Should My Daughter Wear Glasses for Her Amblyopia? - Ophthalmology

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Do I need to wear glasses?


I have a daughter in the second grade who has amblyopia.
Her vision is 0.2, and with corrective lenses, she can achieve 0.6.
Should she wear her glasses all the time, or only when she can't see well? She usually refuses to wear them while watching TV and only puts them on when she can't read the board.
Will this help improve her vision? What should we do? Thank you for your response.
The 0.2 refers to her best-corrected vision, indicating that her optic nerve has already atrophied.
Is there any medication available for treatment?

Mr. Wang, 0~9 year old female. Ask Date: 2004/09/08

Dr. Ke Meilan reply Ophthalmology


Hello,
It is essential to confirm what your daughter's best vision is.
For a second grader around 8 years old, the critical period for treating amblyopia is between 5 to 8 years of age.
The treatment for your daughter has not been strictly followed, resulting in poor effectiveness.
Please make an appointment as soon as possible to enforce the treatment and evaluate progress weekly.
Only with the use of glasses and intensive practice can there be a chance for her best vision to recover to 1.0.

Best regards,
Dr.
Mei-Lan Ke, Ophthalmology Chief

Reply Date: 2004/09/08

More Info


When it comes to amblyopia, commonly known as "lazy eye," the management and treatment can be quite nuanced, especially in children. Amblyopia occurs when one eye does not develop proper vision during childhood, leading to a significant difference in visual acuity between the two eyes. In your daughter's case, with her best corrected vision being 0.2 in one eye and 0.6 in the other, it is crucial to address her amblyopia effectively to prevent long-term visual impairment.

Should Your Daughter Wear Glasses?
Yes, your daughter should wear glasses regularly, especially if she has been prescribed them. Glasses are essential for correcting refractive errors, such as myopia (nearsightedness), which can contribute to amblyopia if left uncorrected. Wearing glasses consistently will help her achieve the best possible vision and support the development of her visual system.
Why Consistent Wear is Important:
1. Visual Development: The visual system is still developing in children, and consistent use of corrective lenses can help improve visual acuity. If your daughter only wears her glasses when she struggles to see the blackboard or when watching TV, she may not be providing her brain with the necessary visual input to strengthen the weaker eye.

2. Preventing Further Decline: If amblyopia is not treated effectively, the vision in the affected eye may continue to deteriorate. Regular use of glasses can help stabilize her vision and prevent further decline.

3. Encouraging Eye Coordination: Wearing glasses can help improve the coordination between both eyes, which is essential for depth perception and overall visual function.

What About Treatment Options?
While glasses are a fundamental part of managing amblyopia, additional treatments may be necessary, especially if her vision does not improve with corrective lenses alone. Here are some common approaches:
1. Patching Therapy: This involves covering the stronger eye with a patch for a certain number of hours each day. This forces the weaker eye to work harder, promoting its development. Patching is often most effective when started at a younger age.

2. Atropine Drops: In some cases, eye doctors may prescribe atropine drops to blur the vision in the stronger eye, encouraging the use of the weaker eye.

3. Vision Therapy: This is a structured program of visual activities designed to improve eye coordination and visual processing skills. It may be beneficial in conjunction with glasses and other treatments.

4. Regular Eye Exams: Frequent check-ups with an eye care professional are essential to monitor her progress and adjust treatment as necessary.

Conclusion:
In summary, your daughter should wear her glasses consistently to support her visual development and manage her amblyopia effectively. It is also crucial to consult with an eye care professional who specializes in pediatric vision to explore additional treatment options, such as patching or vision therapy. Early intervention is key to improving her visual outcomes, so addressing her amblyopia now will have lasting benefits for her vision and overall quality of life. Encourage her to wear her glasses regularly, and consider making it a part of her daily routine to help her adapt to wearing them.

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