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Is your grand daughter being given therapy by an optometrist or an ophthalmologist? Is her vision (each eye tested alone) affected?
Where she is going, they tell the Mother that the treatment is cosmetic. They have applied to Medicare for her well being, but have been refused because medicare considers it a cosmetic procedure.
Her eyes cannot focus well.
What can you suggest?
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There are various types of what is called exotropia: intermittent, constant, large angle etc. In children some of the types can lead to vision loss by a process called amblyopia. I feel strongly that your daughter should have a complete eye examination by a fellowship trained pediatric ophthalmologist.
Also, I do not agree that treatment in children for this condition is cosmetic since it can cause life long vision loss. If your grand daughter does have ambylopia it is important that she begin treatment soon as she is at the far end of the age group where treatment is helpful. To answer your other question, if her exotropia is causing amblyopia (and this can only be determined by a complete eye exam by a well trained ophthalmologist) then the treatment would most likely be surgical.
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