First, Baobei was asked to put her face for cornea review.. then the nurse ask her to sit on the chair where the glasses are put on with various lenses... Baobei wasn't showing any coorperation as is her nap time.. She become alittle grouchy and give a "anyhow" answer when asked on the alphabets.
After which we have to wait for the optometrist, Dr Shazia Khan, for further review. She then ask us to do eye drop for baobei she as they can do further testing... And that's when the doctor concluded she has a very serious AMBLYOPIA aka long-sightness on her right eye with 700 over degrees and left eye with 500 over degrees. This Dr kept telling us to put on glasses for her and patch her corrected eye in order for the lazy eye to work.. We are really having doubts on her professionalism.. And therefore we have decided to bring baobei to seek for 2nd opinion.. Let the specialist shows their professionalism and hope glasses can be avoided.
But for the patch eye, as this has convinced us that is not harmful to any of her eyes. We are ok to proceed with it. And will need to request the school trs for help.. 1st : to encourage baobei to patch her good eye 3hrs daily so as to "trained" her affected eye to work.. 2nd: to speak to the children in her school not to tease her...
** Extract from SNEC http://www.snec.com.sg/eye/amblyopia.asp
Amblyopia is commonly known as lazy eye. This should not be confused with squints. Amblyopia is poor vision in an eye that did not develop normal sight during early childhood. After the age of four years, the development of the part of the brain that processes vision is almost complete. If the brain has not received clear images from the weak eye, it would be difficult to improve the vision in this eye after the brain is completely developed. The eye is then said to be amblyopic or lazy.
Common Causes Of Amblyopia (Lazy eye) Short-sightedness, long-sightedness or astigmatism
- Large differences in refractive power between the two eyes
- Strabismus (squint)
- Obstruction of vision by droopy eyelid, cataract or other lesions.
Early Detection
Successful treatment depends on how severe the amblyopia is and the age of the child when treatment is begun. If the problem is detected early, successful treatment is possible and treatment time is shorter. If it is detected after the age of four, the success rate would be very low.
Since the child is usually too young to complain of poor vision, this detection requires early checking of the vision by the family doctor, paediatrician or ophthalmologist before three years of age.
Treatment
To correct amblyopia, the child must be forced to use the lazy eye. This is usually done by patching or covering the good eye, often for weeks or months. If the child also requires spectacles, he must wear it all the time.
The basis of patching is to allow the amblyopic eye to be used more often than the other eye so that it gets a chance to develop normal vision. The recovery of vision is better if patching is done at a very early age, preferably before 4 years old.
Patching
When first applying the child's patch, you may like to explain the reason to the child, or demonstrate on a doll. If the child is schooling, explain the treatment to the teacher so that she will encourage the child to perform his/her usual tasks with the patch on. She can also discourage classmates from teasing.
Treatment may take weeks to years. The younger the age of starting treatment, the faster the recovery. It is important that the child be reviewed regularly.
Problems That May Arise
Sore skin Leave patch off at night
Change size or shape of patch
If the child wants to remove the patch Use mittens or socks on the hands of young children so they cannot peel the patch off
Use empty paper towel roll over hands and elbows so that they cannot bend their arms to peel the patch off
Older children refusing to wear the patch to school Wear at other times, but overall treatment time would be prolonged
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