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Treatment of Squint
Lasik Surgery Treatment
Routine Eye Checkup
Laser Cataract Surgery
Reduced Vision Treatment
Visual Field Testing
Retina And Lasik Surgery
Endoscopic Dcr Procedure
Eye Muscle Surgeries
Artificial Eye Procedures
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Hello my son is 5 years and 7 months old, since last year he has developed squint in left eye while focus on anything his left eye slides interior. He has checked by an Ophthalmologist and findings were amblyopia. And followed patching therapy on affected eye for few days but noticed no changes. Could any of you advice me the treatment without a surgery, i.e vision therapy etc. Which could proved beneficial or any recommendation!
During a comprehensive eye exam, your eye doctor does much more than just determine your prescription for eyeglasses or contact lenses. Here is the list things which an experienced eye doctor (ophthalmologist) can diagnose while examining your eyes:
2. Sjrogen syndrome
3. Vitamin a deficiency
4. Brain tumors and other space occupying lesions
5. Trigeminal neuralgia
6. Wilson's disease
7. Risk for diabetes mellitus
8. Tuberculosis, sarcoidosis
9. Risk of hypertension
10. Diseases tranferred during pregnancy (toxoplasmosis, rubella, etc.)
11. Multiple sclerosis
12. Idiopathic intracranial hypertension
13. Hereditary disease (marphan syndrome, homocysteinuria)
14. Bells (facial nerve) palsy
Do you think the corporate spectacle sellers (including online) with a chain of shops the optician at the corner of your road can diagnose and treat you for your eye vision problem completely accurately (even a simple case like myopia)?
Think again. Once the damage is done, it is mostly irreversible.
Signs of near sightedness (myopia)- include blurring of vision, genetic predisposition if mothers and fathers are myopic, squinting (bhengapan), eye strain headache, feeling fatigued when driving or playing sports, malignant myopia where the vision loss can be rapid due to elongation of eyeball and is irreversible. Similarly there are various reasons for presbyopia, astigmatism.
In case of compound power, it is purely the competence of optometrist which will help in determining the power of lens. Many cases are coming up with wrong power calculation. It is advisable to consult an eye surgeon before going to a spectacle shop. Once the eye power has increased, it cannot be lowered without surgical intervention.
It's for the patient to decide whether he considers optometrist (guys with degree in power calculation sitting in corporate and local eye shops, authorized to calculate eye power, competent enough to diagnose even these condition completely and afford to miss the retinal detachment and silent diseases like glaucoma or other associated eye pathology if they are present in eyes.
The patient's power will increase through incorrect or incomplete diagnosis and harm his eyes. It's your eyes, always consult an experienced eye surgeon before you go to any spectacle shop to buy your spectacles?
There are silent and irreversible disease in family like glaucoma/kala motia which have a family history, it is the duty of the doctor to ask history of such disease.
Can you expect your local optician to ask such history? if he misses your glaucoma by not checking your eye pressure, you vision loss is irreversible.
The guy sitting in spectacle shop may sell you a branded eyeglasses, give a very good deal and pamper you with snacks but what purpose it serves if the some part of your diagnosis is missed and causes irreversible loss of vision.
The optometrist is trained just in power calculation and dispensing of contact lenses. He is not trained to diagnose and treat any eye disease, look behind the lens through indirect opthalmoscope, use instruments like slit lamp.
He is incompetent to treat any eye disease like amblyopia/lazy eye.
If he is giving medicine/drugs along with dispensing of spectacles, he is most probably committing a crime.
If you are going to optometrist first, it purely depends on his training and expertise whether he is able to suspect any associated pathology or not and refers you the eye surgeon and if he misses it or makes a wrong diagnosis, the loss is yours and only yours. Lastly the optometrist will be never held responsible for wrong diagnosis.
The doctor's prescription caries a legal value and he will always advice in patient's best interest.
Dr Arjun Kumar Singh