Does a two year old with eye power need to wear glasses?

Question

Hello doctor,

It appears that my two-year-old son has eye power, as indicated by the measurements provided. His right eye shows consistent measurements of -1.50 (S), -1.00 (C), and either 169, 171, or 171 (A). In his left eye, the measurements vary slightly with values of 2.00 (S), 0.75 (C), and either 149, 140, or 139 (A). I am wondering if he needs glasses and what type of eye power he has. Additionally, I would like to know if his number will reduce as he grows. I have noticed that he squints a little.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through the reports (attachment removed to protect patient identity). The retinoscopy that has been done is the final refractive error. The automatic refractometer readings that you have mentioned are in negative but retinoscopy that has been mentioned is in +3.0 D. Your child is esotropic, that is inward-deviated eyes. So, we will subtract 1 for atropine. The final refractive error is plus 2 in both eyes. The frame should be plastic, squarish, lightweight and cover both eyes easily. These glasses will serve two purposes. One, it will help your child see clearly and two it will straighten his eyes. You have to get four to six monthly checkup. As he comes of age, surgery can be done for squint.