Cylindrical Power

Hello,

As stated in my earlier post last year, my daughter has cylindrical power, however after wearing glasses now nearly for more than a year, her cylindrical power has reduce from -2.5 (both eyes) to -1.5 (right) and -0.5 (left). However she does have starbismus when she wakes up from her sleep for say 5 minutes and when she is extremely tired. We have been patching her eyes for the past 8 months.Yes, definitely she has a fair control and adjusts her eyes when she is out from the sleepy mode and when she is active seldom do we see signs of starbismus. Like a Therapy, she is now prescribed glasses with an additional spherical power (artificial), so that she can adjust her eyes quickly. My questions are:

1. How long does she need to wear glasses?
2. How long do we need to continue patching? Also, what is the reason that she has the starbismus only when she is tired?
3. Does she require any kind of surgery in this regard and can it be cured completely over a span of time?

Thanks & Regard
Maverick


This discussion is related to Cylindrical Eye power for 2 year old kid.

[Michael J Kutryb, MD]

Your questions can all be answered by a pediatric ophthalmologist.  You can find one at www.aao.org and use the find a physician feature.  Patching will continue at long as it is deemed necessary to maintain alignment and reduce ambloyopa.  Usually not used much after age 10 -11.  She should wear glasses as long as she needs to in order to help with above problems - possibly for the rest of her life - possibly may be able to reduce wearing them in several years possibly.  She could need surgery for strabismus if patching and glasses don't improve the problem.
The bottom line is every patient is different and requires a customized approach.
Michael Kutryb, MD