From: ally down on
Hello Everbody!

First let me say Thank you in advance for your advice. You have no idea
how much I appreciate it. I AM SO CONFUSED and don't know what to do..


Here is the story..Flash back to two years ago..
My daughter was 6 at the time and the school nurse called to say she
failed the vision screening at school and referred her for further
testing at an eye doctor. I panicked and immmediately made an
appointment. She was diagnosed with mild myopia and a mild astigmatism
(20/30 - 20/40 using both eyes). She had never ever complained about
her eyes, doesn't sit close, etc. etc. None of the signs were there.
The doctor assured me that the eyes were working together. The doctor
said to come back in 6 months and have her fitted for glasses as she
would be older and more cooperative (she wasn't really doing what he
was asking of her and was growing impatient). I went home and scoured
the internet for myopia advice and basically decided that glasses were
not needed at this time. One Year later - Nurse called again - still
failed but at the same level as the year before, she advised I take her
to the eye doctor. I decided against it since her eyes hadn't gotten
worse.. Now we are in present day.

The nurse called again, Caroline really failed this time. She was 20/50
in one eye and she couldn't get her to cooperate for the other eye (
she guessed it was probably around 20/70 for that eye). She stated
that she only had a simple machine to check and further evaluation was
needed. when I picked Caroline up at school her eyes looked watery (she
is bothered by allergies) and I don't know if it was allergies that
bothered her or the nurses persistent tests. I brought her home and
gave her my own test using a printed snellen test at 10 feet. She read
the 20/40 line with both eyes together. The 20/40 line with right eye
and the 20/60 line with her left eye. She did not like covering her
right eye, her left eye began to water and she said it was blurry. I
checked her for nearness - she read really tiny print at normal reading
level with both eyes open and with both eyes individually. My daughter
has never complained about not being able to see. She reads fine and
her classroom is small so the board isn't far away, etc. etc. She
doesn't squint, or tilt her head, or anything like that. Sometimes it
is obvious that she can't see as far away as the rest of us, but that
is okay. She isn't driving yet, so what is the big deal. I mentioned
what was happening with my daughter's eyes to a friend who is an
opthamologist. She immediately said that not having glasses prescribed
is robbing her of corrected vision and the damage will be permanent, If
I don't do something now then her attemtps at correction will be lost
forever and they will never be able to correct to 20/20.

I do not know what to do. My child is very active and glasses would be
really difficult. She does gymnastics, dancing, karate, etc. etc. It
would be a real problem for her. She is not complaining about her eye
sight. I don't want her astigmatism and myopia to progress because I
didn't get her glasses. If this was your child what would you do?? I
want to do everything I can to help her get the best vision possible.
Should I accept the minus lenses that I am sure the doctor will
prescribe when she is seen on tuesday? Please help me make the best
informed deccision possible.
My biggest concern that if I don't get her glasses now that her brain
won't grow will never be able to see clearly.. could that happen? Am I
ruining her eyesight forever by not putting her in minus glasses right
away? I am concerned that when she covers her right eye, she says her
left eye is a little blurry for things like the eye chart and she
doesn't like it when that eye is covered, not the same when she covers
the left. I have charted her at 20/40 indoors with both eyes, and
20/70 in her left eye and she says it's blurry but she can read the
20/70 line with her left. Her right eye she can read the 20/40 to
20/50 line.


thank you soooo much,

allyson

From: Dr. Leukoma on

ally down wrote:
> Hello Everbody!
>
> First let me say Thank you in advance for your advice. You have no idea
> how much I appreciate it. I AM SO CONFUSED and don't know what to do..
>
>
> Here is the story..Flash back to two years ago..
> My daughter was 6 at the time and the school nurse called to say she
> failed the vision screening at school and referred her for further
> testing at an eye doctor. I panicked and immmediately made an
> appointment. She was diagnosed with mild myopia and a mild astigmatism
> (20/30 - 20/40 using both eyes). She had never ever complained about
> her eyes, doesn't sit close, etc. etc. None of the signs were there.
> The doctor assured me that the eyes were working together. The doctor
> said to come back in 6 months and have her fitted for glasses as she
> would be older and more cooperative (she wasn't really doing what he
> was asking of her and was growing impatient). I went home and scoured
> the internet for myopia advice and basically decided that glasses were
> not needed at this time. One Year later - Nurse called again - still
> failed but at the same level as the year before, she advised I take her
> to the eye doctor. I decided against it since her eyes hadn't gotten
> worse.. Now we are in present day.
>
> The nurse called again, Caroline really failed this time. She was 20/50
> in one eye and she couldn't get her to cooperate for the other eye (
> she guessed it was probably around 20/70 for that eye). She stated
> that she only had a simple machine to check and further evaluation was
> needed. when I picked Caroline up at school her eyes looked watery (she
> is bothered by allergies) and I don't know if it was allergies that
> bothered her or the nurses persistent tests. I brought her home and
> gave her my own test using a printed snellen test at 10 feet. She read
> the 20/40 line with both eyes together. The 20/40 line with right eye
> and the 20/60 line with her left eye. She did not like covering her
> right eye, her left eye began to water and she said it was blurry. I
> checked her for nearness - she read really tiny print at normal reading
> level with both eyes open and with both eyes individually. My daughter
> has never complained about not being able to see. She reads fine and
> her classroom is small so the board isn't far away, etc. etc. She
> doesn't squint, or tilt her head, or anything like that. Sometimes it
> is obvious that she can't see as far away as the rest of us, but that
> is okay. She isn't driving yet, so what is the big deal. I mentioned
> what was happening with my daughter's eyes to a friend who is an
> opthamologist. She immediately said that not having glasses prescribed
> is robbing her of corrected vision and the damage will be permanent, If
> I don't do something now then her attemtps at correction will be lost
> forever and they will never be able to correct to 20/20.
>
> I do not know what to do. My child is very active and glasses would be
> really difficult. She does gymnastics, dancing, karate, etc. etc. It
> would be a real problem for her. She is not complaining about her eye
> sight. I don't want her astigmatism and myopia to progress because I
> didn't get her glasses. If this was your child what would you do?? I
> want to do everything I can to help her get the best vision possible.
> Should I accept the minus lenses that I am sure the doctor will
> prescribe when she is seen on tuesday? Please help me make the best
> informed deccision possible.
> My biggest concern that if I don't get her glasses now that her brain
> won't grow will never be able to see clearly.. could that happen? Am I
> ruining her eyesight forever by not putting her in minus glasses right
> away? I am concerned that when she covers her right eye, she says her
> left eye is a little blurry for things like the eye chart and she
> doesn't like it when that eye is covered, not the same when she covers
> the left. I have charted her at 20/40 indoors with both eyes, and
> 20/70 in her left eye and she says it's blurry but she can read the
> 20/70 line with her left. Her right eye she can read the 20/40 to
> 20/50 line.
>
>
> thank you soooo much,
>
> allyson

Vision is very complex. I am only assuming that your daughter has
myopia, which is evidently progressing asymmetrically, as one eye is
now worse than the other. Furthermore, her vision appears to be at the
level beyond what I would consider "borderline." With uncorrected
myopia, I am also concerned with the development of convergence
insufficiency which can lead the child to bring the book close to her
face in order to "crowd out" binocularity. This leads to reading with
one eye only.

If this were my child, I would take her to someone who comes highly
recommended, and trust their recommendations. If glasses are advised,
I would accept them. I would also be very careful about what I said in
front of my child about wearing vision correction. Chances are she may
have already picked up some negative "messages" -- subliminal and
overt, about wearing eyeglasses. Also, it is perfectly OK not to wear
glasses for physical activity. If it does become necessary to do so,
there are many types of safety eyewear from which to choose, and then
eventually contact lenses. As a child, I had to wear eyeglasses, and
quickly learned how to avoid being hit in the face.

DrG

From: ally down on
Thank you so much for your time. My biggest fear is that I accept the
glasses with the notion that she wears them for seeing far away - not
at school or at sports or close work but that she grows so dependent on
them that she can't see without them at all and then sports will be
difficult for her (it is so much her life that it would be devastating
for her) She is highly functioning now with 20/40 vision using both
eyes. If her eyes get worse while wearing the glasses, then she won't
be able to go without them at all. She would be a good candidate for
contacts due to her sports and level of actviity (this is a child that
never is still and always doing something active), but I think she is
too young (although she is a very mature 8 year old). She does not
bring her close work to her and reads at what looks like a normal
distance, she watches tv at a normal distance. There is no signs that
her vision is poor other than failing a vision test. My concern is
that one eye is a little worse and I don't want any permanent harm
done. If I do nothing at this time and wait it out, will be vision
decrease so that it won't be able to be correced with glasses. I am so
confused and only want what is best for my child but I don't feel like
I can make the best decsion without thoroughly educating myself.
please help if you can...

From: Ann on
On 16 Oct 2005 05:50:48 -0700, "ally down" <adowning(a)adelphia.net>
wrote:

>Here is the story..Flash back to two years ago..
>My daughter was 6 at the time and the school nurse called to say she
>failed the vision screening at school and referred her for further
>testing at an eye doctor.
<snip>

As a parent, I know what I'd do. I'd get the glasses so that she can
see what good vision is like and then let her choose to wear them or
not. There might be some activities where she would like to see
better and then there might be others where it doesn't concern her.
If you try to force her to wear them, you will both be miserable.

Ann
From: Mike Tyner on

"ally down" <adowning(a)adelphia.net> wrote


> her vision is poor other than failing a vision test. My concern is
> that one eye is a little worse and I don't want any permanent harm
> done.

Very few people have exactly the same refraction left-and-right. Myopia, by
itself, doesn't cause any neurological or other "permanent" harm, and she's
too old to develop amblyopia or any other "uncorrectable" condition.

> If I do nothing at this time and wait it out, will be vision
> decrease so that it won't be able to be correced with glasses.

No, that doesn't happen. Myopia may progress, and probably will, but her
vision remains essentially perfect up close.

> I am so
> confused and only want what is best for my child but I don't feel like
> I can make the best decsion without thoroughly educating myself.
> please help if you can...

I agree with Anne. Get the glasses and let her wear them when she feels the
need. If she's like other myopes, she'll enjoy seeing the TV and blackboard
better and decide for herself. I only recommend "full time wear" when it's
likely they'll lose the glasses otherwise.

-MT, OD