Re: Child needs glasses?

David Robins, MD wrote: 
As far as I am concerned, +0.50s is a homeopathic, insignificant refractive
error. When it is equal and bilateral, it serves no purpose whatsoever to
order it, except to pad the optician's pocket.

David Robins, MD
Board certified Ophthalmologist
Pediatric and adult strabismus subspecialty
Member of AAPOS (American Association of Pediatric Ophthalmology and Strabismus)


I beg to differ. Dozens of patients have presented to me over the years c/o frontal HAs put down to "sinus", "stress" or idiopathic by their doctor but subsequently resolved very quickly and effectively with +0.50s once mild hyperopia was detected in the eye exam.

Not every one with a refraction of +050 is symptomatic or requires correction, and the child at the start of this thread may well be in that group... however it would be irresponsible not to at least offer correction to those patients who do experience relevant symptoms (e.g. frontal headaches, eye strain, difficulty concentrating, a child falling behind in reading or comprehension, etc, etc).

To suggest that +0.50s are prescribed as some sort of misguided amblyopia treatment is missing the point entirely.

Dom

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