When Should Your Child Start Wearing Glasses for Vision Issues? - Ophthalmology

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When should you wear glasses?


Hello Dr.
Liang,
My daughter is currently in the first year of junior high school and has significant anisometropia, with one eye at -500 diopters and the other at -200 diopters.
She is currently using cycloplegic drops.
If her prescription continues to increase rather than decrease, should we stop the drops and start wearing glasses? Will prescribing glasses at such a young age lead to an increase in her prescription? Thank you.

Wang Xiaoyuan, 40~49 year old female. Ask Date: 2019/03/04

Dr. Liang Ce reply Ophthalmology


It is recommended that you visit an ophthalmology clinic, where the physician will provide you with appropriate guidance.
Wishing you good health.

Reply Date: 2019/03/04

More Info


When it comes to determining when your child should start wearing glasses for vision issues, several factors must be considered, especially in the context of your daughter’s current situation. At her age, with a significant difference in refractive error between her two eyes (500 degrees in one eye and 200 degrees in the other), it is crucial to address her vision problems promptly to prevent further complications, such as amblyopia (lazy eye) or strabismus (crossed eyes).

Firstly, regarding the use of atropine drops, these are often prescribed to help manage myopia progression and can be effective in slowing down the worsening of nearsightedness. However, if you notice that her vision continues to deteriorate despite the treatment, it may be time to consult with her ophthalmologist about the effectiveness of the drops. If the drops are not yielding the desired results, it might be appropriate to discontinue their use and consider corrective lenses.

Wearing glasses at a young age is not inherently detrimental; in fact, it can be quite beneficial. Early intervention with glasses can help improve visual acuity and support proper visual development. If your daughter is experiencing significant visual disparity, wearing glasses can help balance her vision and reduce the risk of developing amblyopia in the weaker eye. The concern that wearing glasses too early might worsen her prescription is a common misconception. While it is true that some children may experience an increase in their prescription over time, this is often due to the natural progression of their vision rather than the act of wearing glasses itself.

In terms of the timing for when to start wearing glasses, it is generally recommended that children should wear corrective lenses as soon as they are diagnosed with a significant refractive error that affects their daily activities, such as reading, writing, or participating in sports. Since your daughter is already in middle school, her academic performance and social interactions may be impacted by her vision issues, making it even more critical to address them now.

Additionally, wearing glasses can help her adapt to her environment more effectively. For instance, if she struggles to see the board in class or has difficulty with activities that require good depth perception, such as sports, glasses can provide the clarity she needs to perform better.

In conclusion, I recommend that you consult with her ophthalmologist to discuss the possibility of fitting her with glasses. This will not only help her see better but also support her overall visual development. Early intervention is key in managing refractive errors, and wearing glasses can significantly improve her quality of life. If you have concerns about the progression of her prescription, your eye care professional can provide guidance on how to monitor her vision and adjust her treatment plan as necessary.

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