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Will laser eye surgery work for a lazy eye?


I had surgery for a squint as a child and now I'm almost forty it is getting noticeably worse. The more tired I am the worse it gets. I wonder, would laser surgery help?
I also have astigmatism in that eye. The other eye is very good.

I can't wear glasses because my left eye is near perfect and my right eye is really bad, there has to be a balance in the glasses, apparently. My near vision is excellent, if anything, it is my far vision which is not as good as it was.

I was hoping that laser surgery would help me regain good vision in my right eye and I could patch the left eye to help the brain to recognise it - this would also help to build up the muscle which control the eye, does this sound hopeful at all?

It will work, but it won't fix the laziness of the eye.

No; "lazy eye" has to do with the muscles that control the eye, not the curvature of the lens.

No laser surgery won't fix the lazy eye. Lazy eye happens when the vision in one eye is so bad that the bad eye quits even trying to see. The muscles in that eye stop working. Kinda like if you suddenly just quit using your arm - the muscles would shrivel up eventually.

There are treatments for lazy eye, although i'm not sure what can be done in your thirties. Also, most people's vision starts to get worse around your age. It's just another wonderful benefit of growing older. You can see a doctor about some new glasses or contacts, ask about treatment options for the bad eye.

Or you can go cheap and get some reading glasses, which would only help the one good eye and won't correct astigmatism.

No it won't help for the lazy eye you would need to have surgery on the muscles on the eye to correct the lazy eye. Instead of getting laser surgery for the astigmatism it would be best if get glasses and if your in your forty's your going to be losing your ability to so up close which is called presbyopia

No. Laser surgery works by reshaping the cornea and in cases with amblyopia (lazy eye) the problem is NOT with the cornea. Lazy eye can be caused by strabismus, which is a misalignment of the eyes, which can be treated with a different type of surgery that will even out the pull of the muscles in the eye. Even then, the surgery would even out the eyes so they don't wander, but it would not really restore the vision.

Amblyopia can also be caused by a strong refractive error, meaning the person requires a decently strong prescription.

In either case though, the vision in the eye never developed because the brain was unable to process two different images, so the brain learned to ignore the vision in the weaker eye. This is something that usually must be diagnosed and treated early in childhood so that the brain can be trained to use to bad eye through patching and sometimes through the use of atropine drops. Laser surgery would not correct the strasbismus OR the amblyopia. It WOULD correct any refractive error in the eye, but it would NOT correct the unlying cause of the problem.

I've heard that people can have *limited* success with patching of the good eye (to force the brain to acknowledge the vision in the bad eye) with patients who are much older than 6 or 7. i never thought it was possible later in life to revernse the effects of amblyopia, but an OD on here posted an answer that said it is possible, but not likely to restore *SOME* vision. This is something you'd need to discuss with your doctor.

**EDIT** After thinking about it, your eye doctor would probably advise AGAINST laser correction for you at all due to the fact that you only have one good eye. In the event of a problem or some adverse side effect, if you were to damage your only good eye, it could leave you without any sight at all. Your best bet would be to discuss your options with your doctor and see what he recommends for you. He can refer you to a surgeon if he suggests surgery to correct a misalignment of the eyes (if you have strabismus) As I said, people can and have had limited success through patching, even at your age. It would be worth it to explore all of your options with your doctor because each amblyopia case is different and it depends on what has brought about your lazy eye.

In reference to your additional details...laser surgery would NOT help your bad eye. Yes, it would reshape the cornea, but the receptors never fully developed because your brain tuned that eye out a long time ago. As I said, it IS possible that people your age can have limited success with patching the good eye to try to force the brain use the bad eye. But this procedure is by no means a guarantee and you're doctor should be honest about the expectations that he will have with patching in your 30's. Your brain has tuned that eye out for 30 years; that is why this type of condition has to really be caught by the age of 6 or 7 before the real damage sets in and it becomes irrepairable. At such a young age, it is relatively easy to treat because it is being caught before the brain tunes out the bad eye completely. Catching the problem and taking care of it after only 6 or 7 years, is a lot different than trying to reverse damage that has set in over the course of 30+ years.

I would make an appointment with your doctor and discuss your options with him/her and go from there.

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