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Medical Forum / General / Vision / June 2005myopia even with -7.5 glasses
My daughter is 9 years old. Her glasses prescription is -7.50 in R eye and - 7.75 in left eye. We only picked up that she needed glasses when she was almost 5 years old -her first prescription was about -6.5 . Her prescription has been -7.5 /7.75 for last few years. Her problem is that even with this prescription -she can only read the first three lines or so of an eyesight test. Her retina has been examined etc -and he says that she is one of those people who are unable to have good vision even with the best /strongest glasses that suit them. He says there is no treatment for this -just wearing glasses . When she gets older -contacts woulkd help a little ..Has anyone experienced this situation -and is there any possible treatment for our daughter. We dont want to give up on her -but her (eminent) opthalmologist says there is nothing to be done -except glasses/contacts. tom o connor via MedKB.com put fingers to keyboard and typed... > My daughter is 9 years old. Her glasses prescription is -7.50 in R eye > and - 7.75 in left eye. We only picked up that she needed glasses when [quoted text clipped - 9 lines] > We dont want to give up on her -but her (eminent) opthalmologist says > there is nothing to be done -except glasses/contacts. Unfortunatly, even though your daughter's refractive error was corrected early on, her eyes (or connections within the visual areas of the brain to be more accurate) haven't developed as normal. When both eyes are involved this is called "bilateral refractive amblyopia". Your health professionals are correct in advising you that her wearing glasses along with encouraging detailed visual tasks is the best course of action for her. The hope is that supplying a clear visual image can aid further development of the visual system. This is usually effective until about 8-10 years old and a little longer in some cases. As far as contact lenses are concerned, they may help give better vision because they don't minify images like glasses do, thus making smaller objects easier to see.  SignatureShabs. What type of things do you mean by "detailed visual tasks"-for bilateral refractive amblyopia? Our ophhamologist never said anything about anything loike this (he just says "wear the glasses") Also , I see from websites that there are treatments for "amblyopia" such as "light therapy etc"...seems like quite a lot of work is done in France , Europe. Is there anything like this (ie other than wearing glasses + the "detailed visual tasks" that MIGHT help our daughter.Anyone know anything that is worth us looking into ? She has had her retina examined under anaestetic and had electronographic examination- no abnormalities found. tom o connor via MedKB.com put fingers to keyboard and typed... > What type of things do you mean by "detailed visual tasks"-for > bilateral refractive amblyopia? Our ophhamologist never said anything > about anything loike this (he just says "wear the glasses") More for younger kids really, but behavioral optometrists and vision therapists often prescribe tasks requiring good vision e.g. drawing within two closely placed lines and the like. However these usually are in cases of unilateral amblyopia i.e. one lazy eye with the good eye being covered with a patch/blurred with atropine. > Also , I see from websites that there are treatments for "amblyopia" > such as "light therapy etc"...seems like quite a lot of work is done > in France , Europe. > Is there anything like this (ie other than wearing glasses + the > "detailed visual tasks" that MIGHT help our daughter.Anyone know > anything that is worth us looking into ? There are usually ongoing studies into these sort of things, however I don't know of any clinically significant trials of treatment for bilateral amblyopia. From what you've posted it seems that your daughter is being looked after and she has been given the best treatment. > She has had her retina examined under anaestetic and had > electronographic examination- no abnormalities found. It seems like she has had a thorough set of examinations regarding the health of her eyes i.e. there seems to be no underlying problem with the retinal cells and structures so it is a true amblyopia. SignatureShabs. Otis, read carefully. > My daughter is 9 years old. Her glasses prescription is -7.50 in R eye and - > 7.75 in left eye. We only picked up that she needed glasses when she was [quoted text clipped - 9 lines] > We dont want to give up on her -but her (eminent) opthalmologist says there > is nothing to be done -except glasses/contacts. An unfortunate situation, as well as unusual. Bilateral amblyopia is uncommon with simple myopia, i.e. none or very little astigmatism. I did see a study in which approximately 25% of children with high myopia had some other problem, such as retinal dystrophy. I wonder if our pediatric OMD will comment? DrG |
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