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2 year old diagnosed with accommodative esotropia
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2 year old diagnosed with accommodative esotropia

My daughter turned 2 in March and we have always noticed that when she is looking to the left or right the opposite eye appears to turn in but do not turn when focusing on an object or looking straight on. We brought her to an Opthamologist and she prescribed her full time glasses with the RX OD & OS +4.5, +1.5 for astigmatism and axis 100.  After reading through the guidelines for prescribing glasses for a child it seems like her RX could possibly be low enough that wearing glasses full time can hinder the natural emmetropization.  There is no family history of this condition and we are wondering if we should get another opinion.  
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Emmetropization is somewhat controversial, but probably valid. Also, giving the full script is also controversial, but not out the normal realm. They may be recommending the full script, then having the child back soon to check on the esotropia. If the esotropia is less severe, then they may recommend backing off (halving) the script. This would stimulate emmetropization.

Best wishes,
Timothy D. McGarity, M.D.
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Thank you, very helpful!  
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