another daughter with possible problem

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concerned parent - 20 Mar 2006 19:35 GMT

i have been posting about my 3 year old about her vision problems. we went to
the doctor today and she saw 20/60 with the glasses which is the same as a
month ago without glasses(she is a -11.00 and a -9.00). anyways he looked
into my 15 month old's eyes and said she was also already nearsighted. i want
to scream! my question though is could it be a mistake? he looked at her
pretty quick and did not dialate her eyes. her eyes were tearing because she
was crying(i dont know if water woud interfere). he was also about 3 to 4
feet away from her when he used the retinoscope.

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otisbrown@pa.net - 20 Mar 2006 19:48 GMT

Dear Concerned parent,

Since your 15 month old child is myopic -- did the doctor
recommend that she get a minus lens prescription?
How myopic is this child? Did he suggest a delay
in getting glasses? What did he suggest would be
the prognosis if she did not begin wearing the
minus lens now?

What do the ODs on sci.med.vision suggest?

Glasses now -- or delay? What is the
majority opinion and the second opinion
on a myopic 15 month old child?

Best,

Otis

=============

> i have been posting about my 3 year old about her vision problems. we went to
> the doctor today and she saw 20/60 with the glasses which is the same as a
> month ago without glasses(she is a -11.00 and a -9.00).

Concern> anyways he looked
into my 15 month old's eyes and said she was also already nearsighted.

Concern> i want
to scream! my question though is could it be a mistake?

he looked at her
pretty quick and did not dialate her eyes.

her eyes were tearing because she
was crying (i dont know if water woud interfere).

he was also about 3 to 4
feet away from her when he used the retinoscope.

> --
> Message posted via MedKB.com
> http://www.medkb.com/Uwe/Forums.aspx/vision/200603/1

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Mike Tyner - 20 Mar 2006 20:05 GMT

> Glasses now -- or delay? What is the
> majority opinion and the second opinion
> on a myopic 15 month old child?

The majority will probably say don't use glasses yet.

Does that disappoint you?

-MT

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otisbrown@pa.net - 20 Mar 2006 20:53 GMT

Dear Mike,

No, I am pleased you suggested the second-opinion
to her.

It would be of interest to find out what the ophthalmolgist
recommended at this time.

Always good to juxtapose two opinions and understand
the reasons for them, and "Concerned" should.

Best,

Otis

> Glasses now -- or delay? What is the
> majority opinion and the second opinion
> on a myopic 15 month old child?

The majority will probably say don't use glasses yet.

Does that disappoint you?

-MT

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concerned parent - 21 Mar 2006 00:10 GMT

i probably will not get her a full exam to 2 years old unless i notice a
problem. because a 15 month old's vision is not well developed yet would it
look nearsighted with the retinoscope. what about doing it from 3 to 4 feet
away? what would the average 15 month old look like with a retinoscope?

>> Glasses now -- or delay? What is the
>> majority opinion and the second opinion
[quoted text clipped - 5 lines]
>
>-MT

Reply to this Message

Mike Tyner - 21 Mar 2006 02:22 GMT

>i probably will not get her a full exam to 2 years old unless i notice a
> problem. because a 15 month old's vision is not well developed yet

At that age the world is mostly within arm's reach and not so blurry, even
if nearsighted.

> would it
> look nearsighted with the retinoscope. what about doing it from 3 to 4
> feet
> away? what would the average 15 month old look like with a retinoscope?

An experienced doctor wouldn't say it to Mom unless he trusted his
technique.

It seems reasonable that both kids could have the same rare anatomical
variation. If so, perhaps one or both will need a common surgical procedure.
I don't mean to minimize it, but there's no reason to expect many
limitations afterward.

The only question, in the older child, is how soon to do the surgery. It is
not urgent, as in next week, but very likely surgery will be recommended in
the next month or year.

If your younger daughter has a similar condition, you would want to chart
some geneology, ask some questions about ancestors with poor vision, kidney
disease, or hearing problems.

-MT, OD

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Neil Brooks - 20 Mar 2006 20:21 GMT

> Dear Concerned parent,
>
[quoted text clipped - 10 lines]
> majority opinion and the second opinion
> on a myopic 15 month old child?

I know you're chomping at the bit here, Uncle Otie. I'm sure you're
hyperventilating, giggling uncontrollably, and probably perspiring
profusely. I mean ... for you, it doesn't get any better than this:
two myopic kids and a worried--possibly scared and desperate--parent
seeking help.

For an optometric predator like you, it doesn't get any better, does
it?

But do you ever think to yourself, in a case like this, this person
doesn't really need to be proselytized to by a retired engineer who
only ever dreamed of being a pilot, only to have those hopes dashed by
myopia and now is pathologically obsessed with a faith-based optometric
initiative?

Maybe ... just maybe ... this person needs to be advised, reassured,
and addressed by the eye docs who (despite your omnipresence) still
participate on this forum.

Have a conscience ... you sick, old man....

Thanks.

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