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Medical Forum / General / Vision / April 2006

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infant in glasses

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davideperry@yahoo.com - 21 Apr 2006 16:38 GMT
My 4 month old is diagnosed with accomdative esotropia (eyes crossing)
and has a +7 subscription for her +9 eyes. I have only found two or
three different frames that are even remotely apealing. any sugestions?
so far I found
www.solobambini.com
www.julbousa.com
and www.framesdirect.com
Neil Brooks - 21 Apr 2006 18:51 GMT
>My 4 month old is diagnosed with accomdative esotropia (eyes crossing)
>and has a +7 subscription for her +9 eyes. I have only found two or
[quoted text clipped - 3 lines]
>www.julbousa.com
>and www.framesdirect.com

I'm not an eye doctor, but .... if your daughter is really a +9, and
she is an accommodative esotrope, then why is she undercorrected?

Doesn't seem right to me.  I would think they'd push maximum plus on
her.

Neil
LarryDoc - 21 Apr 2006 19:23 GMT
> >My 4 month old is diagnosed with accomdative esotropia (eyes crossing)
> >and has a +7 subscription for her +9 eyes. I have only found two or
[quoted text clipped - 11 lines]
>
> Neil

My take on this is this: If the somewhat undercorrected Rx results in
normalizing the esotropia, it is adequate for the short term. The goal
here is to prevent ambylopia and long-term strabismus. Sometimes it is
not possible to precisely determine the refractive error on a 4 month
old and it is better to correct the eye turn without risking creating a
blurred image.  Proper follow up would be to re assess the situation at
6-9 months and consider the full Rx.  I would even consider contact
lenses for this situation, especially if the child refuses to keep the
spectacles on.

LB, O.D.
Robert Martellaro - 21 Apr 2006 21:03 GMT
>My 4 month old is diagnosed with accomdative esotropia (eyes crossing)
>and has a +7 subscription for her +9 eyes. I have only found two or
[quoted text clipped - 3 lines]
>www.julbousa.com
>and www.framesdirect.com

The "Como Baby" is your best bet. Don't worry about how it looks, it's a safe
frame, no moving parts, and it fits properly on infants.

Hope this helps

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
~~~~~~~~~~~~~~~~~~
"If a million people believe a foolish thing, it is still a foolish thing."
-  Anatole France
plpfoot@gmail.com - 22 Apr 2006 03:38 GMT
If your baby is straight with the glasses on he will rapidly learn to
like them and will reach for them when he awakens.  Children appreciate
single binocular vision.  Don't let your fashion sense influence what
is best for your baby.  I do not recommend contact lenses if the
patient cannot insert and remove them on their own and if he is not
trustworthy/mature enough to remove them if they are uncomfortable.

Ted, M.D.
LarryDoc - 22 Apr 2006 07:05 GMT
I do not recommend contact lenses if the
> patient cannot insert and remove them on their own and if he is not
> trustworthy/mature enough to remove them if they are uncomfortable.
>
> Ted, M.D.

Well that last part precludes a big population of adult wearers, eh?  
FWIW, the 5 and 6 year olds contact lens wearers in my practice are, as
a group, perfectly compliant with proper lens care and handling. I wish
I could say the same for the adults.

LB, O.D.
serebel - 23 Apr 2006 01:42 GMT
Six to nine months of age is a huge departure from a 5 or 6 year old
don't you think?
LarryDoc - 23 Apr 2006 06:38 GMT
> Six to nine months of age is a huge departure from a 5 or 6 year old
> don't you think?

Clearly. As is adulthood. For some, at least.

My post was merely to enlighten "the big picture".

LB, O.D.
gargi.cal@gmail.com - 23 Apr 2006 11:19 GMT
how didyouknow thatchild  would be needing glasses?

> > Six to nine months of age is a huge departure from a 5 or 6 year old
> > don't you think?
[quoted text clipped - 4 lines]
>
> LB, O.D.
 
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