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HomeAnswersOphthalmology (Eye Care)keratoconusMy son has poor vision. Does he need glasses?

5-year-old has poor vision. Will eye exercises suffice or does he need glasses?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shikha Gupta

Medically reviewed by

iCliniq medical review team

Published At January 30, 2018
Reviewed AtFebruary 22, 2024

Patient's Query

Hello doctor,

My 5-year-old son has poor vision -2.0. He improves his eyesight by doing eye exercises himself. Should he wear eyeglasses?

Answered by Dr. Shikha Gupta

Hello,

Welcome to icliniq.com.

I do not know whether you have got his cycloplegic refraction or not. Is this just auto refractometer finding or final refractive power? Anyways, I will suggest you get a repeat cycloplegic refraction done at a good center by an optometrist who is experienced. Secondly, this refractive power is significant enough to cause symptoms. Your son may be able to correct it because of high accommodation at this age but this is not good. He may develop squint or many more other problems if not treated. So get his refraction done as soon as possible and use appropriate glasses.

Patient's Query

Hi doctor,

Thank you for your reply.

I am sending his file. What would you recommend?

Answered by Dr. Shikha Gupta

Hello,

Welcome back to icliniq.com.

As written in your prescription (attachment removed to protect patient identity), cycloplegic refraction has already been done. But his diagnosis after going through this shows he may be at risk of developing keratoconus. Start using glasses asap. Treat any allergies in eyes simultaneously. Avoid rubbing eyes. You will have to keep him on follow up for any progression as it is a progressive disease. Additional interventions may be required later if it progresses. At present, glasses are a must. Get his topography done as well which will be of help in monitoring any progression.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shikha Gupta
Dr. Shikha Gupta

Ophthalmology (Eye Care)

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