Advice for 9-year-old with red eye and pupil issues?

Question

Hello doctor,

My son is 9 years old. He got his first prescription glasses two years ago, and it was 1.00 and 1.25. Since he started to wear glasses, he had red eyes, tearing, and after some times pupil goes side to side out of control. Then we were referred to an ophthalmologist. He said my son's shape is a little different than an average person. Then I stopped him from wearing glasses until the last year. He got his prescription glasses before three months. It was for long distance of 1.25 and 1.50. Now it dropped to 2.25 and 2.50 in four months. And he started to face the same problems. What can be the problem? Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Did he undergo cycloplegic refraction? Cycloplegic refraction means, children cannot be tested for glasses like adults. For children, we have to first put drops like Homatropine to dilate their eyes and then optometrist has to do a retinoscopy to determine the number. If this method is not used, one cannot determine the error correctly. Only after cycloplegic refraction, one can tell exact refractive mistake of a child.

Answer 2

Hello,

Welcome back to icliniq.com.

Then there can be two reasons. Either the refractive error was not calculated perfectly or he may now need frenzel prism incorporated in the glasses. Also, the child needs a retinal examination. For both of these, you need to visit a pediatric ophthalmologist and a qualified optometrist.