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Medical Forum / General / Vision / April 2007Intermittent Esotropia-2yr old help!
Hello, My daughter is 26 months old. One month ago her eyes started crossing intermittently. Sometimes straight sometimes crossing...sometimes one is crossing then the other. After two diagnoses from 2 different Ped. Opthalmologists the basic "treatment" of this is surgery. There is no explanation of why this started, so suddenly. She has good vision and is not farsighted and MRI's show no brain lesions. A friend of mine said, do not do the surgery until I have seen a Behavorial Optometrist. I am so fearful of my daughter's vision getting worse, I want to have the surgery asap but I am also nervous that it wont work, and she will need more then one surgery. Anyone have any experience with this in the science community? Thank you.... Remy Dear Remy, There are two expert opinions. One suggests vision-training (with a behaviorial optometrist), and the other, surgery. I would suggest consulting with a behaviorial optometrist, since their support might clear the intermittant "crossing" up. If it does not, you can have surgery done later. Between the age of 6 and 9 I had both methods used on me. Although more difficult (and resisted by the child), the "training" was more effective and reasonable. I learned to control it. But no one can tell you what to do, other than solicit the second-opinion, and take time to review it. There are very strong opinions on this subject, and each expert believes he is "right" -- and maybe he is -- but that is why it is of value to listen to both sides of the story. Best, Otis On Mar 31, 8:46 pm, lckai...@comcast.net wrote: > Hello, > [quoted text clipped - 13 lines] > > Remy > A friend of mine said, do not do the surgery until I have seen a > Behavorial Optometrist. I am so fearful of my daughter's vision > getting worse, I want to have the surgery asap but I am also nervous > that it wont work, and she will need more then one surgery. > Anyone have any experience with this in the science community? > Thank you.... Yes. It's a familiar problem to any optometrist who sees lots of children. I'm not sure what a "behavioral" optometrist is, but there are plenty of ODs who specialize in children's problems. It's important to know your child's refraction after cycloplegic eye drops. Sometimes it's just farsightedness causing the esotropia, and you wouldn't want surgery if glasses are all she needs to use both eyes together. It's important that your daughter learn to use her eyes together, but waiting one week, or eight, to be sure about the treatment isn't likely to cause any harm. -MT, OD well its a intermitent squint, and might be corrected with glasses, but its always better to show to a ophthalmologist and an optimetrist both an dunder guidence of ophthalmologist , preferably pediatric ophthalmologist , the glasses correction and regular follow ups should be done and if necessary can go for surgery by ophthalmologist's openion. dont make any delay , the situation might worsten by becoming manisfest squint and amblyopia. though i dont knwo much about ophthalmology practice in your country , have tried to solve the problem . go ahead and let me know what they say good luck dr.srinu On Apr 1, 6:46 am, lckai...@comcast.net wrote: > Hello, > [quoted text clipped - 13 lines] > > Remy On Apr 1, 6:14 am, "myeyese...@gmail.com" <doctorsr...@gmail.com> wrote: > well > its a intermitent squint, and might be corrected with glasses, but its [quoted text clipped - 36 lines] > > - Show quoted text - How would glasses correct this issue if she is not farsighted and the eyes aren't crossing together, all the time? Just trying to get all the opinions out there... Thank You Remy On Apr 1, 8:03 am, lckai...@comcast.net wrote: > On Apr 1, 6:14 am, "myeyese...@gmail.com" <doctorsr...@gmail.com> > wrote: [quoted text clipped - 47 lines] > > - Show quoted text - one eye crosses at a time. > How would glasses correct this issue if she is not farsighted and the > eyes aren't crossing together, all the time? Within limits, glasses can use prism to move the images into line with her eyes. It doesn't correct the "cross" but allows her stereo vision to develop normally. If she isn't farsighted, surgery is more advisable. It's such an important question, and farsightedness can "hide" so well, that we often use stronger cycloplegic drops or have parents start putting the drops in on the night before the exam. -MT On Mar 31, 9:46 pm, lckai...@comcast.net wrote: > Hello, > [quoted text clipped - 13 lines] > > Remy what is the evidence that she isn't farsighted? nearly all children at this age are farsighted. and farsightedness is an obvious cause of intermittent esotropia. was a cycloplegic refraction performed? On Apr 1, 10:22 pm, p.clar...@gmail.com wrote: > On Mar 31, 9:46 pm, lckai...@comcast.net wrote: > [quoted text clipped - 21 lines] > > - Show quoted text - Yes, she had cycloplegic refraction by two different Ped. Opthalmologists. They did not put the drops in the night before but at the office... So I assuming they both arent incorrect about her not being farsighted, I am not a P.O. but will have to take their word....I was referred to both, by our daughter's pediatrician. My daughters eyes do not cross together all the time, sometimes on turns in, then the other. My understanding is that they both cross to try to see better. Anyway. I will ask Doctors again when I see them, up to this point no one has told me why this has happened they just think surgery will fix it..I find this frightening. But maybe it will be the solution. Also she has developed binocular vision so we are having an issue with time, because up until a month ago her eyes were straight, working/ tracking together. |
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