Glasses for 5 year-old twins?

I apologize for the confusion. I should have noticed that the flow of
thinking is more sensible than anything Ace might dream up. I scanned
and stopped. Sorry.

From what I know of thyroid eye disease, the physiological changes from
Grave's disease (hyper) or Hashimoto's (hypo) thyroiditis occur as an
autoimmune pathology affecting the extraocular muscles. In rare(r)
cases, the compression of tissues behind the eye can affect the optic
nerve and cause decreased vision. Control of thyroid hormones does not
appear to significantly effect the course of the disease. AFAIK, there
is no clear rationale for that. Also, the eye pathology can occur
without clear hormone imbalance and hormone imbalance can occur without
eye pathology. The internal ciliary muscle is not affected. There is no
model for why visual acuity might fluctuate as a result of hyper/hypo T.

In Grave's, some patients do recover at least some normalcy in the
extraocular muscles following thyroidectomy and careful hormone control
and without surgery.

What YOU decribe seems more like that which occurs with faulty glucose
metabolism as in uncontrolled diabetes. As diabetes is an autoimmune
disease as is Grave's and Hashimoto's, I think that is where you should
be looking.
That's pretty much all I know off right off without involved research.
Perhaps one of my colleagues might be able to add some additional
insight.

LB, O.D.

 

Right, OK, knew there had to be a reason for the "bulging" eyes type of
thing, and of course if you got some stuff going on behind the eye. The
whole TED is something Im not familiar with - having never had it, and
never researching it.

Im still going to think about the "muscle control" aspect when
hypothyroid, although the diabetes is an interesting one, given that I
am overweight and consume lots of sugar. But I have had my blood tested
with the pinprick thing - Is that a blood glucose test? Anyhow, either
way, that came back normal so we pretty much ruled that out, and given
my thyroid problems and regular blood tests every few months, nothing
else has shown up.

Well, just so the question of my hypothesis isn't lost, what causes this
"rollercoaster" effect of plano to +0.75 to plano to +0.75 where the
+0.75 seems in my experience to correlate with undercorrection of my
thyroxine levels. I'll leave that for the board.

Cheers
Simon

 

The "pinprick" blood sugar test only measures blood sugar at the instant
the test was done. It is NOT a test for diabetes. You should find out if
you had a GTT (glucose tolerance test--short term sugar reaction) or the
most appropriate test, the hemoglobin A1c test (long term sugar
reaction.) Both of the fore-mentioned are done to diagnose diabetes.

LB, O.D.

 

Thanks for the info. I'll check into this when Im next at the docs!

Ta
Simon

 

Actually, I was in for my own check-up yesterday (time for reading
glasses) and asked to see my kids' results.

One has +1.25 in each eye, while the other has +2.5 in the right eye,
and +1.25 in the left.

 

Dear Pat,


Pat> They were just checked again by the same optometrist who said they
are
both far-sighted with a weaker right eye and wrote a prescription for
something in the range of 1.75.

Otis> Natural Refarctive STATES for children tend to run between zero
to +2 diopters.

Otis> It is not clear why a +1.75 diopter lens was "prescribed".
Has the OD explained WHY a child when normal refractive
STATES "needs" a plus lens. Please ask the OD to
be articulate in layman's language to explain why.

Otis> We would all like to hear the explanation. Particularly since
the second-opinion is to NOT wear that plus at this time.

Best,

Otis

 

Dear Pat,

Also, let me add, that under the circumstance that the
child's refractive STATE is +1/2 diopter, I would argue
that a plus should be used -- to maintain this
refractive STATE.

Otis