My daughter (4 years old) received a prescription for glasses (atropine test): OP sphere +2.0, cylinder +2.25, axis 90 degrees; OL sphere +1.75, cylinder +2.5, axis 90 degrees. In addition, it is to cover the right eye for 6 hours a day to make the left eye work. Does this mean left eye amblyopia or something else? Why is the right eye better if the sphere on the prescription is +2.0, and in the left eye is +1.75? I always thought that the higher the number on the glass prescription, the bigger the defect.

The prescription only shows the power of glasses, the correction that the child's eye accepts. Amblyopia is the abnormal development of the optic nerve that transmits images from the eye to the brain - without the correct "way" from the eye to the brain, good vision cannot be achieved. Up to the age of 7, the weak optic nerve can be trained precisely by covering the better eye. Please categorically use eye protection as recommended by your ophthalmologist.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Iwona Grabska - Liberek

Ophthalmologist, postdoctoral doctor of medicine, head of the Ophthalmology Clinic and head of the Clinical Department of Ophthalmology at the Medical Center of Postgraduate Education in Warsaw. From 2016, the president of the Polish Ophthalmology Society.

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