Glasses for 5 year-old twins?

Discussion in 'Glasses' started by Pat Coghlan, Aug 23, 2006.

  1. Pat Coghlan

    LarryDoc Guest

    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

    LB, O.D.
    LarryDoc, Sep 2, 2006
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  2. Pat Coghlan

    Simon Dean Guest

    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.

    Simon Dean, Sep 3, 2006
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  3. Pat Coghlan

    LarryDoc Guest

    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.
    LarryDoc, Sep 3, 2006
  4. Pat Coghlan

    Simon Dean Guest

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

    Simon Dean, Sep 3, 2006
  5. 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.
    Patrick Coghlan, Sep 7, 2006
  6. Pat Coghlan

    otisbrown Guest

    Dear Pat,

    Pat> They were just checked again by the same optometrist who said they
    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.


    otisbrown, Sep 7, 2006
  7. Pat Coghlan

    otisbrown Guest

    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.

    otisbrown, Sep 7, 2006
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