I bought my 12 yr old to the eye doctor for a check up yesterday becuase she was complaining of blurry vision durning the exam the doctor said he wanted to run further test and pictures of her Optic Nerve becuase it is large and has never seen it so big in a child and is very concerned he showed me an example of a normal one and of my daughters it was visably large, he wants to retest in 6 month to see if it has grown, The doctor advised one of two things, 1-she was born this way and or 2-she might have something seriouly wrong, is their anything you can expalin to me about the size of the nerve and why the doctor might be concerned, thank you concerned Mom
In a child or infant, little optic nerves are much more serious than large optic nerves. Little optic nerves are called hypoplastic and often do not see well. Small eyes have small optic nerves (hypo-plastic). Optic nerves (like people) come in different sizes with the average being about 1.5 mm in diameter. So there is a variation in size that occurs in perfectly normal eyes. Larger than normal optic nerves could occur due to myopia, large eyes, buried drusen, abnormal swelling or inflammation (papillitis and papilledma). The optic nerve can appear larger than normal due the coloration around it (conus, retinal pigment showing).
On the other hand he may be referring to the size of the optic cup, which is a depression on the optic nerve that varies from completely flat (no cupping) to totally cupped in end stage glaucoma.
It's very important that the "doctor" telling you this is a physician (ophthalmologist Eye MD) and not a non-physician, limited care provider (optometrist). If you saw an optometrist the first thing I would suggest is that you make an appointment with a comprehensive ophthalmologist or pediatric ophthalmologist right away. Also if you saw an optometrist get copies of your child's eye exam and take that record in to see the ophthalmologist. This is the type of problem that should be evaluated by a Doctor of Medicine (MD).
JCH III MD Disease and Surgery of the Eyes (Eye MD)
Thank you for your help, My child is seeing an ophthalmologist Eye MD but I am not sure if he spoke of the nerve or the cup, I have a call into the office to go over the appointment. I will post what I find out
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. MedHelp 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.