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Eye Care (Expert Forum)
Anisometropia after trauma 11 year old
Answered by
Michael J Kutryb, MD - Ophthalmology, Cataract Surgery, glaucoma, Laser Vision Correct
Kutryb Eye Institute - Titusville
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.
Anisometropia after trauma 11 year old
by sashasmom, Nov 07, 2009 07:57PM
My daughter was hit in the eye by a rock in August. She has a central corneal scar and her iritis has resolved. About a week ago I wrote a post about other aspects of her case. This post is specific to the changes in her prescription since the injury. Three months before the the injury her vision was slightly myopic.... -0.5 in both eyes and she did not need glasses. After the accident she is -0.75 in her uninjured eye and +0.75 in her injured eye with a new astigmatism. Because of frequent headaches in recent weeks she is getting glasses.
My questions are:
Is it true that because of her age she is not at risk of developing a lazy eye?
Is there any way to predict how her eyes will change in the future?
Thank you.
My questions are:
Is it true that because of her age she is not at risk of developing a lazy eye?
Is there any way to predict how her eyes will change in the future?
Thank you.
Doctor's Answer
by Michael J Kutryb, MD, Nov 07, 2009 08:47PM
, Nov 07, 2009 08:47PM
I wouldn't say that she was 100% safe from amblyopia but her risk is less than a 5 or 6 or 8 year old. I'm just hedging my words carefully. In general, she is around the age where amblyopia is becoming less and less of a concern but there is no exact cut off and everyone is a little different. I cannot predict how her eyes will change in the future but you could probably make some rough guesses if you knew the genetics of the family quite well. Again, I'm not trying to go against the grain, but on this borderline age, I just don't like to make the definitive bold statement, that she is 100% safe from amblyopia - yet.
MJK MD
MJK MD
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Also, can you tell me what symptoms she would experience if she were developing amblyopia? Or is it something the doctor would pick up on during an exam?
Also, in regard to anisometropia, does eye dominance play any role in her future? She is left handed and it is her right eye which is injured. As far as I know she has never been tested as to which eye is dominant (I keep meaning to ask at an appt). Are left handed people predominantly left eye dominant?
My husband is very nearsighted. I am her mom and I have perfect vision. FYI: She was 20/15 right before the injury and is now 20/30 and can be corrected to 20/25 (due to the corneal scar).
Thank you for putting up with my questions!