Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Child diagnosed Myopic with astigmatism. Will cycloplegic refraction be helpful in getting a more acute prescription?

User rating for this question
Excellent
Answered by

Ophthalmologist
Practicing since : 1977
Answered : 1097 Questions
Question
Dear doctor, i recently got my 4 yrs old daughter's refraction done since she used to go too near to the TV at times. She has been detected to be myopic (-1.75), with astigmatism (180 degrees) both eyes. I had heard children need cycloplegic refraction before prescription, but the ophthalmologist says she does not need that, since she has myopia and astigmatism. He also said that it cycloplegic refraction needs to be done in high hypermetropes and in strabismus. Although i am more inclined to trust his advice, i still want to make sure if doing a cycloplegic refraction would be helpful in getting her a more accurate prescription. I am confused about it. Kindly opine and let me know if i should get the cycloplegic refraction or get her the specs right away? I want to do whatever is in her best interest.
Thanks and regards, XXXXXXX
Posted Wed, 4 Sep 2013 in Vision and Eye Disorders
 
 
Answered by Dr. N. K. Misra 36 minutes later
Dear XXXXXXX
thanks for sending your query to us.
I am happy to note your concern,your daughter has myopia.This needs correction and we usually do not do cycloplegic refraction in myopes.
More importently there are few things which are to be kept in mind,
take care of her diet
after a inetial week she will be fully adjusted with glasses and will wear them most of the time.
you have to have almost yearly checkups to monitor the progress of power.
class 12 onwords she can wear contact lenses
she can have surgery to remove glasses after she is 22
you can start with these glasses immediately.
Please do get back to me in case of any further query in this regard.
Above answer was peer-reviewed by
 
Follow-up: Child diagnosed Myopic with astigmatism. Will cycloplegic refraction be helpful in getting a more acute prescription? 8 minutes later
Dear Dr. Misra,
Thanks for replying promptly. You have addressed all my concerns, there are 2 more things I want to know,
1. Would cycloplegic refraction give a better and more accurate prescription to her? Or it wont make much of difference? My concern is that if her cylindrical axis is not accurate, she may not accept the glasses.
2. Do i need to show her to a cornea specialist to rule out keratoconus? Or i am googling too much?
Thanks for your time and patience.
 
 
Answered by Dr. N. K. Misra 7 minutes later
Dear XXXXXXX
get her glasses.At this age we have to follow our own instincts rather than being too accurate as most of such young children do not co operate too much and please do not think about keratoconus
Still any further query ,do get back to me.
Above answer was peer-reviewed by
 
Follow-up: Child diagnosed Myopic with astigmatism. Will cycloplegic refraction be helpful in getting a more acute prescription? 30 minutes later
Thanks Sir, that has really brought peace to my mind. My last query, would LASIK be effective for astigmatism?
Thanks.
 
 
Answered by Dr. N. K. Misra 6 minutes later
Dear XXXXXXX
LASIL is what i meant by surgery ,to be taken up after the power is settled for at least 2years.18 years is too long a time in medicine and the way things are progressing we definetly will be having something better to offer then.
do not worry too much,she will be fine.
Above answer was peer-reviewed by
 
Follow-up: Child diagnosed Myopic with astigmatism. Will cycloplegic refraction be helpful in getting a more acute prescription? 1 minute later
Thanks Sir, for being so patient with even my over-the-board queries. Thanks for pacifying my concerns, I can now get her the glasses right away.
Wish you all the best.
Warm regards.
 
 
Answered by Dr. N. K. Misra 5 minutes later
you are always welcome XXXXXXX !
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Treatment/Therapy
Medical Topics

The user accepted the expert's answer

Ask an Ophthalmologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor