Please make sure your 4 year old is under the care of a pediatric ophthalmologist. Seeing a child with crossing eyes once a year is not good enough. Most of the time it should be every 3-4 months and if patching and glasses don't fix the crossing, surgery may be necessary to straighten the eyes (assuming any degree of amblyopia or lazy eye has already been adequately treated with the patching of the good eye). Very important to take care of this now as your window to treat these eye conditions is closed past a certain age and it may leave permanent vision loss in one eye.
HV
Please make sure your 4 year old is under the care of a pediatric ophthalmologist. Seeing a child with crossing eyes once a year is not good enough. Most of the time it should be every 3-4 months and if patching and glasses don't fix the crossing, surgery may be necessary to straighten the eyes (assuming any degree of amblyopia or lazy eye has already been adequately treated with the patching of the good eye). Very important to take care of this now as your window to treat these eye conditions is closed past a certain age and it may leave permanent vision loss in one eye.
HV
I completely understand where you are at right now. My daughter is 4 and her problems with her eyes started at birth. She had tear duct issues. At 7 months they did a surgery to correct this. At that time the Dr did am exam since I was noticing some issues back than. He said that her left eye was ok but her right eye was slightly farsighted. He said that she was too young for glasses and he would see her at 1 year old. That visit went well however he said that at that time both of her eyes were farsighted. At that time he gave her glasses. Also this is when her eyes began to cross. She has seen the eye Dr every year after and her vision has gotten worse. They patched her left eye for a year and it made no difference. this was done to try to correct the crossing. This is fresh in my mind as she just went back today and they have gotten worse. She is now 4 years old. And yes she is EXTREMELY Farsighted
I completely understand where you are at right now. My daughter is 4 and her problems with her eyes started at birth. She had tear duct issues. At 7 months they did a surgery to correct this. At that time the Dr did am exam since I was noticing some issues back than. He said that her left eye was ok but her right eye was slightly farsighted. He said that she was too young for glasses and he would see her at 1 year old. That visit went well however he said that at that time both of her eyes were farsighted. At that time he gave her glasses. Also this is when her eyes began to cross. She has seen the eye Dr every year after and her vision has gotten worse. They patched her left eye for a year and it made no difference. this was done to try to correct the crossing. This is fresh in my mind as she just went back today and they have gotten worse. She is now 4 years old.
Usually it shouldn't get worse past the age of 2 and may start to get better as the eye elongates. Sounds like she needs another exam by the pediatric ophthalmologist. If you have doubts, you could get a second opinion from a second pediatric ophthalmologist to make sure the glasses are the right perscription. Also, you need to make sure she has been checked for secondary conditions that are congenital and may be associated with such high farsightedness. Good luck.
HV