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?
Strabismus

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:

  • 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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    6/19/2020 - Google

    Dr. Januskey did a fantastic job fitting me with special contacts for my keratoconus. Her work helped return my life to normal. I would absolutely recommend Precision Eye Care to anybody searching for an eye doctor.

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    Dr. Januskey did a fantastic job fitting me with special contacts for my keratoconus. Her work helped return my life to normal. I would absolutely recommend Precision Eye Care to anybody searching for an eye doctor.

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    They are very professional and efficient. Great work explaining what you need and what is best. Will definitely be back.

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    Quick response time! I texted early on Saturday morning with a question and they almost immediately responded to help me.

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    Very good Eye Clinic.I have been wearing glasses for 20 years and no one told me why I have been constantly feeling dizzy.It's until I went to this place and figured out why!Highly recommended! Dr. Lisa is great!

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    4/21/2020 - Google

    Very good Eye Clinic.
    I have been wearing glasses for 20 years and no one told me why I have been constantly feeling dizzy.
    It's until I went to this place and figured out why!

    Highly recommended! Dr. Lisa is great!

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    I was a first time patient recently had a great overall experience. Staff was friendly and knowledgeable customer service excellent I appreciate when I call them it's a direct line and not some lousy automated system spoke with Kyler great... read more

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    I was a first time patient recently had a great overall experience. Staff was friendly and knowledgeable customer service excellent I appreciate when I call them it's a direct line and not some lousy automated system spoke with Kyler great... read more

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    Still the best place for your vision needs! Love Dr. Janusky and her team!

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    Wonderful! So helpful & so many options for glasses. Staff is nice and very helpful!

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    Very friendly staff! Doctor was very informative and nice. Great facility! Highly recommended!

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    Best eye care I've had thus far. Hope to never go anywhere else.Back again for 2020! I won't go anywhere else! Staff is friendly and helpful! Dr. Januskey is the best!

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    2/14/2020 - Google

    I was so nervous for my 4-year olds first eye exam, but Dr. Lisa and staff were absolutely amazing. They were super friendly and helped my daughter be able to be examined with a calm and upbeat demeanor. Dr.... read more

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    2/11/2020 - Google

    The staff is super friendly and helpful! Dr. Janusky takes the time to go over information with you and let’s you ask however many questions you need. She truly cares about her patients’ wellbeing!

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    2/11/2020 - Google

    Dr. Tran and the team was fantastic! They were super helpful, really friendly, and made this the easiest optometrist visit I've ever had!!

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    2/04/2020 - Google

    We had a wonderful experience here today purchasing glasses for my 4 year old. The staff was extremely helpful and we got a great deal and on frames and lenses. Thank you Precision Eye Care!

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    2/04/2020 - Google

    Very professional staff and I really like Dr.Tran. He was friendly and took time to answer all of my questions.

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    2/04/2020 - Google

    Great experience

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    The staff and Doctor were extremely professional, and very helpful.Even though we went elsewhere to purchase glasses, they had an exceptional selection of glasses and frames, the staff were pleasant to work with and gave us our prescriptions without any... read more

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    The staff and Doctor were extremely professional, and very helpful.

    Even though we went elsewhere to purchase glasses, they had an exceptional selection of glasses and frames, the staff were pleasant to work with and gave us our prescriptions without any...
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    1/28/2020 - Google

    Everyone was super helpful throughout my visit :)

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    My wife and I love coming to Precision Eye Care. We both see Dr. Lisa Januskey and always have a great friendly experience. All the employees are very attentive and kind. I had my first experience purchasing eyeglasses from here... read more

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    1/15/2020 - Google

    Precision Eye Care provided my husband, who has amblyopia and strabismus and cataract-lens replacements, the most comprehensive glasses-prescription exam he has ever received! I highly recommend this service provider