Recommendation for child with high hyperopia

[aquahmonk]

I have a 6 year old patient with +7.00/+8.50 Rx.
Any recommendation other than asperic lens and AR?
Father isn't willing to do much more other than poly, which is covered with insurance.
I don't have much experience with fitting children and
any advice on the lens is greatly appreciated.

[RetroRat]

Try making sure the frame pd is as close to the pt pd as possible, or rather, that the eyes are going to be as centered in the lens as possible, that will make a knife edge that much more effective. Hope that helps a little bit :bbg:

[cocoisland58]

Father isn't willing to do much more other than poly, which is covered with insurance.

This is what I run into everyday. Could you not just spend a bit more for cosmetic reasons? It's your child for gosh sake. I ask the lab to thin the lens as much as they possibly can and find a frame (within the insurance) that will give the best possible outcome.

[scriptfiller]

Being a parent myself, I cannot understand why parents want the cheap route with their children. Don't they understand that an overwhelming amount of their learning is done through sight?

I'd give-up the cable/sat. TV and Starbucks for a few months...

I would go with an aspheric poly, or eat the difference out of being a good optical and go with an aspheric Trivex.

[DragonLensmanWV]

And BE SURE to NOT use a narrow rectangular shape - keep it as round as possible and the frame pd as close as possible to the child's pd, within say, 2 mm decentration.

[OHPNTZ]

Being a parent myself, I cannot understand why parents want the cheap route with their children. Don't they understand that an overwhelming amount of their learning is done through sight?

I'd give-up the cable/sat. TV and Starbucks for a few months...

I would go with an aspheric poly, or eat the difference out of being a good optical and go with an aspheric Trivex.

I would find out some more info first. Is this a first time rx? When does the patient return for follow up?

My assumption is bilateral amblyopia which may or may be symmetrical. There may be an rx adjustment in 2 to 3 months...so if you eat the trivex, it may not be the best idea until the "final" rx....

[Robert Martellaro]

I have a 6 year old patient with +7.00/+8.50 Rx.
Any recommendation other than asperic lens and AR?
Father isn't willing to do much more other than poly, which is covered with insurance.
I don't have much experience with fitting children and
any advice on the lens is greatly appreciated.

A spair pair is more important than AR. Same for Trivex. Ditto for a quality (memory metal) frame with a well engineered hinge (monoblock).

[finefocus]

And BE SURE to NOT use a narrow rectangular shape - keep it as round as possible and the frame pd as close as possible to the child's pd, within say, 2 mm decentration.

Heed Dragon on this!
A rectangular shape will give very thick top and bottom; use a low-difference shape to allow the thickness to taper away. This is more than cosmesis; the image jump at the margin of a narrow rectangle will give this kid the blues. Also, being a kid, he/she will not keep them in good adjustment; they will slip down, making the whole effect worse.

[aquahmonk]

Thanks for all the good advice.
For this patient, she has had the same Rx for the past 2 years,
so Rx adjustment in a few months might not be necessary.

[DragonLensmanWV]

Thanks for all the good advice.
For this patient, she has had the same Rx for the past 2 years,
so Rx adjustment in a few months might not be necessary.

Well, that's a PLUS!

[OptiChick21]

I run into this almost daily myself too! Parents bring their children in for exams but then they don't want to spend anything above and beyond their insurance to get their child a nicer, decent pair of glasses. Does anyone have a nice, tactful way to tell the parents, look your child does a lot of their learning through sight, this is a very important part of their lives!?

[uncut]

I run into this almost daily myself too! Parents bring their children in for exams but then they don't want to spend anything above and beyond their insurance to get their child a nicer, decent pair of glasses. Does anyone have a nice, tactful way to tell the parents, look your child does a lot of their learning through sight, this is a very important part of their lives!?

Luckily, genetically speaking.....some children will thrive, despite their parents, IMO. Not to worry, Optichick!
As usual, do the best you can, without pressure, to inform. Sometimes the light bulb will light up!:idea:

[OHPNTZ]

Sometimes the hyperopia doesn't fall far from the tree...

It seems that generally the high hyperopic children are from lower socioeconomic parents. Some of it may be genetic, some may be nurture...