Crossed and Lazy Eyes | Eye care services College Station TX
Precision Eye Care

Crossed and Lazy Eyes

There is a lot of misinformation about crossed and lazy eyes.  Eye turns CAN be treated without surgery and amblyopia (lazy eye) treatment has NO age limit.  If you’ve been told that there’s nothing else that can be done, call us.  We can help!

boy with crossed eyes

Crossed and Lazy Eyes

A Brain Problem, Not an Eye or Muscle Problem
What are crossed and lazy eyes?

Crossed eyes are a type of strabismus, which is an eye turn.  Eyes can be turned in, out, up, or down.  Turns can be constant or intermittent.  Sometimes it’s the same eye that turns, and sometimes the eyes alternate.  Any eye turn beyond the age of three months is abnormal.

Amblyopia (Lazy Eye)

“Lazy eye” is the layman’s term for amblyopia.  Amblyopia is defined as unilateral (one-eye) or bilateral (two-eye) vision loss without ocular pathology. It is a brain condition where the brain is afraid of binocular vision: putting the information from the two eyes together to form an image of the world with depth perception. As a result, the brain shuts off input from an otherwise healthy eye, the eye becomes “lazy,” and the “lazy” eye cannot see well even with glasses.  Amblyopia may occur when the following conditions are present:

  • Strabimus
  • High refractive error in one or both eyes
  • Large difference in refractive error between the two eyes (anisometropia)

There are many myths when it comes to crossed and lazy eyes.

Fact: Research performed by Krahe and Median, et al in 2005 showed that the brain retains its plasticity throughout the lifetime.  Plasticity refers to its ability to establish new neural connections and reorganize after failure to develop normally or trauma.  This means we can treat amblyopia and strabismus even in adulthood.

Fact:  You can development stereopsis later in life even if you didn’t have it in infancy because the brain retains neural plasticity throughout life and is capable of neurogenesis (the ability to generate new neurons).  Stereopsis is a learned skill.  For a first hand account of someone who developed stereopsis as an adult, please read the book Fixing My Gaze: A Scientist’s Journey Into Seeing in Three Dimensions by Dr. Susan Barry.

Fact:  Patching is actually counterproductive in treating amblyopia.  Yes, you’ll get a temporary improvement after patching, but the vision in the amblyopic eye will degrade after you discontinue patching.  Remember, the whole reason someone becomes amblyopic is because their brain is unable to cope with binocular vision.  Therefore, to have a lasting effect, you have to treat the amblyopic eye under bi-ocular (two eyes are open at once, but are not fusing) and then binocular conditions.  This can be achieved during vision therapy.

Fact: There is nothing wrong with the eye muscles – it’s a brain problem.  The brain either doesn’t know how or doesn’t want to coordinate the eyes properly.

Fact: Surgery does not correct the underlying reason for the eye turn because, it’s a brain problem, not a muscle problem (see myth #4).  Vision therapy solves the brain problem.  Even Dr. David Hunter MD, a strabismus surgeon at Boston Children’s Hospital admits, “The surgery doesn’t correct the original defect that caused the brain to let the eyes wander in the first place, so the problem might come back years later.” and “about 10-20 percent of patients will need more surgery within 3-6 months of the first procedure.”  So, before rushing off to surgery, consider …


  • Surgery doesn’t address the underlying cause.
  • You will need multiple surgeries throughout life.  The brain will cause the eye to drift again to avoid binocular vision.
  • Surgery only improves cosmetic appearance, but does not improve binocular function or depth perception.
  • Some people who did not see double before surgery see double afterwards.  If this happens to you, Dr. Hunter recommends,”Patients might try closing one eye, tilting the head, prisms, ‘pirate’ patches, even covering one eyeglass lens with fingernail polish or tape just to try to get rid of the double image.”

Vision therapy:

  • Addresses the underlying cause
  • Improves cosmetic appearance AND function
  • Results in a permanent solution since new neural pathways are built and old ones are strengthened
  • Does not require weeks of recovery to heal

Hours & Location

Monday 9:00 am - 5:30 pm
Tuesday 9:00 am - 5:30 pm
Wednesday 9:00 am - 5:30 pm
Thursday 9:00 am - 5:30 pm
Friday 9:00 am - 1:00 pm
Saturday Closed
Sunday Closed
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    Cesar Garcia
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    The Precision Eye Care staff team is friendly, helpful and values your time really well - exactly what I would hope for!

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    Rose Bustos
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    The ladies in the front are very welcoming and very helpful. Dr Tran and assistant are awesome! I love coming to my visits! 100% recommend.

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    Allison Kaczynski
    3/03/2022 - Google

    Went to Precision to get contacts for the first time and they have not disappointed! My contacts have been back ordered and not only did they supply me with extra sets, they also placed a bridge order until the manufacturer... read more

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    I was in a work visit in College Station and left my contact lens removed at home. I stopped by Precision to purchase one and the staff was extremely friendly and helpful!

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    Needed my "tune up" per year as usual. Don't go ANYWHERE but Precision, Best Dr.s, Staff and location! Last minute appt needed, caused by me, even went superbly! Best eye care in Brazos Valley!

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    12/31/2021 - Google

    Check up appointment. In and out with no issues. Great staff!

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    First visit today after moving to College Station! Everyone was friendly and the appointment was quick & easy!

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    Always have the best experience at Precision!!

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    We have been so pleased with Precision Eye Care! We can't recommend Dr Januskey and her staff enough! Not only is Dr Januskey highly trained and perceptive, she continually proves her expertise with thorough examinations and helpful advice. She understands... read more

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    11/19/2021 - Google

    I had a great experience at Precision Eye Care! Everyone was very friendly and made me feel welcome in the office. Morgan did a great job guiding me through all the tests and scans, and Sarah and Holli were both... read more

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    Great atmosphere and super friendly! Made the whole process of the appointment easy! Highly recommend!

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    I was a new patient but felt like I had been going there for years! Everyone was so kind and treated me like a friend. Holli was a professional technician who knows her stuff and made the appointment fun! Christina... read more

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    Everything about this place is the best! Will be a customer for as long as they exist :)

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    First time visit and I was welcomed with excellent customer service. The technician, Holly was especially kind and sweet. Taking time to engage in conversation with me and explaining each of the procedures she performed. Would recommend visiting if you... read more

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    8/14/2021 - Google

    Love it when an office is running on time and the employees are nice and seem to enjoy their job! Dr Janusky took her time in explaining in a easy to understand way a few problems with my eyes. Highly... read more

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    8/11/2021 - Google

    Great experience. Found the perfect color for my colored contacts here!!

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    Super sweet staff and super helpful! Definitely recommend!

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    7/29/2021 - Google

    Great staff, who is very attentive. My exam went very smoothly and quick. They give you the best options and work with you on glasses/ contact choice.

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    Excellent office staff and doctor! Thorough, kind, and knowledgeable.

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    The staff really has great service! Always answering questions and concerns. Very patient and helpful.

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    Very friendly service and had a great eye carw experience

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    The best place to go to because they are quick and simple

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    Very nice service

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    They were polite, fast and friendly. Would definitely recommend.

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    6/16/2021 - Google

    I’m SOOOOO happy I found this place!!! My son has been doing vision therapy here and we had tremendous results. All of the staff is friendly and super helpful!!

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    Thomas Walker
    6/16/2021 - Google

    Exemplary eye exam and subsequent service. Christina is, outstanding and very patient.! Dr. Tran was Very thorough and Morgan was as well. I am very glad I came here for my glasses!

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    Jon Small
    6/11/2021 - Google

    The ladies in the office are awesome!!! Very funny and very personable and Dr. J is top notch, one of a kind, second too none.....

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    Faith Craig
    6/09/2021 - Google

    Mrs. Januskey was phenomenal. She worked with our schedule, and answered all of our questions thoroughly. She helped us understand what needed to be done and how to do it. Mrs. Januskey is kind and helpful--going above... read more

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    6/06/2021 - Google

    Annual checkup with Dr. Janusky was great. She is always ready to spend as much time as needed with her patients to get things right. I have always felt that she goes "above and beyond" to do her... read more

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eye glasses College Station TX, eye glasses near me, eye exam, vision exam, eye care, optometrist, contact lenses, contacts, colored contacts, eye exam, vision therapy, vision disorders, eye turns, lazy eye, strabismus, dry eye, itchy eyes, fashion optical, basically anything related to eye and vision care

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