Should Your Child Get Glasses for Astigmatism and Myopia? - Ophthalmology

Share to:

Astigmatism and myopia glasses?


Hello, this is regarding a child's vision issue.
He is currently 9 years old and underwent strabismus surgery on his right eye at the age of 7.
He has been using atropine 0.3% for about a year for myopia.
His current vision is as follows: right eye - myopia of -2.50 diopters, astigmatism of -3.00 diopters, visual acuity of 0.8; left eye - myopia of -0.75 diopters, astigmatism of -1.50 diopters, visual acuity of 0.7.
The child reports difficulty seeing the text on the projector during class, although he can see large letters on the blackboard.
He struggles to see the spin on the ball while playing table tennis, but can generally play.
I have noticed that he often squints while watching television.
I would like to ask for your opinion on whether he needs glasses.
What are the implications of early versus late prescription? Thank you.

Cai Xiaojie, 40~49 year old female. Ask Date: 2021/02/27

Dr. Gao Pilin reply Ophthalmology


Hello, Ms.
Tsai: Both of your eyes have astigmatism, and it is recommended that you wear glasses.
If you are unable to see clearly, you should definitely get glasses.
Delaying this may lead to amblyopia; however, since you are already 9 years old, the development of your vision will slow down.
It is important to wear corrective glasses as soon as possible to see if there is a chance for further improvement.
The ophthalmology department at Puzi Hospital in Taiwan is available: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is necessary to visit a medical facility for proper care.
I hope to have the opportunity to assist you.
Dr.
Kao Pi-Lin

Reply Date: 2021/02/27

More Info


When considering whether your child should get glasses for astigmatism and myopia, it's essential to evaluate several factors, including the severity of the vision issues, the child's daily activities, and how these vision problems affect their quality of life.

From the information provided, your child has myopia (nearsightedness) and astigmatism, with the right eye showing a higher degree of astigmatism (300 degrees) compared to the left eye (150 degrees). The visual acuity in both eyes is relatively good (0.8 for the right eye and 0.7 for the left eye), but your child is experiencing difficulties in specific situations, such as reading from the blackboard and playing sports like table tennis. These challenges indicate that their current vision may not be sufficient for optimal performance in school and recreational activities.


Importance of Corrective Lenses
1. Improved Visual Clarity: Glasses can significantly enhance your child's ability to see clearly at various distances. Given that your child struggles to see projected text and has to squint while watching TV, corrective lenses could alleviate these issues, allowing for better engagement in both academic and social settings.

2. Preventing Eye Strain: Children with uncorrected vision problems often experience eye strain, which can lead to headaches and discomfort. By wearing glasses, your child may find it easier to focus on tasks without straining their eyes.

3. Supporting Development: Early intervention with glasses can support your child's visual development. If left uncorrected, significant refractive errors can lead to amblyopia (lazy eye) or further deterioration of vision over time.


Early vs. Late Fitting of Glasses
- Early Fitting: Getting glasses at an early stage can help your child adapt to wearing them, which is crucial for their visual development. It can also prevent the worsening of refractive errors and support better academic performance.

- Late Fitting: Delaying the fitting of glasses may lead to further visual complications. If your child continues to struggle with their vision, they may develop negative associations with reading or other visual tasks, potentially impacting their learning and self-esteem.


Recommendations
1. Consult an Eye Care Professional: It is crucial to have a comprehensive eye examination by an optometrist or ophthalmologist who specializes in pediatric vision. They can provide a precise prescription and assess whether glasses are necessary.

2. Consider the Prescription: If glasses are recommended, ensure that the prescription addresses both myopia and astigmatism. The lenses should be tailored to your child's specific needs to provide the best visual correction.

3. Encourage Regular Use: If glasses are prescribed, encourage your child to wear them consistently, especially during activities that require clear vision, such as reading, watching TV, or participating in sports.

4. Monitor Changes: Keep an eye on any changes in your child's vision or complaints of discomfort. Regular follow-ups with the eye care professional will help track their vision and make necessary adjustments to the prescription.

In conclusion, based on your child's current vision challenges and the potential benefits of corrective lenses, it would be advisable to pursue glasses for your child. Early intervention can make a significant difference in their visual health and overall quality of life.

Similar Q&A

Should My 6-Year-Old with Astigmatism Wear Glasses?

A 6-year-old child has no myopia but has astigmatism of 75 in the right eye and 150 in the left eye. Recently, the child has been tilting their head to see things. Should we prescribe glasses immediately, or should we just observe the situation?


Dr. Cai Wenyuan reply Ophthalmology
Observe and monitor.

[Read More] Should My 6-Year-Old with Astigmatism Wear Glasses?


Do Children with Astigmatism Still Need Glasses After Treatment?

A child with astigmatism of approximately 200 to 300 degrees can achieve a visual acuity of 1.0 after corrective lenses are prescribed. It is unclear whether they still need to wear glasses.


Dr. Huang Bozhen reply Ophthalmology
If your child is over 7 years old, they may not need to wear it. However, if they are under 7 years old, they should continue to wear it to prevent their vision from deteriorating to amblyopia.

[Read More] Do Children with Astigmatism Still Need Glasses After Treatment?


Understanding Astigmatism in Children: When to Consider Glasses

Dear Dr. Tsai, My little daughter started kindergarten this year; she is 5 years and 8 months old. Yesterday, I took her vision screening results from school to the ophthalmologist for an examination. Her unaided vision in both eyes is 0.6, but after dilation, it improves to 0.8...


Dr. Cai Wenyuan reply Ophthalmology
Hello: If the prescription is correct, it is recommended to wear glasses for correction. Wishing you safety and health. Sincerely, Dr. Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Astigmatism in Children: When to Consider Glasses


Should My 8-Year-Old Son Wear Glasses for His Vision Issues?

My son is 8 years old and in the third grade. He has had vision issues since around second grade, failing his vision screening. He has been receiving follow-up care at a nearby ophthalmology clinic, where he was dilated and monitored. He has astigmatism and mild myopia. I recall ...


Dr. Gao Pilin reply Ophthalmology
Hello, Happiness: 1. This situation should be corrected. 2. If you wear glasses while watching TV, you may not need to wear them during class if you can see clearly, and you also do not need to wear them while doing homework. Your prescription will not increase as a result. When ...

[Read More] Should My 8-Year-Old Son Wear Glasses for His Vision Issues?


Related FAQ

Astigmatism

(Ophthalmology)

Eye

(Pediatrics)

Pediatric Vision Screening

(Ophthalmology)

Prescription For Glasses

(Ophthalmology)

Amblyopia

(Ophthalmology)

Sunglasses

(Ophthalmology)

Glasses Fitting

(Ophthalmology)

Parallax

(Ophthalmology)

Farsightedness

(Ophthalmology)

Laser Surgery For Myopia

(Ophthalmology)