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

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Astigmatism of 150 degrees?


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?

Luo Shufang, 0~9 year old female. Ask Date: 2022/04/02

Dr. Cai Wenyuan reply Ophthalmology


Observe and monitor.

Reply Date: 2022/04/02

More Info


When it comes to whether your 6-year-old child with astigmatism should wear glasses, there are several factors to consider. Astigmatism is a common refractive error caused by an irregular shape of the cornea or lens, leading to blurred or distorted vision. In your child's case, the right eye has a mild astigmatism of 75 degrees, while the left eye has a more significant astigmatism of 150 degrees.
The fact that your child is tilting their head to see better is a key indicator that they may be struggling with their vision. Children often do not articulate their vision problems well, so physical signs like head tilting, squinting, or closing one eye to see better can be significant. These behaviors suggest that your child may not be seeing clearly, which can impact their learning and development.

In general, if a child has astigmatism that is affecting their ability to see clearly, especially if they are showing signs of discomfort or difficulty in focusing, it is advisable to consider corrective lenses. Glasses can help provide clearer vision, reduce eye strain, and improve overall visual comfort. For children, wearing glasses can also help prevent further visual issues from developing, as they will be able to see the world more clearly and engage in activities without the added challenge of blurred vision.

Moreover, early intervention is crucial in pediatric eye care. If astigmatism is left uncorrected, it can lead to amblyopia (lazy eye) or other visual development issues. Since your child is already 6 years old, this is a critical time for visual development, and ensuring they have the proper correction can support their learning and social interactions.

It is also worth noting that the degree of astigmatism can change as children grow. Regular eye examinations are essential to monitor any changes in vision and to adjust prescriptions as needed. If you decide to pursue glasses, it is important to have a comprehensive eye exam conducted by a pediatric ophthalmologist or optometrist who specializes in children's vision. They can provide a thorough assessment and determine the best course of action.

In summary, given your child's astigmatism and the signs of visual discomfort, it would be prudent to consider getting glasses. This will not only help improve their vision but also support their overall development and learning. Regular follow-ups with an eye care professional will ensure that their vision remains optimal as they grow.

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