Dear Mrs. Tejaawini,
Your daughter has myopic astigmatism
, a kind of refractive error
which occurs due to altered curvature of the cornea
- cornea most of the times. . myopic astigmatism can increase as the child grows. . as the eye grows the axial length of the eyeball increases and the curvature of her cornea is more and more altered . . as a result the myopic astigmatism increases. . there may not be any major problem . . only thing that should be kept in mind is increasing myopic astigmatisn can be associated with keratoconus
, a kind of ectatic condition of the cornea. . so it may be nice to record the K reading - a measure of the curvature of the cornea, refractive status, and careful slit lamp evaluation periodically. . Topographic techniques like Orbscan can also be used to do the same if needed... once keratoconus is ruled out she is quite safe. . there may not be any other major problem . .