Question on vision therapy?

Discussion in 'Eye-Care' started by Tom, Sep 9, 2003.

  1. Tom

    Tom Guest

    Hi my nephew is 11 and seem to have eye turn sometimes, it's usually
    right but sometimes it's left. He was previously diagnosed with lazy
    eye by an older optometrist. all he did was giving him glasses to
    wear. I just took him to another ptometrist who just graduated and he
    says my nephew doesn't have lazy eye since both eyes see 20/20. he
    says my nephew has exophoria, around 40 prism ??? He wants to do
    vision therapy so his eye won't turn out as often. i have never heard
    of that b/4. does vision therapy really help? is the eye turn fixable
    with surgery? what about with glasses? by the way, my nephew is
    moderately nearsight, about 4 dioptors each eye.
    Tom, Sep 9, 2003
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  2. Tom

    LarryDoc Guest

    People use the term "lazy eye" to reference two different issues: eye
    turn (called strabismus) and lower than expected *corrected* acuity
    (ambylopia). So forget the term "lazy eye" and stick to the terms that
    really mean something specific.

    40 prism diopters of extropia (strabismus) is a lot to fix with vision
    therapy, but depending upon the cause, it may well be worth a
    try---especially considering that both eyes have normal acuity. Surgery
    will likely be an easy remedy, but will likely require vision therapy in
    addition to help the eyes work together. At the moment, they work
    independently, aim them straight and the brain will have to learn how to
    make them work together.


    Dr. Larry Bickford, O.D.
    Family Practice Eye Health & Vision Care

    The Eyecare Connection
    larrydoc at m a c.c o m
    LarryDoc, Sep 9, 2003
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  3. Tom

    Otis Brown Guest


    Dear Tom,

    No one can give you exact answers.

    I has SLIGHT strabismus as a child. The one
    process that did work was "training" my
    eyes with a steroscope. (Two images, when
    fused create a 3 D effect.)

    If you nephew can "fuse", and see 3D, then
    there is hope.

    I my case, if I did not pay attention, my left
    eye would "drift out". After I worked
    with the training, I became very aware that
    I had "control" of this fusion process.

    I also had muscles cut. I think it is a complete
    waste of time. If you nephew lets that eye go
    "out", and it stays out, he will lose completely
    the ability to fuse. Only after that
    happens should muscle cutting be considered.
    The results are more cosmetic, that practical.

    Each case is different, but the "force" put
    into the "vision training", although frustrating
    to ALL concerned -- payed off.

    How does your nephew feel about and judge these issues?


    Otis Brown, Sep 10, 2003
  4. Tom

    Dr Judy Guest

    The first optometrist may not have been wrong about the lazy eye. It is
    entirely possible that your nephew did have a lazy eye and that the glasses
    he wore corrected it to the 20/20 level that the new OD is measuring.

    40 exo is a lot to try to correct with VT; you may want to get a surgical
    opinion as well. Surgery could decrease the exo to a much smaller amount
    which could then be addressed by VT.

    Dr Judy
    Dr Judy, Sep 11, 2003
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