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
  • Holly Holsberry Avatar
    Holly Holsberry
    9/29/2021 - Google

    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

    Tasha Miller Avatar
    Tasha Miller
    8/28/2021 - Google

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

    Dominic Ramos Avatar
    Dominic Ramos
    8/16/2021 - Google

    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

  • Kim Bellard Avatar
    Kim Bellard
    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

    Holly Barefield Avatar
    Holly Barefield
    8/11/2021 - Google

    Super sweet staff and super helpful! Definitely recommend!

    Caden Crowson Avatar
    Caden Crowson
    8/11/2021 - Google

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

  • Lucy Getter Avatar
    Lucy Getter
    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.

    Amy Chambless Avatar
    Amy Chambless
    7/28/2021 - Google

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

    Emerson Miles Avatar
    Emerson Miles
    7/04/2021 - Google

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

  • Hannah Gianfrancesco Avatar
    Hannah Gianfrancesco
    6/29/2021 - Google

    Very friendly service and had a great eye carw experience

    Jennifer Rodriguez Avatar
    Jennifer Rodriguez
    6/25/2021 - Google

    Very nice service

    Nelda Rodriguez Avatar
    Nelda Rodriguez
    6/25/2021 - Google

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

  • Jesus Alvarez Avatar
    Jesus Alvarez
    6/25/2021 - Google

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

    Tiffany Brown Avatar
    Tiffany Brown
    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!!

    Thomas Walker Avatar
    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!

  • Jon Small Avatar
    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.....

    Faith Craig Avatar
    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

    Mike Hilliard Avatar
    Mike Hilliard
    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

  • karen gorski Avatar
    karen gorski
    5/02/2021 - Google

    Excellent customer service still exists. I recently visited the Precision Eyecare in College Station without an appointment. It was a few minutes before they closed, and Kevin, Kyle, and Brittany went above and beyond to successfully fix a pair of... read more

    Mandi Jackson Avatar
    Mandi Jackson
    4/16/2021 - Google

    Doctor was so nice and helpful! And my daughter is excited about the glasses they helped her choose!

    Sriranjani Darbha Avatar
    Sriranjani Darbha
    4/16/2021 - Google

    Dr. Januskey is an incredible optometrist! The entire Precision Eye Care Team is so kind and friendly. Highly recommend if you need glasses, contacts, or just want to get your eyes checked :)

  • Chicharra pets A Avatar
    Chicharra pets A
    4/07/2021 - Google

    Awesome place and friendly environment, Dr Januskey is very professional and amazing!!! Love this place. And once again excellent service!!!!

    Hannah Czerminski Avatar
    Hannah Czerminski
    3/25/2021 - Google

    The staff was super friendly and the whole experience was very pleasant. I will definitely be using them as my primary eye physicians.

    Kay Crawford Avatar
    Kay Crawford
    3/25/2021 - Google

    Everyone here is always super nice and very knowledgeable. Everything runs smoothly.

  • Dat Truong Avatar
    Dat Truong
    3/24/2021 - Google

    I had a great experience here. I had my eyes checked here for the first time after years. The staff is very nice and enthusiastic. Dr. Tran cares a lot about his patients. I would recommend to anyone.

    Cindy Gray Avatar
    Cindy Gray
    3/18/2021 - Google

    Kind, caring and patience with 88 year old mom.

    Blaine Fisher Avatar
    Blaine Fisher
    3/18/2021 - Google

    We love Dr. J and the team at Precision! They are quick, great with kids, and always suggest the best plan for the patient.

  • Morgan Nitsche Avatar
    Morgan Nitsche
    3/18/2021 - Google

    They were very nice and got everything done quickly! Thank y’all!

    Mya Jackson Avatar
    Mya Jackson
    3/18/2021 - Google

    I had a great experience here -- they are extremely thorough with their examinations and explain what is going on as well. And everyone is very kind :-)

    Jerry Swoboda Avatar
    Jerry Swoboda
    3/18/2021 - Google

    Great people awesome service with lots kindness

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

Learn what we are doing to protect you from COVID-19.

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

Learn what we are doing to protect you from COVID-19.