Hi guys,
I'm very confused regarding the correction of errors of refraction in pediatrics.Has any body a rule for that? I mean, when should/should not we prescribe a glasses in pediatrics ? what are the expected normal errors/age ranges in pediatrics?
Thanks
Unless the glasses are to correct strabismus and the like. Don't bother to Rx much of anything under -1.25 unless you are just trying to collect medicaid or chips or something. Kid ain't gonna wear them. Error has nothing to do with things, just the kid ain'g gonna wear them unless they make him discover the trees have leaves, or preferably limbs on them.
Even at -1.50 or so even if patient has two pair, both will remain lost most of the time. Now at -3.00 they start sleeping in them.
Of course now days if the insurance says they can have them you just gotta bill them.
Now as to glasses for strabismus, even if the Rx is right it can change very fast.
Chip
Last edited by chip anderson; 05-21-2011 at 07:37 PM. Reason: Pargraph II
When to prescribe has a lot to do with amblyogenic factors. If the child is likely to develop amblyopia, then prescription would be a good idea. Anisometropia of greater than 1.5 diopters can be amblyogenic. Similarly astigmatism. Hyperopia of greater than 2 diopters or so can lead to strabismus. Myopia which is equal in each eye is less likely to be amblyogenic...but can affect how a child sees and interacts with the world around him.
You might want to read this. http://www.aoa.org/documents/CPG-2.pdf (hope the link works).
Don't listen to Chip. He's always grinding his axe.
You're an ophthalmologist aren't you? What did you learn in your training?Originally Posted by karimretina
This is an ophthalmologist from Egypt who has just finished the controversial International Optometric Bridging Program (IOBP) at University of Waterloo - likely bridging 2, an 8wk program. Why UW accepted foreign ophthalmologists in the first place is a mystery...other than for the $.
He has several threads of similar level of inquiry going at the moment as he prepares for the CAOS exam for licensure as an optometrist...
Last edited by NorthStar; 05-26-2011 at 09:52 PM.
ooooooh boy.
ditto
WE SEE THINGS NOT AS THEY ARE, BUT AS WE ARE..... Anais Nin
I do a lot in pediatric dispensing... are you really an ophthalmologist, or do work for an ophthalmologist? Most ophthalmologists who prescribe for infants and toddlers have a secondary specialty (pediatric ophthalmology) for this very reason. If you are unsure of when to cross the line into pediatric ophthalmology, perhaps you shouldn't until you bone up on how to handle child rx's. That being said, I have seen very good results in toddlers with a -2.00, and huge resistance in a +2.00 ... Infants WILL WEAR whatever you put on their face if it doesn't hurt. They may be happy to get them off, but they will wear them if you insist and they don't hurt, much like shoes. Are you doing streak method for infants? Toddlers? additionally, are you speaking of huge astigmatic errors, or simple myopia/hyperopia? On the surface of the question, seems like additional study would be prudent.
Last edited by rrgirl; 07-01-2014 at 11:43 AM.
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