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Child constantly rubs eyes, presses eyebrows, has constant tearing, diagnosed with cylindrical power. Is the diagnosis right?

i have noticed my 5 years baby rubbing her eyes, pressing her eyebrows,she complains that light bothers her, while writing she goes very near to the note book, she also complains that her eyes are tired and some times tears comes out , what it means? Doctor has digonsed with the cylindrical power of -2 in her left eye and -.75 in her right eye. my worry is this diagnose is correct or is there any other problem also. doctor din t dilute her eyes, is it necessory to dilute the eyes ? what if he has not diluted her eyes ? shall i go and get the glasses on the basis of his priscription. doctor asked me to visit him after 2 months ,then he might suggest me for treatment by covering the eyes, what does that means? is there any chance of decreasing her power? what precautions can i take? any special diet which can help reducing her power?
Asked On : Sat, 29 Dec 2012
Answers:  2 Views:  117
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Ophthalmologist 's  Response

It is not uncommon to have refractive errors at this age. Your child probably has astigmatism ( a kind of refractive error in which the image does not focus on the retina at a particular axis). It is extremely important to make the child wear glasses constantly. If your doctor feels that patching of the eye is necessary then it is better to do so as it will help in the treatment of amblyopia . There is no specific diet for this condition but it would help the eye generally if the child is given vitamin A rich food such as carrots, green leafy vegetables, fish.


Answered: Sat, 29 Dec 2012
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Ophthalmologist Dr. Vidhya's  Response
Hi Welcome to HCM.
Since you are saying she is rubbing her eyes, there are two things to consider:
- Allergic Conjunctivitis (where itching is irresistible )
- secondary refractive error due to rubbing effect over cornea(astigmatism).

With her growing age in consideration, and difference in power between both eyes, it is wise to get the glasses at the earliest. As binocular full correction is needed to keep both eyes straight, and to avoid lazy eye/squint formation in later stages, glasses are a must.

Revisit your doctor after buying glasses and let him check again for any signs of allergy in her eyes, which has to be treatedwith topical eye drops, to avoid further rubbing and corneal damage. If possible get a corneal topography done to rule out keratoconus ( cone shaped cornea).

As long as her vision is 20/20 with glasses with no other significant ocular problems, your daughter should be fine with regular ophthalmic visits as adviced.

If her vision is below 20/20, then she needs Occlusion therapy, where in the good eye is closed for a calculated number of hours ,so the weak eye is stimulated to improve the vision. With frequent reviews,your ophthalmologist will suggest you when to stop it, as the needed vision is achieved in that eye. This is a regular procedure for such powers so nothing to worry.

Buy the glasses and give your child the best possible vision she can enjoy. Take care.

Answered: Fri, 4 Jan 2013
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