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.
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