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Suggest Treatment For Strabismus
Question: Dear Sir,
History: -
My Daughter is 3.5 years Old. A week ago while having lunch, I observed her left eye 'lazily' following her right eye as she was turning her head fro left to right & vice versa. This is the first time she has done this. It lasted only for a second or so. Her eyes were back to normal. My wife observed her doing this a day later. We also found out that she can do this at her will. She asks for us to see and brings her pupils towards her nose. We scolded her and asked her to stop doing this. Its been a week now and we have not caught her doing this again. All her developmental milestones are normal.
My Questions:-
1. Google tells me about a condition called crossed eyes. We are scared that my daughter has it. On the face of it, it seems she can do it at her will. But the first time it happened it was NOT INTENTIONAL. She was not tring to do anything at all when her left eye turned inwards. is this normal for a 3.5 yrs old?
2. Again from Google., Google tells me that crossed eyes is one of the earliest forms of DIPG, a fatal brain cancer. Does this point to something serious like that? We are very scared for her doc. She doesnt seem to have double vision or speech problems or any other early symptoms of DIPG. But Google says that the Cancer is dormant and comes back between 3 to 10 years. Could this point to something serious in the neural system?
Thanks
History: -
My Daughter is 3.5 years Old. A week ago while having lunch, I observed her left eye 'lazily' following her right eye as she was turning her head fro left to right & vice versa. This is the first time she has done this. It lasted only for a second or so. Her eyes were back to normal. My wife observed her doing this a day later. We also found out that she can do this at her will. She asks for us to see and brings her pupils towards her nose. We scolded her and asked her to stop doing this. Its been a week now and we have not caught her doing this again. All her developmental milestones are normal.
My Questions:-
1. Google tells me about a condition called crossed eyes. We are scared that my daughter has it. On the face of it, it seems she can do it at her will. But the first time it happened it was NOT INTENTIONAL. She was not tring to do anything at all when her left eye turned inwards. is this normal for a 3.5 yrs old?
2. Again from Google., Google tells me that crossed eyes is one of the earliest forms of DIPG, a fatal brain cancer. Does this point to something serious like that? We are very scared for her doc. She doesnt seem to have double vision or speech problems or any other early symptoms of DIPG. But Google says that the Cancer is dormant and comes back between 3 to 10 years. Could this point to something serious in the neural system?
Thanks
Brief Answer:
Esotropia
Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query!
First let me give you a general briefing.
Answer 1)-No its not normal.The problem which kid is having is called Strabismus.Strabismus is a condition in which the eyes do not properly align with each other when looking at an object. Which eye is focused on the object in question can switch. It may also be present occasionally or constantly.Esotropia is a form of strabismus in which one or both eyes turns inward.The condition can be constantly present, or occur intermittently, and can give the affected individual a "cross-eyed" appearance.A detailed investigation of the eye is to be done by your ophthalmologist.In your case Esotropia can be-
Incomitant esotropia- Esotropia varies in size with direction of gaze.
Accommodative esotropia-inward turning of the eyes due to efforts of accommodation. It is often seen in patients with moderate amounts of hyperopia.
The prognosis for each esotrope will depend upon the origin of problem.I would advice you to visit your nearest ophthalmologist for examination of eye.
Answer 2)Medical science is full of possibilities.Even a common thing like fever can be a sign of cancer.Though rare things are rare and we have to follow common things first but as you are now worried about DIGP,The simplest and the easiest way is to go for a MRI brain with contrast.If MRI is normal brain is normal.
No one can give you a clear answer without examining the patient so if you want to be sure that its not DIPG the easiest way is go for MRI,Within 15 minutes things will be clear.
Advice
strongly suggest you to take her to the nearest opthalmologist.Don't waste your time googling high figh things.
Regards.
Esotropia
Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query!
First let me give you a general briefing.
Answer 1)-No its not normal.The problem which kid is having is called Strabismus.Strabismus is a condition in which the eyes do not properly align with each other when looking at an object. Which eye is focused on the object in question can switch. It may also be present occasionally or constantly.Esotropia is a form of strabismus in which one or both eyes turns inward.The condition can be constantly present, or occur intermittently, and can give the affected individual a "cross-eyed" appearance.A detailed investigation of the eye is to be done by your ophthalmologist.In your case Esotropia can be-
Incomitant esotropia- Esotropia varies in size with direction of gaze.
Accommodative esotropia-inward turning of the eyes due to efforts of accommodation. It is often seen in patients with moderate amounts of hyperopia.
The prognosis for each esotrope will depend upon the origin of problem.I would advice you to visit your nearest ophthalmologist for examination of eye.
Answer 2)Medical science is full of possibilities.Even a common thing like fever can be a sign of cancer.Though rare things are rare and we have to follow common things first but as you are now worried about DIGP,The simplest and the easiest way is to go for a MRI brain with contrast.If MRI is normal brain is normal.
No one can give you a clear answer without examining the patient so if you want to be sure that its not DIPG the easiest way is go for MRI,Within 15 minutes things will be clear.
Advice
strongly suggest you to take her to the nearest opthalmologist.Don't waste your time googling high figh things.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear Doctor,
Thanks for the quick revert. I had attached the images of my Child's eyes. Do you think incomitant esotropia is present in my Child? I have gone carefully through all her Photos taken since a year back. Even as late as February 2017, her eyes seem to be normal.
Do you also think that she did whatever she did at her will? I mean the same night, she consciously called me and made me see that she can do it. When I scolded her, she did not do anymore?
and sir, which is more serious? Comitant esotropia or incomitant esotropia? She does not seem to have any vision problems at all. When we go out, She is able to look at far away signs and even read them.
Thanks
Thanks again Doc
Thanks for the quick revert. I had attached the images of my Child's eyes. Do you think incomitant esotropia is present in my Child? I have gone carefully through all her Photos taken since a year back. Even as late as February 2017, her eyes seem to be normal.
Do you also think that she did whatever she did at her will? I mean the same night, she consciously called me and made me see that she can do it. When I scolded her, she did not do anymore?
and sir, which is more serious? Comitant esotropia or incomitant esotropia? She does not seem to have any vision problems at all. When we go out, She is able to look at far away signs and even read them.
Thanks
Thanks again Doc
Brief Answer:
Follow up query.
Detailed Answer:
Hello dear i had already seen the photographs attached by you. Yes it can be Incomitant Estoropia.
It's very difficult to say whether she did it on her will or its a pathological problem without examining her as both things are possible. In person physical examination is a definite answer to this question.
Both Comitant esotropia or incomitant esotropia are bad because they compromise the physical beauty of patients. Difficulty in vision is usually not encountered early. A detailed examination should be done to initially rule out the cause in her case and treatment should be started accordingly.Don't loose time,Time is important in her case. Earlier she is diagnosed more are the chances of cure.
Strongly suggest you to go for complete evaluation of her eyes physically.
Regards.
Follow up query.
Detailed Answer:
Hello dear i had already seen the photographs attached by you. Yes it can be Incomitant Estoropia.
It's very difficult to say whether she did it on her will or its a pathological problem without examining her as both things are possible. In person physical examination is a definite answer to this question.
Both Comitant esotropia or incomitant esotropia are bad because they compromise the physical beauty of patients. Difficulty in vision is usually not encountered early. A detailed examination should be done to initially rule out the cause in her case and treatment should be started accordingly.Don't loose time,Time is important in her case. Earlier she is diagnosed more are the chances of cure.
Strongly suggest you to go for complete evaluation of her eyes physically.
Regards.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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