Astigmatism in Infants: What Parents Should Know - Ophthalmology

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A 7-month-old infant has been diagnosed with astigmatism?


Hello Dr.
Ke: Although I have researched issues related to astigmatism, my daughter is currently only 7 months old.
When I took her for an eye examination recently, the ophthalmologist mentioned that she has 2.00 diopters of astigmatism, which is higher than what is typically seen in normal infants.
However, when I asked what the normal range of astigmatism is for infants, the doctor replied that there is no specific normal value.
If my daughter indeed has 2.00 diopters of astigmatism, could this lead to amblyopia? What steps should we take at this point? Additionally, what should we be mindful of in her daily life? Thank you very much for your response!

Xuan Mama, 0~9 year old female. Ask Date: 2006/12/15

Dr. Ke Meilan reply Ophthalmology


Dear Mom, a cylindrical refractive error of 200 degrees is unlikely to cause amblyopia.
Astigmatism in infants is not consistent due to various influencing factors, so there is no need for immediate intervention.
At 3.5 years old, please remember to learn the direction of the opening of the letter C to show it to the ophthalmologist.
Sincerely, Dr.
Mei-Lan Ke, Chief of Ophthalmology.

Reply Date: 2006/12/15

More Info


Astigmatism, or "散光" in Mandarin, is a common refractive error that occurs when the cornea or lens of the eye has an irregular shape. This irregularity can cause blurred or distorted vision. In infants, astigmatism can be present at birth and may change as they grow. Understanding astigmatism in infants is crucial for parents, especially when it comes to monitoring their child's vision and ensuring proper eye care.

In your case, your daughter has been diagnosed with astigmatism of 200 degrees, which is indeed higher than what is typically seen in infants. However, it is important to note that the degree of astigmatism does not always correlate directly with the severity of vision problems. Many children with astigmatism may not experience significant visual impairment, while others with lower degrees may have more pronounced issues.

The concern about amblyopia, or "弱視," is valid. Amblyopia can develop if one eye is significantly more affected than the other, leading the brain to favor the stronger eye. This condition is often referred to as "lazy eye." Regular eye examinations are essential to monitor your child's vision and detect any signs of amblyopia early on. If amblyopia is detected, treatment options may include corrective lenses, patching the stronger eye, or vision therapy.

As for management and daily care, here are some recommendations:
1. Regular Eye Exams: Ensure that your daughter has regular check-ups with a pediatric ophthalmologist. Early detection and intervention are key to managing astigmatism and preventing amblyopia.

2. Monitor Visual Behavior: Pay attention to how your daughter interacts with her environment. If she seems to squint, tilt her head, or have difficulty focusing on objects, these could be signs of visual discomfort.

3. Encourage Visual Activities: Engage your child in activities that promote visual development, such as reading picture books, playing with toys that have different colors and shapes, and encouraging her to look at objects at varying distances.

4. Use Corrective Lenses if Needed: If the ophthalmologist recommends glasses, ensure that your daughter wears them as prescribed. Corrective lenses can help improve her vision and reduce the risk of amblyopia.

5. Create a Safe Environment: Since infants and toddlers are naturally curious, ensure that their play area is safe and free from hazards. This allows them to explore their surroundings without the risk of injury, especially if their vision is affected.

6. Educate Yourself: Understanding astigmatism and its implications can empower you as a parent. Stay informed about the condition and discuss any concerns with your child's eye care provider.

7. Be Patient and Supportive: As your daughter grows, her vision may change. Be patient and supportive as she adapts to her visual needs. Celebrate her milestones and encourage her to engage in activities that promote her visual skills.

In summary, while a diagnosis of astigmatism can be concerning for parents, it is manageable with regular monitoring and appropriate care. By staying proactive and engaged in your daughter's eye health, you can help ensure that she develops the best possible vision as she grows. If you have further questions or concerns, don't hesitate to reach out to your child's ophthalmologist for personalized advice and guidance.

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