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Eye Care Archive (Expert Forum)
Cylindrical Eye power for 2 year old kid
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
Cylindrical Eye power for 2 year old kid
by maverick2007, Mar 14, 2007 12:00AM
My daughter is 2 yrs now and now we have found out that she has -2.5 cylindrical power with axis 180 degrees in both her eyes. Since end of October 2006 she has been having a lazy eye or rather she has an outward eye movement in her right eye when she is tired, before going to sleep or has just woken up from her sleep. But when she is fully active, playing etc we cannot see squint in her eyes. When examined the ophthalmologist discovered that she has cylindrical eye power. Initially during the first few days of wearing glasses we thought we found some improvement, but still we find it for few minutes every day before she goes to sleep or has just woken up. Also, both in my side and my husbands side we have a history of squint and eye power. My doubts are:
1. Is the squint triggered because of power, if not what is the reason for squint.
2. How early can the power or squint be corrected either through exercises or surgery.
3. Is the power due to deficiency or genetic. If it is a sign of weakness what are the things to be done.
4. Will my daughter outgrow the power
5. also what is the significance of 180 degrees axis.
Thanks
maverick2007
1. Is the squint triggered because of power, if not what is the reason for squint.
2. How early can the power or squint be corrected either through exercises or surgery.
3. Is the power due to deficiency or genetic. If it is a sign of weakness what are the things to be done.
4. Will my daughter outgrow the power
5. also what is the significance of 180 degrees axis.
Thanks
maverick2007
Doctor's Answer
by Forum-OD-MP, Mar 14, 2007 12:00AM
i hate the term 'squint'. thats old school ophthalmology terminology that is confusing and not an accurate description of that condition. nobody really uses that anymore except the old men in ophthalmology lol...thats not your fault, obviously, but as an aside. i much prefer an accurate descrioption like 'strabismus'...meaning CONSTANT eye turn or 'exotropia' meaning outward eye turn, or 'amblyopia' meaning reduced best-corrected acuity from a refractive or strabismic origin. 'squint' not only encompasses nearly all of those, it also to me sounds like the patient is SQUINTING to see, which is a totally different and unrelated condition. i mean i am not confused by the terminology, i just dont like it. personal preference.
having an eye that 'occasionally' goes in or out is no big deal IMO. if its less than say 30% of the time, not only would i as a doc not worry about it very much, i also probably wouldnt DO anything about it. if its only out when she 1st wakes up or is tired... thats really no big deal IMO. especially in the absence of major hyperopia/myopia. i personally doubt that the 2.5 cyl is causing any eye turn. having an eye turn and having astigmatism are usually not all that related to each other IMO.
to answer your questions:
'1. Is the squint triggered because of power, if not what is the reason for squint.'
well it depends on what the ophthalmologist means by 'squint'. if he/she means reduced best-corrected acuity from the astigmatism (refractive amblyopia), or the worry that the 2.5 cyl could/would cause reduced acuity then yes, the 'squint' is caused by the astigmatism. if he means EYE TURN...no it is unlikely IMO that 2.5 cyl in the absence of other conditions would ever cause an eye turn.
'2. How early can the power or squint be corrected either through exercises or surgery.'
well wearing the glasses is therapeutic if its refractive amblyopia. may need patching. not too many surgeons do surgery on an eye that is only turning SOME of the time. for eye exercises the patient has to be somewhat compliant with the treatment, so not at age 2...more like 4 or 5 or later. surgery for a constantly-turned eye could be at any time. usually the earlier the better. but like i said, if it doesnt turn all that much, she probably doesnt need surgery
'3. Is the power due to deficiency or genetic.'
not deficiency. if both eyes are 2.5 cyl, then its genetic (if you had said only 1 eye was 2.5 cyl i'd be thinking forceps delivery)
'4. Will my daughter outgrow the power'
HIGHLY unlikely
'5. also what is the significance of 180 degrees axis.'
orientation of the astigmatism. this gets complicated but thats describing HORIZONTAL astigmatism. dont worry too much about it. its an orientation in degrees.
having an eye that 'occasionally' goes in or out is no big deal IMO. if its less than say 30% of the time, not only would i as a doc not worry about it very much, i also probably wouldnt DO anything about it. if its only out when she 1st wakes up or is tired... thats really no big deal IMO. especially in the absence of major hyperopia/myopia. i personally doubt that the 2.5 cyl is causing any eye turn. having an eye turn and having astigmatism are usually not all that related to each other IMO.
to answer your questions:
'1. Is the squint triggered because of power, if not what is the reason for squint.'
well it depends on what the ophthalmologist means by 'squint'. if he/she means reduced best-corrected acuity from the astigmatism (refractive amblyopia), or the worry that the 2.5 cyl could/would cause reduced acuity then yes, the 'squint' is caused by the astigmatism. if he means EYE TURN...no it is unlikely IMO that 2.5 cyl in the absence of other conditions would ever cause an eye turn.
'2. How early can the power or squint be corrected either through exercises or surgery.'
well wearing the glasses is therapeutic if its refractive amblyopia. may need patching. not too many surgeons do surgery on an eye that is only turning SOME of the time. for eye exercises the patient has to be somewhat compliant with the treatment, so not at age 2...more like 4 or 5 or later. surgery for a constantly-turned eye could be at any time. usually the earlier the better. but like i said, if it doesnt turn all that much, she probably doesnt need surgery
'3. Is the power due to deficiency or genetic.'
not deficiency. if both eyes are 2.5 cyl, then its genetic (if you had said only 1 eye was 2.5 cyl i'd be thinking forceps delivery)
'4. Will my daughter outgrow the power'
HIGHLY unlikely
'5. also what is the significance of 180 degrees axis.'
orientation of the astigmatism. this gets complicated but thats describing HORIZONTAL astigmatism. dont worry too much about it. its an orientation in degrees.
Member Comments
by maverick2007, Jun 04, 2008 01:52PM
A related discussion, Cylindrical Power was started.
by prabhu1976, Dec 29, 2008 01:57AM
A related discussion, Paedetric opthomology was started.
