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in addition to the optometrist is your son being treated/seen by an ophthalmologist?
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I am a teacher of students with visual impairments. Student has not seen opthalmolgist in two years, but that is the source of the diagnostic info I provided. Optometrist's report did not address these issuses. Also, might add that noted a reference in that ophthalmolgy report to V-pattern strabismus (distance)