaker eye to work harder, improving vision.

Typically, the patch is worn for 2 to 6 hours daily.

Bangerter Filter

Bangerter filters are opaque covers placed on the lens of the stronger eye’s glasses, providing a less obtrusive alternative to eyepatches. These filters are worn full-time and can be adjusted as the weaker eye strengthens.

Eye Drops

Atropine eye drops blur the vision in the stronger eye, encouraging the weaker eye to work harder. These drops are typically used daily and are available by prescription.

Cost: Atropine eye drops are generally covered by insurance, though you might need the generic version. Prices range from $25 to over $60.

Vision Therapy

Vision therapy involves exercises designed to improve the coordination and focusing ability of the eyes. Tools include computer games, iPad apps, and activities like jigsaw puzzles and drawing.


Surgery may be necessary for severe cases, especially when amblyopia is caused by strabismus, droopy eyelids, or cataracts. The procedure involves adjusting the eye muscles to correct alignment.

Success Rates: Vary between 30% to 80%, depending on the individual case.

Risks and Recovery: Risks include overcorrection or undercorrection, infection, and rare vision loss. Recovery involves a few days to a week of mild pain and swelling.

How to Fix Lazy Eye in 2024

Early detection and treatment of lazy eye are crucial. The best results are often seen when treatment starts before age 7, but improvements can still be achieved in teenagers and adults. Regular eye exams and prompt attention to vision issues are very important. Let’s see how to fix lazy eye in 2024.

Binocular vision therapy

To Patch or to Play?

Recent studies have explored innovative alternatives to traditional patching therapy for amblyopia, highlighting the potential of interactive digital treatments.

A study titled “Binocular iPad Game vs Patching for Treatment of Amblyopia in Children: A Randomized Clinical Trial“, led by Dr. Krista R. Kelly, found that a binocular iPad game was as effective as patching in improving visual acuity in children.

Engaging Digital Solutions for Amblyopia Treatment

Similarly, another study, “Effect of a Binocular iPad Game vs. Part-time Patching in Children Aged 5 to 12 Years With Amblyopia: A Randomized Clinical Trial“, conducted by Dr. Jonathan M. Holmes and colleagues, concluded that the binocular iPad game was not only as effective as part-time patching but also more engaging for children. 

Dahlmann-Noor A., MD, PhD: “Parents and Children Dislike Current Treatments”

Additionally, Annegret Dahlman’s article “Binocular Treatment of Amblyopia in Children: Teething Problems on the Path to Clinical Practice” discusses the evolution of binocular treatment strategies and their efficacy compared to traditional monocular therapies:

“Parents and children dislike current treatments (patching or atropine blurring of the better-seeing eye), and adherence is variable or poor.”

Amblyopia is a Problem of Binocular Processing

She also outlines that research has revealed that amblyopia is not solely a deficit in monocular acuity but rather a problem of binocular processing.

This means that unequal input from both eyes leads to the suppression of information from the weaker eye, resulting in various visual impairments such as poor depth perception, reduced contrast sensitivity, and instability in fixation of the amblyopic eye.

Binocular treatments aim to address the root cause of amblyopia by stimulating binocular visual processing, potentially improving not only visual acuity but also stereovision and reducing the risk of regression after treatment termination.

Eye Patching for Several Hours or Fun Eye Exercises for 30 Minutes a Day?

These results imply that digital games can be useful and entertaining substitutes for conventional patching, which may improve treatment compliance and increase young patients’ interest in the therapeutic process.

Bringing together these cutting-edge, interactive technologies with extensively tested treatments provides a complete approach to managing amblyopia.

how to fix lazy eye in 2024

We do not want our children to wear patches, when they can:

  • Train easily from the comfort of their home.
  • Do eye exercises on the current devices.
  • Track the results.
  • Have effective and specific training for their challenges.
  • have fun while doing it.

Conclusion: How to Fix Lazy Eye

Amblyopia, or lazy eye, has changed significantly regarding the way it is treated. It provides encouraging alternatives for conventional techniques. The effectiveness of interactive digital therapies, including binocular iPad games, to improve visual acuity has been demonstrated by recent studies. Not only can these entertaining treatments match the effectiveness of traditional therapy, but they also increase young patients’ interest and compliance.

We can offer an integrated approach to managing amblyopia by combining these cutting-edge technology with tried-and-true treatments, improving results for kids in 2024 and beyond. The crucial element to a good outcome in therapy is still early intervention and routine eye exams.

Frequently Asked Questions

How to correct lazy eye in children?

The most effective treatment for lazy eye, or amblyopia, often involves patching the stronger eye to force the weaker eye to work harder. However, recent studies suggest that interactive digital treatments, such as binocular iPad games, can be just as effective and more engaging for children.

How do digital games help in treating lazy eye?

Digital games designed for binocular treatment of lazy eye stimulate both eyes to work together, improving visual acuity and other aspects of vision. These games can be a fun and engaging alternative to traditional patching therapy, potentially improving treatment compliance and outcomes.

At what age should treatment for lazy eye start?

As soon as possible.

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Why Do We Suggest a Minimum Time of 6 Months for Success?

Based on the data from over 15,000 patients using AmblyoPlay, improvements start within 4 months, while optimal results take anywhere between 6-18 months on average. The duration of required training depends on the patient’s age, the severity of the problem, accompanying diseases, and adherence to the training program.

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