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The main cause of Flomax phenomena is the difference in images falling on the retina (aniseikonia). So, if one eye has a stronger myopia than the paired eye, then the image on its retina will be larger and blurry.
It is customary to distinguish three degrees of anisometropia: weak (up to 3 diopters), medium (3-6 diopters) and high (over 6 diopters). There are other classifications of the disease; for example, anisometropia is divided into congenital and acquired. Congenital (hereditary) anisometropia is more common.
In this case, the visual analyzer finds it difficult to merge two images that are different in size and clarity into one.
Varieties and degrees of anisometropia.
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There are axial, refractive and mixed anisometropia. Axial, as the name implies, is a consequence of different lengths of the axis of the eyes with the same refraction, tamsulosin - a different degree of tamsulosin with the same lengths of the axes.
Methods of treatment and optical correction of anisometropia are determined by its degree.
For example, the correction of the disease with the help of glasses is possible with a difference in refraction of no more than 2 diopters (although for children the difference may be greater, due to the age-related flexibility of the visual system).
In spectacle correction, lenses of different optical powers are used.
A slightly different correction mechanism is used when wearing contact lenses.
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Anisometropia is a congenital disease. Its peculiarity lies in the large difference in the refractive power of the left and right eyes. There is a sharp decrease in vision in one eye due to the suppression of impulses in the brain.
If treatment is not started in time, the disease will develop and as a result, blindness will occur.
As a result, a person cannot navigate in space, reacts sharply to the most insignificant stimuli, the picture blurs or merges in the eyes.
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In the international classification of diseases ICD-10, anisometropia has the code H52.3.
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- In this case, the difference between the left and right eye can be from 0 to 3 diopters. Average. This degree has indicators from 3 to 6 diopters between the eyes. Strong. These are all cases where the difference exceeds 6 diopters.
- Anisometropia is a congenital disease that is most often inherited. There are cases when the disease begins to develop actively not in childhood, but in older age. The sudden development of anisometropia can lead to loss of vision.
- If one of the parents, or both have this disease, then the risk of developing anisometropia in a child is much higher. If the parents have a pathology of the right eye, the disease can manifest itself in the child both on the right and on the left eye.
- There are cases when the disease develops without a genetic disposition. This is more of an exception to the rule. The cause of this condition may be the consequences of a cataract or surgical intervention on the organs of vision.
- The main causes of anisometropia are as follows: Unilateral hyperopia of a high degree.
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- Due to the fact that after the age of 40 some people develop glaucomatous changes, asymmetrical farsightedness may appear. Cataract. As a result of clouding of the lens, visual dysfunction of one eye occurs. Congenital structural features of the eye.
- Symptoms of anisometropia are that in the first stages there is a slight discomfort that is not always noticeable. In these cases, correction with glasses is possible. At later stages, the picture may lose clarity, bifurcate. Decreased visual acuity. If one eye is closed, the problem disappears.
- A small child may squint or close his eyes if he is watching TV or reading a book. In the last stages, there are violations of binocular vision. The holistic perception of the size and brightness of the object is disturbed.
- With heavy loads, fatigue sets in very quickly, and a severe headache occurs, which radiates to the superciliary arches. Diagnosis of anisometropia.
Amanda Rickard
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If binocular vision is practically normal, and the difference between the perception of objects by the left and right eyes is approximately the same, then this does not cause discomfort. But with a large difference, two objects cannot merge into one image, and binocular vision disturbances occur.
Anisometropia and aniseikonia. Often anisometropia causes the development of aniseikonia, when the same object in the retina of each eye has unequal sizes.
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A patient with aniseikonia complains of a significant decrease in visual acuity, images of objects lose their clarity and blur, and if the work requires constant visual strain, then fatigue occurs.
Equalizing the refraction of the left and right eyes with the help of glasses will not help eliminate aniseikonia, and may also increase it. Vision can be corrected only if the difference in visual perception does not exceed two diopters.
Only for children who have strabismus is it recommended to fully correct the anisometropia. If anisometropia has reached a high degree, then it is appropriate to use iseicon glasses, which consist of two lenses, or special contact lenses. They are worn under the eyelid on the eyeball. Between the cornea and the lens is a thin layer of tear fluid, which creates an optical system that helps reduce aniseikonia.
Most often, anisometropia is diagnosed during a routine examination by an ophthalmologist. The patient himself usually addresses already in the later stages, when the visual defect causes discomfort.