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My two and a half year old granddaughter Isabel has a squint and has been diagnosed with 3over 5 vision in one eye and 3over 24 in the other - presumably the squinting one. We have been advised that occlusion therapy may be the way forward. Does this make sense and what is the long term porognosis?
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Yes. It does make sense. First, she will have to be fitted with her correct prescription glasses. Then the BEST seeing eye will be patched for a variable amount of time per day (you doctor -- hopefully an ophthalmologist -- will tell you the duration of patching per day. This duration is based on a number of clinical findings and customized for your granddaughter.
When her vision has improved, and become equal, in both eyes the "maintenance" patching will, most likely, need to be done for a number of years. She may also need eye muscle surgery to straighten out her eyes if glasses alone are not enough for them to remain straight.
This is the standard of care for your granddaughters condition.
Does this make sense to you?
This treatment is highly successful and your granddaughter should have very excellent vision for her lifetime.
Makes sense - you seem pretty certain that the vision will improve - experience must have shown that the treatment in the long run must be effective in correcting the problem if it is dealt with early on is this so?
that is correct. The sooner treatment starts the better. Once again, a pediatric ophthalmologist is the best trained person to deal with this issue....although I know in the UK it can be difficult to get to see a specialist.
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Yes Doctor and thank you - it is more or less what I expected to hear but very helpful. I have 3 other young grandchildren aged 3 and under - is it too early to have their eyes checked if there is nothing obviously wrong with them?
No. It is possible for a pediatric ophthalmologist to do a very through examination of a newborn infant if necessary so feel free to have your other grandchildren examined at any time -- that their Mothers will let you, that is :o)
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