My son is 4 years old and has started pre-kindergarten. They did an eye check at school and said he needed an eye check-up. We took him the the local ophthalmologist ( although not a pediatric ophthalmologist) and she stated he was farsighted and definitely needed glasses. I am not sure about how lenses strength is determined but she stated he was a 5.5? He can write his name and draws very well and even pick out words in books we read, so this was a large surprise to us. We got his glasses today and he likes them but is able to read numbers and write his name both with and without. She checked to see if his eyes would turn inward, trying to strain to make things out, but he does not do that. Should we get a 2nd opinion and could this correct itself? Thanks - Richard
In most hyperopic children, the process of emmotropization leads to a gradual reduction in the degree of hyperopia by 5-10 years of age. Some children do not go through this process, however. They remain significantly hyperopic and at increased risk for developing strabismus and amblyopia. Although patients under 5 who have over 3.25 D of hyperopia appear to benefit from early optical correction to reduce the risk for strabismus and amblyopia, the results of animal studies suggest that early optical correction, especially in infants, can interfere with emmetropization. Thus, early treatment has the potential to result in the maintenance of the refractive error throughout life.
Sometimes, the hyperopia improves on its own over time - sometimes it doesn't. These kids in the +5 range are very high risk for strabismus and amblyopia. I'm not into speculating as to who will and who will not need glasses. The bottom line is that he should see a pediatric ophthalmologist to not only see if he needs glasses but also what power glasses to actually prescribe which can be rather tricky sometimes. Take my advise - this is definitely what I would do. I appreciate what you are saying and like you, I just worry about things like amblyopia and strabismus.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.