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. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7761
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

Hi, my 4 year old son was prescribed glasses for astigmatism

Resolved Question:

Hi, my 4 year old son was prescribed glasses for astigmatism - Right eye: Sph 0.0 Cyl +0.50 Axis 100 Left eye: Sph 0.0 Cyl +1.00 Axis 80. Does he really need to wear glasses? He's never complained of headaches or squinted his eyes and can see the blackboard at school no problem. I asked him to read small numbers from 6meters away and he did without hesitation. I understand that perhaps with glasses his distance vision may become a little sharper, but whats the point him wearing glasses now when he'll possibly need them when he's older anyway, whether or not he wears glasses now. I understand what astigmatism is as i've had it all my life and never worn glasses and my vision has been pretty spot on.
I apologise for my long post but the eye doctor refused to answer any of my questions and i'm desperate for an honest answer. If I choose not to put him in glasses what would you expect his prescription to be in 12 months? Equally if he does wear the glasses what would you expect his prescription to be in 12 months?
Many thanks
Linda
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

are you available to chat?

Customer:

Yes

Dr. Rick :

Ok. Let me review your post....brb

Dr. Rick :

So. Let me get this straight. Your son has no crossing of his eyes (squint) seems to have no visual complaints and, on testing, has fairly equal vision in each eye? Do I have this correct so far?

Dr. Rick :

Also, I bet he was seen by an optometrist and not a pediatric ophthalmologist, correct?

Dr. Rick :

Did he have drops put in his eye a few days before one of his visits so the doctor could do "wet" refraction in addition to the "dry" refraction? Also, did the doctor use a small "flashlight" to do the eyeglasses test, sweeping the light back and forth while figuring out the glasses Rx?

Customer:

Correct, no squint, no visual complaints etc. He has his eyes tested at school and the lady suggested he may have a little problem with his left vision so his appt was with a pediatric opth.. and yes eye drops and flashlight.

Dr. Rick :

Ok then, you had the best exam available. I would not expect him to have any damage from not wearing the glasses but if they help your son see better he will, after a while, want to wear them. I don't think that NOT wearing them would damage his eyes (cause amblyopia) since he doesn't have that much astigmatism, but -- if I was in your shoes -- I think I'd try to get my son to wear the glasses

Dr. Rick :

Does this make sense to you?

Dr. Rick :

I thought it was very difficult to get in to see a specialist like a pediatric ophthalmologist in the UK.....Good Job!

Customer:

Kind of, but why wear the glasses? My problem is that if he starts to wear the glasses then he'll become too reliant on them! You can see any doctor in the UK no problem but sometimes it's a little like a production line!

Dr. Rick :

That is a good point, however, he does have astigmatism that the glasses will correct and that will give him much, much better vision. It is not like he will be "dependent" on them, he really has a condition that will be improved by them. Also, as he gets older I would expect him to develop more myopia and astigmatism. Wearing the glasses will not cause him to become more myopic or have have more astigmatism as he gets older....it will just afford him better vision.

Customer:

It's crazy isn't it, I don't want to screw up my son's eyesight and i'm thinking about going against the doctors advise. I think it's because when I was a teenager my sister & myself had exactly the same eye test presctiption (pretty minor), she chose to wear glasses I did not, over the years her sight got very bad and mine loads better and I only need glasses now for reading (i'm 46). I sound nuts don't I.

Dr. Rick :

Since you have astigmatism (and maybe your husband wears glasses) your son has the biology to end up wearing glasses. There is nothing that can be done to change this fact. Some studies in the past did show that some treatments decreased the amount of myopia a child had as they grew up, but the results are not widely accepted by experts

Dr. Rick :

No, but basing your decision on what you noticed to have happened with you and your sister would not qualify as a good scientific study :)

Dr. Rick :

I'd follow the doctors advise for now, go back for a follow up exam in six months or so, see how things have or have not changed over that time period, discuss your feelings and concerns with the expert (the pediatric ophthalmologist) and see what he says and how you feel about it. 6 months with glasses shouldn't doom your son to a lifetime of buying expensive frames......

Customer:

Oh I know and I do apologise, I don't want to get this decision wrong and I know I must sound silly. I can only thank you for your advice.

Customer:

I forgot to say - very appreciated.

Dr. Rick :

Your a mother.....you don't sound silly. I put up with my wife through 5 of these little munchkins -- and you'd be surprised at the things I thought my kids were dying from that caused me to pin my colleagues down in the hospital hallway for a private "emergency" consult. It is all part of being a parent.

Dr. Rick :

And they've all lived to adulthood and turned out fine. It has been a pleasure to help you. Have a great afternoon

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)


I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.


 

Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7761
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 3 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 3 years ago.
k

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
 
 
 

Related Eye Questions