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: 2130
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

My daughter had 20/800 vision. So we started going to the pediatric

Resolved Question:

My daughter had 20/800 vision. So we started going to the pediatric eye clinic. After patching for 24 hours straight for a while we are finally at 20/40 or 20/50. She just will not wear the patch anymore. She had a lazy eye (estropia/amblyopa). we tried atropine but one drop left her eye dilated for almost 2 weeks and it kinda scared me. Is there another drop that wouldn't last so long we could ask the eye doctor about?
Submitted: 1 year ago.
Category: Eye
Expert:  Dr. A.S. Desai replied 1 year ago.

Dr. A.S. Desai :

Hello, Thank you for the question.I am Dr.A.S.Desai and I look forward to assisting you .

Dr. A.S. Desai :

Are you available for chat now?

Customer:

Yes. She's 5 and I think she doesn't like the patch bc people always stare at her or ask her what's wrong with her eye. It didn't bother her before but now she just won't wear it. I thinking makes her self conscious.

Dr. A.S. Desai :

For how long was she advised to wear the patch?

Dr. A.S. Desai :

Does she have equal vision in both eyes or is it decreased in one eye only?

Customer:

They said to try as ling as possible. We have been patching for over a year now. Probably longer.

Customer:

Her other eye is 20/20.

Dr. A.S. Desai :

So the vision in the amblyopic eye is now 20/40 after patching for almost an year ?

Customer:

Yes.

Customer:

The Dr said her eye is perfectly healthy. We just have to train it. No nerve problems or anything like that. They are shooting for 20/30.

Dr. A.S. Desai :

Patching is definitely a very effective mode of treating amblyopia but for the inconvenience caused for cosmetic reasons.

Customer:

I think going from 20/800 to 20/40 is excellent! But I'm scared if she doesn't patch her vision is gonna get worse.

Dr. A.S. Desai :

As you have already experienced, cycloplegic medicines such as atropine eye drops can cause prolonged blurring of vision.

Dr. A.S. Desai :

Unfortunately other cycloplegic eye drops are not as effective as atropine and are thus not preferred.

Dr. A.S. Desai :

The whole idea of this eye drop is to make the vision in the good eye to become blurred so that the amblyopic eye is forced to see. In patching there is an option to vary the duration or hours of patching.

Customer:

Can her vision revert back to 20/800 since she's patched maybe 2 weeks in 5 months?

Dr. A.S. Desai :

Since she is still at an age wherein amblyopia can revert back, it is better to follow the advice of her pediatric ophthalmologist regarding number of hours of patching.

Customer:

I really think a kid at school said something or made fun of her bc she was ok with wearing it (as ok as a 5 year old can be) then one day she just started taking it off after she got to school.

Dr. A.S. Desai :

The entire process of patching can only help upto 10-12 years beyond which amblyopia becomes irreversible.

Dr. A.S. Desai :

I can definitely understand how difficult it must have been for such a young child. But we must truly appreciate her for having worn it for so long.

Customer:

So after she is 10-12 years of age an amblyopia is irreversible? So we still have tIme since she's 5 for it to be fixed and not permanent correct?

Customer:

We did the rewarded system to get her to wear it. $1 every day she wears it and for a full week we gave her $20. She did good for a whole but I'm guessing when she was picked on it just changed her whole perspective.

Dr. A.S. Desai :

Yes, beyond that age it is not possible to correct amblyopia. There is still plenty of time to correct her amblyopia.

Dr. A.S. Desai :

Ok. That was a very nice way of coaxing her to do so.

Dr. A.S. Desai :

Even now I guess she might continue to wear the patch if we make her realise that.

Customer:

The only thing that scared me about the atropine is I know it can be dangerous. I read about it and I probably shouldn't have. Would 1 drop daily be dangerous?

Customer:

I read that it can be toxic and that freaked me out especially when 1 drop kept her eye dilated for almost 2 weeks!

Dr. A.S. Desai :

Atropine eye drops can be dangerous especially in children as it can enter the blood circulation directly. But that does not happen with each individual or with every drop. Morever it is normal for the eye to be dilated for two weeks following atropine.

Customer:

So 1 drop of atropine daily is safe? And nothing to be worrying about?

Customer:

I know there is other dialating drops...do they carry the same risk as atropine?

Dr. A.S. Desai :

One drop can be used safely as long as the side effects of a dilated pupil ( in the form of light sensitivity) are well tolerated.

Customer:

I'm sure other drops are not as effective but they want to shoot for 12 hours of patching. So is there a drop besides atropine that would give 12 hours of blurring?

Dr. A.S. Desai :

Homatropine eye drops are shorter acting but do not induce the same effect as atropine.Its effect can last upto 2 days.

Customer:

Ok. Thanks for your input! I'm gonna call and schedule her an appointment 2 months out and see how we do. She hasn't been since Feb and was supposed to go back in June. But we cancelled bc she wouldn't patch and I assumed we should try to get in 2 months of patching before going back.

Dr. A.S. Desai :

You are most welcome. Yes, it is a wise thing to follow up. God bless the child and take care.

Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2130
Experience: MS Ophthalmology with 11 years of surgical expereince
Dr. A.S. Desai and other Eye Specialists are ready to help you

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
2130 Satisfied Customers
MS Ophthalmology with 11 years of surgical expereince