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Eye Care (Expert Forum)
Hyperopia in 4 year old -how likely he will outgrow problem?
Answered by
Sandy Feldman, MD, MS - Ophthalmology, Refractive Surgery, Cataract Surgery, Corneal surgery
ClearView Eye & Laser Medical Center, A P.C.
San Diego - CA
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.
Hyperopia in 4 year old -how likely he will outgrow problem?
by Marcie77, Oct 27, 2008 05:26PM
I have twins who will be four in two months. My daughter has a strong prescription for hyperopia (far sighted) and an astigmatism --her left eye was turning on which is what led to this diagnosis by ped opthamologist.
We got a second opinion and it was determined she needed glasses a year ago --her prescription is +6.00 -she wears glasses all the time and her eye does not turn in with glasses on. Glasses bring her to 20/20 vision.
My son was examined in February and he was borderline for glasses due to being farsighted -not as bad as his sister.
Went back in September (6 mos later) and the dr wanted to put him in glasses --we were very upset and saw no sign that he had any issue with seeing well. We waited five weeks and went back today --his vision is slightly worse than five weeks ago -doctor prescribed glasses -- +3.50 --we ordered the glasses today.
The dr said that with his twin sister being very far sighted and having developed accomodative esotropia, that she absolutely wants him in glasses. She also said there is a chance my son may outgrow his glasses whereas there is no chance that my daughter will outgrow hers. My question to you is, would you have put my son in glasses with 20/40 vision and a prescription of +3.50 (spherical), -1.00 (cylindrical), 155 (axis) -or would you have waited to see if it improved on it's own --and, with such prescription, what % of a chance does he have of outgrowing glasses by 9 or 10 years old as I have read can happen in some cases. Thank you so much.
We got a second opinion and it was determined she needed glasses a year ago --her prescription is +6.00 -she wears glasses all the time and her eye does not turn in with glasses on. Glasses bring her to 20/20 vision.
My son was examined in February and he was borderline for glasses due to being farsighted -not as bad as his sister.
Went back in September (6 mos later) and the dr wanted to put him in glasses --we were very upset and saw no sign that he had any issue with seeing well. We waited five weeks and went back today --his vision is slightly worse than five weeks ago -doctor prescribed glasses -- +3.50 --we ordered the glasses today.
The dr said that with his twin sister being very far sighted and having developed accomodative esotropia, that she absolutely wants him in glasses. She also said there is a chance my son may outgrow his glasses whereas there is no chance that my daughter will outgrow hers. My question to you is, would you have put my son in glasses with 20/40 vision and a prescription of +3.50 (spherical), -1.00 (cylindrical), 155 (axis) -or would you have waited to see if it improved on it's own --and, with such prescription, what % of a chance does he have of outgrowing glasses by 9 or 10 years old as I have read can happen in some cases. Thank you so much.
Doctor's Answer
by Sandy Feldman, MD, MS, Oct 28, 2008 06:02PM
, Oct 28, 2008 06:02PMTo: Marcie77
Dear Marcie,
Your twins appear to be quite farsighted. The muscles in the eye that enable the child to see also causes the eye to turn and this is known as an accommodative esotropia. When this happens, the child can develop a lazy eye. I am not a pediatric eyeMD but wearing glasses might prevent this. If you feel uncomfortable with the doctor’s recommendation, seek the care of a pediatric eyeMD to confirm. It is also difficult to assess how much farsightedness will be reduced as he ages.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
Your twins appear to be quite farsighted. The muscles in the eye that enable the child to see also causes the eye to turn and this is known as an accommodative esotropia. When this happens, the child can develop a lazy eye. I am not a pediatric eyeMD but wearing glasses might prevent this. If you feel uncomfortable with the doctor’s recommendation, seek the care of a pediatric eyeMD to confirm. It is also difficult to assess how much farsightedness will be reduced as he ages.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
