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Message from discussion Latent Hyperopia - Child age 6 - glasses? (+3.25 script)
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Dr. Leukoma  
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 More options Aug 28 2008, 11:25 pm
Newsgroups: sci.med.vision
From: "Dr. Leukoma" <d...@leukoma.com>
Date: Thu, 28 Aug 2008 05:25:03 -0700 (PDT)
Local: Thurs, Aug 28 2008 11:25 pm
Subject: Re: Latent Hyperopia - Child age 6 - glasses? (+3.25 script)
On Aug 26, 1:47 pm, "JWard6971" <u45776@uwe> wrote:

> I'm a confused mom at the moment.

> A year ago, my then 5 year old child had his eyes tested (by a clinical
> ophthalmologist who I feel did a thorough exam) and I was told he was
> borderline for needing glasses, but if he wasn't manifesting any problems
> then we should just recheck in a year because he might outgrow and be fine.
> No particular problems were noticed, although he has never really been
> interested in the "school work" portion of his Kindergarten program and is a
> part of the Title I program to help him with the needed pre-reading/reading
> skills.  

> He was rechecked this week (same doc), now age 6, and the problem was
> explained in a bit more depth as latent hyperopia.  His pre-"eye drops" sight
> had a correction of +.25/+.37, so he is correcting well.  With the drops, he
> would need a +3.25 in both eyes - the same as last year.  The eye doctor is
> basically telling me it is our choice at this point with glasses and whether
> or not we think he needs them.  Again, apparently this is right on the fence.
> (?)  He will get rechecked again in a year - or sooner if we request it.

> The doc gave me the script, but said we could 'wait and see' how he does.  It
> was our call.  He said if we get them, he wouldn't need to wear them all the
> time so he could still work on adjusting himself if he is going to outgrow it.
> I don't want him to use them if he will then never be able to out grown it,
> but if it would help him with school work, I'm all for it.  He doesn't seem
> to care one way or another about getting them.  

> I am have no idea what to do.  He doesn't complain of problems, but at his
> age (and personality) he probably wouldn't anyway.  I'm concerned it may be
> difficult to tell with him if he is having a problem.  I don't know if his
> pre-reading/reading skills are related to eye sight at all, or just a lag in
> learning/personality (his temperament is strong willed to say the least).
> Getting him to do any kind of seat work to observe his behavior is
> challenging anyway.

> So - what is common practice for this?  What will happen if he does use
> glasses (even part time) - will he ever have the chance to outgrow the latent
> hyperopia?  Is it even likely he will outgrow it with the +3.25?  Any
> information on how to handle this or what to "watch for" will be appreciated..
> .I just have no idea what the best course of action is with my little guy.

> Thank you in advance.

> Confused Mommy Janice :)

Janice,

I strongly recommend that you do a literature search on hyperopia.
Jerome Rosner of the University of Houston College of Optometry has
published many studies showing the strong correlation between
uncorrected moderate hyperopia and poor academic achievement.  Even
the official Clinical Practice Guidelines of the American Optometric
Association includes "aversion to reading" as a symptom of hyperopia.
If it were me, I would weigh the risk (?) of wearing a spectacle
correction with the possibility of a lifetime of academic
difficulties.  If it were me, I would also get a second opinion from a
pediatric optometrist.  Please bear in mind that there is huge
disagreement among professionals concerning when and how much plus to
prescribe a young hyperope, especially when neither amblyopia or
strabismus are present.


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