Intermittent Esotropia-2yr old help!

Discussion in 'Optometry Archives' started by lckaiser, Apr 1, 2007.

  1. lckaiser

    lckaiser Guest


    My daughter is 26 months old. One month ago her eyes started crossing
    intermittently. Sometimes straight sometimes crossing...sometimes one
    is crossing then the other.
    After two diagnoses from 2 different Ped. Opthalmologists the basic
    "treatment" of this is surgery.
    There is no explanation of why this started, so suddenly. She has good
    vision and is not farsighted and MRI's show no brain lesions.
    A friend of mine said, do not do the surgery until I have seen a
    Behavorial Optometrist. I am so fearful of my daughter's vision
    getting worse, I want to have the surgery asap but I am also nervous
    that it wont work, and she will need more then one surgery.
    Anyone have any experience with this in the science community?
    Thank you....

    lckaiser, Apr 1, 2007
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  2. lckaiser

    otisbrown Guest

    Dear Remy,

    There are two expert opinions.

    One suggests vision-training (with a behaviorial optometrist),
    and the other, surgery.

    I would suggest consulting with a behaviorial optometrist,
    since their support might clear the intermittant "crossing" up.

    If it does not, you can have surgery done later.

    Between the age of 6 and 9 I had both methods
    used on me.

    Although more difficult (and resisted by the child), the
    "training" was more effective and reasonable. I learned
    to control it.

    But no one can tell you what to do, other than
    solicit the second-opinion, and take time
    to review it.

    There are very strong opinions on this subject, and
    each expert believes he is "right" -- and maybe he is -- but
    that is why it is of value to listen to both sides of the story.


    otisbrown, Apr 1, 2007
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  3. lckaiser

    myeyesense Guest

    its a intermitent squint, and might be corrected with glasses, but its
    always better to show to a ophthalmologist and an optimetrist both an
    dunder guidence of ophthalmologist , preferably pediatric
    ophthalmologist , the glasses correction and regular follow ups should
    be done and if necessary can go for surgery by ophthalmologist's
    dont make any delay , the situation might worsten by becoming
    manisfest squint and amblyopia.

    though i dont knwo much about ophthalmology practice in your country ,
    have tried to solve the problem .

    go ahead and let me know what they say

    good luck

    myeyesense, Apr 1, 2007
  4. lckaiser

    lckaiser Guest

    How would glasses correct this issue if she is not farsighted and the
    eyes aren't crossing together, all the time?
    Just trying to get all the opinions out there...
    Thank You
    lckaiser, Apr 1, 2007
  5. one eye crosses at a time.
    michael toulch, Apr 1, 2007
  6. lckaiser

    p.clarkii Guest

    what is the evidence that she isn't farsighted? nearly all children
    at this age are farsighted. and farsightedness is an obvious cause of
    intermittent esotropia. was a cycloplegic refraction performed?
    p.clarkii, Apr 2, 2007
  7. lckaiser

    lckaiser Guest

    Yes, she had cycloplegic refraction by two different Ped.
    Opthalmologists. They did not put the drops in the night before but at
    the office...
    So I assuming they both arent incorrect about her not being
    farsighted, I am not a P.O. but will have to take their word....I was
    referred to both, by our daughter's pediatrician.
    My daughters eyes do not cross together all the time, sometimes on
    turns in, then the other. My understanding is that they both cross to
    try to see better. Anyway. I will ask Doctors again when I see them,
    up to this point no one has told me why this has happened they just
    think surgery will fix it..I find this frightening. But maybe it will
    be the solution.

    Also she has developed binocular vision so we are having an issue with
    time, because up until a month ago her eyes were straight, working/
    tracking together.
    lckaiser, Apr 2, 2007
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