Mumsnetters aren't necessarily qualified to help if your child is unwell. If you have any serious medical concerns, we would urge you to consult your GP.

Lazy eye, squints, glasses etc.....

(908 Posts)
cheekyginger Thu 01-Sep-11 22:38:05

Im an orthoptist (binocular vision specialist) and a mummy.

I thought i would start this thread in case anyone was wanting any advice, re-assurance, opinions about any eye problems that you wee ones are having.

cheekyginger Wed 30-Jan-13 21:28:01

If you've got the drops in cartblanche your DD's pupils will look huge tomorrow!

midastouch Wed 30-Jan-13 22:03:17

thank you cheekyginger i will ask a different opticians. colourblind business sounds rather confusing but thank you for answering!

cartblanche Thu 31-Jan-13 01:27:58

Thanks again cheekyginger - first set of drops went in and she didn't complain at all!

focuson Thu 31-Jan-13 07:53:52

many thanks Cheekyginger - the goldman feild test looks like a long one - his attention span is not great and we will see how much he manages of this test. I just hope it is to rule out glaucoma as he has had so much to deal with - and despite his cateracts being caught late his vision is fairly good - his corrected vision last time was 6/12 and 6/18 and I truely believe will get better. thank you again

Huffpot Sun 03-Feb-13 14:16:29

Hi cheekyginger

Can I ask a question about my 3.5 year old?

He's been squinting for 6 months and I took him for an eye test but the local optician said he was too young and that I would have to get a referral to hospital through my GP which I did.

He got an appointment at our local hospital with the Moorefields Eye Hospital department there which he had on Friday.

Now I was expecting to be told that he just needed glasses or a patch for a while but it turns out he has an eye condition which of course I didn't write down (was quite taken aback) and now can't remember.

Basically since birth he has had really big dark blue eyes. Apparently because his eyes are so big they have stretched as such and the pupils are very large and he has pressure in his eyes which needs to be monitored. They are sending him to the big Moorefields hospital in Central London for electrical tests as his eyesight isn't quite what it should be so they think theres something else underlying that they need to check.

We have an appointment back at our local hospital Moorefields at the beginning of May to discuss the results and to check his eye pressure again.

All I can remember is that it starts with an M and of course I feel like a right numpty for not being able to remember what it is and now I want to look further into it.

Any ideas? hopeful face

Huffpot Sun 03-Feb-13 14:18:12

Oh and his eyes "flicker" as well thanks

focuson Sun 03-Feb-13 20:17:39

Hi huff pot central london moorfields is our hospital - and you could not ask for a better centre. Clinics vv busy mind you. My only thought and triggered by flicking eyes (excuse spelling) nastugmas - give them a call and good luck!

Huffpot Sun 03-Feb-13 21:16:07

Thanks focuson

I have a friend who has vision problems and says they are amazing and have saved most of her sight so feel quite reassured.

Will be nice when we know exactly whats going on although we are trying not to fret...3 months feels like forever but I know it will fly

focuson Mon 04-Feb-13 07:09:21

Morning Huffpot - 3 months is a bit reasurring as if there was an immediate problem they would have you in within a couple of weeks - or there is an oversight - I would phone back to ask to speak to the consultant who is referring you to old street moorfeilds. What are your ds's eye pressures? I can remember when my DS was diagnoised at 3years old it was pretrifing as I had never heard of congenital cateracts - but once I had more info we got on with it all.

Had a look for eye conditions starting with an m and this also fits the bill??ocular myokymia??

MumOfMissy Mon 04-Feb-13 20:13:36

Hi cheekyginger, would appreciate your thoughts my DD who is 6 months old. She was extremely cross eyed at birth (ventouse delivery) and her neck was injured during the delivery resulting in torn ligaments and stiff neck on one side (torticollis). I noticed her eyes looked more 'normal' after a month or so, but then began to realise that her right eye was always turned in a bit and the pupil forum seemed larger. She also seemed to prefer using her left hand.

This set alarm bells ringing so got a referral from GP at 4 months old and now waiting for appt with opthamologist. Now she is 6 months I've noticed that when she's looking at a new toy or book she sometimes puts her face very close (2 inches away) to get a better look. Also when she wakes up in the morning, she can't seem to see me properly until I am 3 feet away - by that I mean she knows so am there but she only responds fully (smiling and wiggling) when I am quite close.

It's interesting to me that the eye that turns in slightly is on same side that her neck was stiff. Neither her Dad or I wear glasses, however both her paternal grandparents do and her maternal grandmother had a lazy eye as a child and had to wear a patch and glasses.

I'd really appreciate your thoughts on this. It's the looking very closely at stuff that is worrying me the most.

MumOfMissy Mon 04-Feb-13 20:25:26

* pupil always *

cheekyginger Mon 04-Feb-13 22:09:10

Hi huffpot

Starts with the letter M???? Thats a tricky one!

Could it be megalophthalmos? This is when the cornea (the clear front surface of the eye) is abnormally large. They will have to do further tests to differentially daignose this from congenital glaucoma.

But Moorfields eye hospital has a great reputation all over the UK so it sounds like you are in good hands. smile

cheekyginger Mon 04-Feb-13 22:14:30

Hi MumOfMissy,

At 6 months babies vision is just starting to reach maturity so they will hold things quite close to their faces to investigate objects. Babies love putting stuff in their mouth as their little tongues/mouths are better "sensors" than their eyes at this age!
Until you've been checked at the clinic there's no way i can say whether her eye is squinting or not. If you have a family history of squints/lazy eyes then you LO is at a slightly higher risk of developing a problem.
But she's only little and it's getting picked up very early if there is a problem. smile

HotheadPaisan Mon 04-Feb-13 22:21:29

Just found out DS1, nearly 7, is shortsighted, has astigmatism in both eyes and a very lazy right eye.

His prescription is -1 and -0.5 which didn't seem too bad to me but the optician said it isn't good to be shortsighted at this age.

We have a convergence exercise to do - dots on a piece of paper held near his nose. Just wondering how bad all this is and to what extent it all would have affected depth perception. Thanks!

MumOfMissy Mon 04-Feb-13 23:34:32

Many thanks cheekyginger for responding so quickly. You've really helped set my mind at ease. Just got to wait for her appt now on the 20th. Your opinion is much appreciated.

cheekyginger Tue 05-Feb-13 21:10:03

Hi Hothead,

Your DS is very mildly shortsighted. The prescription you have written down does not have any astigmatismconfused???
If he is just short sighted then I would recommend that he doesnt wear these glasses fulltime. Ideally he olny needs to wear them when he is doing distance work (blackboard/cinema etc). Children do tend to be a little bit older when being picked up as being short sighted......but i cant believe your optician said its not good to be short sighted at this ageangry!!!

When i talk about a lazy eye i mean the the vision is lazy in one eye (amblyopia). This doesnt seem to be the case with your DS as this prescription wouldnt have caused any problems with the visual development of the eyes. Convergence ex improve convergenceconfused!

Do you ever see one of your DS's eyes drift outwards at times? If he does then i would recommend you get referred to your nearest eye clinic so you can see an Orthoptist. smile

cheekyginger Tue 05-Feb-13 21:11:01

No probs MumOfMissy x

Huffpot Tue 05-Feb-13 21:46:23

Hi and thank you cheekyginger

Hmm it doesn't sound quite right but I was in a flap.

I rang the hospital (who were lovely). The doctor we saw dictates her notes and the secretary hasn't typed them up yet but they told me I will be sent a copy when they're done.

I will come back on when I get them to share the mystery name smile

HotheadPaisan Tue 05-Feb-13 21:59:48

Thank you cheekyginger, yes, his right eye on photos going back years drifts off, I don't notice it day to day.

I missed some bits, so, right eye, Sph -1.00 Cyl 0.50 Axis 90, left eye - Sph -1.00 Cyl -0.50 Axis 75.

He can do the dots on a paper convergence exercise.

HotheadPaisan Tue 05-Feb-13 22:18:50

And I think he has always had problems with judging depth and so on, even when she was testing him I could see his right eye drifting out at times. Should he have a patch for some of the time?

cheekyginger Wed 06-Feb-13 20:48:40

Hi HotheadPaisan,

The prescription you have written has very mild astigmatism.

From what you describe it sounds like he has an intermittent squint. The convergence exercises will help reinforce his convergence and the hope will be that this will help the control of his eyes.

Does your son complain of sore heads sore eyes etc? If increased wear of the glasses does not help then i would seek referral to an orthoptist. But your Optometrist may do this if your DS is not responding to treatment. smile

Patching is only used to treat lazy vision. So no he shouldn't require a patch from what you are describing.

HotheadPaisan Wed 06-Feb-13 21:11:26

Thanks so much for the info, I didn't think it all seemed that bad, must just have been the way I heard the info. We are going back in six months and will keep up those exercises. He does seem to want to wear his glasses for distance things so that should help.

One last question, he is just starting to read and write, is that likely to help the eyes track better or strenghten the weaker eye? It does drift out when he was getting tired in the tests.

He does blink a bit sometimes (anxiety mainly though, he has ASD) and his eyes get a bit watery sometimes, my guess is he's sensitive to bright lights too (as am I). No headaches or soreness as such though.

Thanks again, I really appreciate your advice.

HotheadPaisan Wed 06-Feb-13 21:14:17

She did say he had a lazy right eye (even I saw it on some test) and he did seem to struggle with that eye being 'blurry' on the tests, I do wonder if he memorised the letters...

cheekyginger Wed 06-Feb-13 21:27:33

Hi Hothead,

Think we just use the term lazy eye differently! Sounds like your DS has a squint, i.e one eye not being straight at times. From what you are describing he sounds as though he may have an intermittent divergent squint. If that is the case then it will be worse when your DS is really tired or if he is unwell as his muscle control will not be great at these times.
As for reading and writing, helping to "strengthen" his eyes only time will tell.
Stick in with your exercises and see how it all goes at your next appointment grin

HotheadPaisan Wed 06-Feb-13 21:36:30

That sounds like it to me, thank you very much for the info.

One last, last, final question, if he is shortsighted now is that likely to get worse as he gets older or stay roughly the same?

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