Lazy Eye (Amblyopia)

Lazy Eye (Amblyopia) in Mandan, ND

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Close up of female eye with drooping eyelid, amblyopia condition called lazy eye.
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Watching your child explore the world around them brings countless moments of joy, from their first steps to catching their first ball. Their developing vision plays a crucial role in these milestones, which is why parents naturally worry when something might be affecting their child’s eyesight. Unfortunately, amblyopia, commonly known as lazy eye, affects millions of children and occurs when one eye fails to develop normal vision during the critical early years, despite the eye itself appearing perfectly healthy.

The good news is that with early detection and proper treatment, children with lazy eye can develop excellent vision and enjoy all the activities they love. At Vision Source Mandan, our caring team has been helping families across Mandan, Bismarck, and surrounding North Dakota communities protect their children’s vision for over 70 years. Our eye condition specialists understand the importance of your child’s vision to their growth and happiness, and we’re here to guide you through every step of diagnosis and treatment with patience, expertise, and genuine care.

Understanding Amblyopia and Its Impact on Vision


Amblyopia occurs in approximately 3 out of every 100 children when the brain favors one eye over the other during the critical period of visual development, typically before the age of 8. The weaker eye doesn’t receive adequate stimulation, causing the neural pathways between that eye and the brain to develop improperly. While the affected eye may appear structurally normal, it cannot achieve normal visual acuity even with corrective lenses.

The following underlying conditions can contribute to the development of amblyopia:

  • Strabismus, a misalignment of the eyes, is the most common cause, as the brain suppresses input from the turned eye to avoid double vision. 
  • Significant differences in refractive error between the two eyes, called anisometropia, can also lead to amblyopia when the brain consistently favors the eye with clearer focus.
  • Additionally, any condition that blocks light from entering one eye during development, such as congenital cataracts or severe ptosis, may result in deprivation amblyopia.

The condition affects far more than just visual acuity in the weaker eye. Children with untreated amblyopia often struggle with depth perception, making activities like catching balls or navigating stairs more challenging. Fine motor skills may also be impacted, affecting handwriting and other precision tasks. Perhaps most concerning, if the stronger eye becomes injured later in life, individuals with amblyopia lack the backup vision that normally protects against severe visual impairment.

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Woman In Glasses With Patch To Treat Lazy Eye, Amblyopia
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Amblyopia Lazy Eye Treatment Using Patches On Glasses
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Recognizing the Signs and Seeking Early Treatment


Parents play a crucial role in identifying potential signs of amblyopia, though the condition often develops without obvious symptoms. Children may unconsciously tilt their heads, squint, or close one eye when trying to focus on an object. You may notice your child bumping into objects on one side or having difficulty with activities that require depth perception.

However, many children with amblyopia show no apparent signs, making regular comprehensive eye exams essential for early detection. Our vision care team recommends that children receive their first eye exam by age one, with follow-up exams at age three and again before starting school. These early screenings can identify amblyopia risk factors before permanent vision loss occurs.

Common Warning Signs

Pay attention to these specific behaviors and symptoms your child may exhibit during daily activities or play:

  • Frequent squinting or closing one eye
  • Head tilting when looking at objects
  • Poor depth perception or clumsiness
  • Difficulty with fine motor tasks
  • Eye turn that may come and go
  • Complaints of eye strain or headaches

Early intervention has been shown to dramatically improve treatment outcomes, with the most effective results typically occurring before the age of 7. However, recent research suggests that older children and even some adults may benefit from amblyopia treatment, though recovery typically takes longer and may be less complete.

How We Treat Amblyopia at Vision Source Mandan


Modern amblyopia treatment focuses on forcing the brain to use the weaker eye while addressing any underlying causes. Patching therapy remains the gold standard treatment, requiring children to wear an adhesive patch over the stronger eye for several hours daily. The duration depends on the severity of amblyopia and the child’s age, with younger children often responding more quickly to treatment.

Tailored Treatment Plans

At Vision Source Mandan, we tailor treatment plans to meet each child’s unique needs and lifestyle. We may recommend atropine drops as an alternative to patching, particularly for children who struggle with patch compliance. These drops temporarily blur vision in the stronger eye, encouraging use of the amblyopic eye without the social stigma sometimes associated with patches.

Prescription Glasses and Contact Lenses

For children with refractive amblyopia, properly prescribed glasses or contact lenses are the first line of treatment. Correcting significant refractive differences between the eyes allows both eyes to receive clear images, supporting healthy visual development. In cases where strabismus contributes to amblyopia, we work closely with pediatric ophthalmologists to coordinate surgical correction when necessary.

Vision Therapy

Active vision therapy exercises may complement traditional treatments, particularly for children with residual binocular vision problems after successful amblyopia treatment. These supervised activities help strengthen eye coordination and improve depth perception skills that may have been affected by the condition.

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Focused young woman leaning back in armchair, holding dropper and applying eye drops. Female treating dry, irritated or inflamed eyes, focusing on health care routine and maintaining eye moisture.
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Trust Vision Source Mandan for Your Child’s Vision Care


Vision Source Mandan brings over 70 years of eye care excellence to families throughout Mandan and Bismarck, with a special commitment to protecting children’s developing vision. Our team, led by Dr. Brittany Schauer, Dr. Wayne Aberle, and Dr. Danielle Dyke, combines advanced diagnostic technology with compassionate care to ensure your child receives the most effective amblyopia treatment available.


As part of the respected Vision Source network, we stay current with the latest research and treatment advances in pediatric eye care. Our comprehensive approach addresses not just the amblyopia itself, but also supports your family throughout the treatment process with education, encouragement, and flexible scheduling to accommodate your child’s needs. Don’t wait to protect your child’s vision; early detection and treatment of amblyopia can prevent lifelong visual impairment and give your child the clear, comfortable vision they deserve. Call us today at 701-663-0313 or contact our office to schedule your child’s comprehensive eye exam.

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Ready for Crystal-Clear Vision with Contact Lenses?

Don’t compromise on your vision or comfort. The eye care team at Vision Source Mandan is ready to help you find the perfect contact lens solution for your unique needs.