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Medical Forum / General / Vision / March 2006second follow up to 20/60 and -11.50 retinoscope
my daughter went yesterday to bascom palmer eye institute which is one of the most highest ranked eye research centers in the world. the doctor there does not thnk it is lenticonus but thinks there is some anatomical anomily. the doctor could see how the middle of her eye is highly myopic and the outside of her lens is not that bad. the doctor does not think my daughter(with glasses) will ever get to 20/20 but maybe 20/30. this scares me. it is one thing for one eye not to see 20/20 but both eyes really upsets me. she turns 3 in a couple of weeks. from what i have read i thought that it should be plenty of time to bring her back to 20/20. i was warned that the doctor is very conservative and i am wondering if he just giving me a conservative answer. her regular dr. still thinks it is possible. the other problem i have is that she has been given two totally different perscriptions. the first gave her -10.50 for both eyes(adjusted from -11.50). this doctor yesterday gave her -8.00 and -6.50(adjusted from -10.00 and -8.50).we took her back today to the original dr. and gave her -10.00 and -8.00. today he said he saw a difference between the two eyes. we decided to go with the -10.00 and -8.00. even the doctor yesterday said that when her lens are different perscriptions at different points and that is why there is a difference(we were getting different perscriptions at the same office). the dr. yesterday is totally against any lens replacement(for fear of consequences such as glaucoma) where our original dr. is for surgery(in about a year). he feels that even though they dont understand what is wrong with the lens they know it is bad and it is causing all the problems so why keep it. i apprerciate all input on this matter. i am sure anyone especially any parent could understand what we are going through right now. my main concern is to have her be able to see 20/20. Dr. G was right when he said the center of her eye/lens is highly myopic. If one doctor says operate and the other says leave it, then the decision is yours. An operation is indeed a risky thing, that everyone can agree. If her vision is functional and she has no trouble getting about, then no hurry to operate. Lots of people arent correctable to 20/20, I for one am not and I dont remember ever being. I do see 20/30. My dad and brother correct to 20/25. If you have questions, ask away > If you have > questions, ask away That comes as a great comfort to the rest of us. > If one doctor says operate and the other says > leave it, then the decision is yours. What?!?! Yes, they could both be right, one might be very wrong, it might be preference, it might matter, it might not. Don't you think it might be a good idea to understand? If it were me I would go back to both doctors, tell them what the other doctor suggested and ask them to explain it so that you can understand and make an informed decision. I suppose if you live on the internet, perpetually under the influence of halucinogenics you might only be able to flip a coin but I would want to make an informed decision. -Quick the one doctor feels that to many problems could occur with the lens removal. even though the surgery has a high success rate. the other doctor feels that since the lens is seeing two different ways and is also causing a high astigmatism he thinks surgery is a good option not to mention it would take away most if not all of her myopia. but if something did go wrong it would bother me for the rest of my life because of the decision i made. >> If one doctor says operate and the other says >> leave it, then the decision is yours. [quoted text clipped - 17 lines] > >-Quick > the one doctor feels that to many problems could occur > with the lens removal. even though the surgery has a high [quoted text clipped - 4 lines] > but if something did go wrong it would bother me for the > rest of my life because of the decision i made. Tough decision. If I were to make a decision like that for my own kids I believe my approach would be first become as well informed as possible and then would be along the lines of "would I do that for myself" and temper it with the child's personality. If you have balanced the risks with the rewards and made what you feel to be the right decision there should be no regrets. Maybe not the same but I would liken it to letting my kids go outside to play every day. If they were to be harmed I would not regret the decision to have let them go out. -Quick Maybe ask more doctors for more opinions on what they say? I cant and wont decide for you, only you and your doctors can. Does your daughter get a say on this? Remember if her lenses are removed, she will need bifocals full time. > I cant and > wont decide for you, ...primarily because I have absolutely no knowledge, no qualifications to advise, and a documented history of hallucinogenic drug use. Other than that, Mrs. Lincoln ... how'd you like the play?? from another post that i was reading a father talked about how pictures of his son showed a white dot in the eye that was determined to be a cataract. the one doctor thought that my daughter could have the start of a lamellar cataract while the other doctor thinks it is imposssible because he does not see it. anyways my wife have always noticed that the left eye in pictures appears to be different than the other eye. the left always looks white where the right eye will be normal or red in the same picture. could this mean anything? >> I cant and >> wont decide for you, [quoted text clipped - 3 lines] > >Other than that, Mrs. Lincoln ... how'd you like the play?? if the lenses were removed what problems could she have later on. is some problem likely to occur or could she have a normal life? >from another post that i was reading a father talked about how pictures of >his son showed a white dot in the eye that was determined to be a cataract. [quoted text clipped - 10 lines] >> >>Other than that, Mrs. Lincoln ... how'd you like the play?? Dear concerned, One of my patients had congenital cataracts along with congental esotropia. After her lenses were removed, she was placed into contact lenses. I inherited her when she was a bit older, putting her into better contact lenses. She is correctable to 20/20 today, her eyes are healthy, and she is getting ready to graduate from college. Life is good. The situation at present is that your daughter sees 20/80 best estimate with a very strong lens. The alternative is to have her crytalline lenses removed, thereby correcting the optical defect, and perhaps giving her the opportunity to have close to 20/20 vision, albeit with another very strong lens. I hope this helps. DrG |
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