How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. A.S. Desai Your Own Question

Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2142
Experience:  MS Ophthalmology with 11 years of surgical expereince
25407765
Type Your Eye Question Here...
Dr. A.S. Desai is online now
A new question is answered every 9 seconds

For a child who loses vision every 3-6mo isnt that a concern

Customer Question

For a child who loses vision every 3-6mo isn't that a concern? Who is now -6.00 has positive ANA, Joint pain, sensitive to lights, migraines, stomach aches, fatigue, dry eye syndrome, apthous ulcers, butterfly rash.. 14yrs old and been this way forever except rash started in 2007. Would she see opthalmology or rheumatology for this? We want her diagnosed, but we just get passed around to different doctors.
Submitted: 4 years ago.
Category: Eye
Expert:  Dr. A.S. Desai replied 4 years ago.
Hello,

Welcome to Just Answer

With this kind of history , I would be concerned about the child having Uveitis ( kind of inflammation of the eyes which presents with redness, pain, photophobia ). It is likely that all her symptoms may fit in a syndrome which could be auto-immune in nature. I would suggest she gets her eyes examined for uveitis by an ophthalmologist first , who will get all the needed investigations done. She may then be referred to rheumatology for her other symptoms.

She needs to continue restasis for dry eyes.

Thanks and best wishes

If you are satisfied with the answer , please press the accept button so that I get my dues.

A bonus and positive feedback are welcome.
Customer: replied 4 years ago.

For the past 5+yrs she has been seen by Opthalmologist every 6mo and checked for uveitis and iritis. She has been worked up for lupus, cancer, and JRA but it all stopped in 2007. We moved and doctor's didn't believe her eventho she has been like this since birth.

 

Now we moved again, and seh was seen by Opthalmology who didn't want to see any of her past medical records, nor all her lab work ups. ANA 1:640, ESR 23 (during flare up) etc,, didn't believe me her vision changes every 3-6mo we were told thats very rare. And told us not to come back until 1yr later. I told her how frequent my daughter was seen in the past, but she said no don't bring her back before 1yr or she will refuse to see us. Without glasses my daughter can't see and it gets worse every 3-6mo. Would she have some kind of eye disease or would we have to have her seen thru Rheumatology to actually get her diagnosed with something?

 

 

 

 

Expert:  Dr. A.S. Desai replied 4 years ago.
Hello,

From the symptoms provided, the reasons for frequent change in her vision could be-

i) High myopia due to enlarging eyeball- have seen children accepting glassses as frequent as 6- 8 months. In your case, if she improves her vision with changed glasses each time then it confirms that the reduced vision is due to myopia

ii) Juvenile diabetes- another condition where vision fluctuates due to frequent change in blood sugar levels. It requires fasting , post prandial sugar levels and Hb1Ac for past control of blood sugar levels.

If the ophthalmologist is not keen to see her, getting her examined for her other symptoms like joint pain, aphthous ulcers and fatigue from rheumatologist will help as there is positive ANA too. Blood sugar test is a basic investigation and can be recommended here too to rule outjuvenile diabetes.

Thanks and best wishes

If you are satisfied with the answer , please press the accept button so that I get my dues.

A bonus and positive feedback are welcome.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr. A.S. Desai
Dr. A.S. Desai
Eye Doctor
2142 Satisfied Customers
MS Ophthalmology with 11 years of surgical expereince