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Re: Strabismus

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We have had 3 surgeries for strabismus and the third one finally " took "

and our daughter's eyes now focus together. The surgeries themselves

are quick and very fast recovery. Our doctor said it was unusual that

she had to have 3, usually the eyes will respond after just one. It has

made all of the difference for her and I highly recommend it.

a99diva wrote:

>

>

> Our son has strabismus of his left eye which we have been treating by

> using atropine drops on the right eye, forcing him to use the left eye

> more. This by no means will fix the strabismus, but it is part of the

> therapy (I couldn't keep a pair of glasses on him for love or money).

> The pedi opthamologist has strongly recommended surgery which I think

> is appropriate. My husband is having a REALLY tough time getting on

> board with the idea of eye surgery.

>

> Does anyone have experience with this? My understanding is that the

> strabismus really compromises his vision which in turn delays his OT

> and PT gains.

>

> Thanks,

> , mother to 3 (BBP) and his fabulous big sister Sophia, 11.

>

>

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,

My son also has strabismus and had surgery last September.  It has really

helped and he has regained his vision in his left eye that he had

partially lost due to the strabismus.  I would encourage you (and your

husband) to do the surgery because if it is left untreated it can lead to

complete or significant loss of vision in one eye.  What happens is that the

eye that is not aligned will shut off to allow the other eye to do all the

work.  The surgery is out patient and is not as invasive as it may seem.  I

will admit I was a bit scared about anyone messing with his eyes- we depend on

our vision so much.  Gage was back to playing and doing his normal daily

activies by that afternoon/ evening.  And as superficial as this may seem, the

surgery also helps their eyes look normal.  We all know how it can be hard to

talk with an adult with strabismus and not know how exactly where to look them

in the eye during conversations.  Hope this helped.

Subject: Strabismus

To: polymicrogyria

Date: Tuesday, May 18, 2010, 8:22 AM

 

Our son has strabismus of his left eye which we have been treating by using

atropine drops on the right eye, forcing him to use the left eye more. This by

no means will fix the strabismus, but it is part of the therapy (I couldn't keep

a pair of glasses on him for love or money). The pedi opthamologist has strongly

recommended surgery which I think is appropriate. My husband is having a REALLY

tough time getting on board with the idea of eye surgery.

Does anyone have experience with this? My understanding is that the strabismus

really compromises his vision which in turn delays his OT and PT gains.

Thanks,

, mother to 3 (BBP) and his fabulous big sister Sophia, 11.

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Guest guest

>

> Our son has strabismus of his left eye which we have been treating by using

atropine drops on the right eye, forcing him to use the left eye more. This by

no means will fix the strabismus, but it is part of the therapy (I couldn't keep

a pair of glasses on him for love or money). The pedi opthamologist has

strongly recommended surgery which I think is appropriate. My husband is having

a REALLY tough time getting on board with the idea of eye surgery.

>

> Does anyone have experience with this? My understanding is that the

strabismus really compromises his vision which in turn delays his OT and PT

gains.

>

> Thanks,

> , mother to 3 (BBP) and his fabulous big sister Sophia, 11.

>

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  • 1 year later...
Guest guest

Our Joshy's left eye strabismus corrected all on it's own when he was about 7/8

years old.

I've never heard of PMG not qualifying for special services at school?!?! But

we live in Calif. US, great services in our county.

Best,

Joshy, 9

Sent from my iPhone

> hello:

> I took my five year old to the eye doc for an annual checkup today. He

diagnosed her with Strabismus, but did not recommend any treatment yet until she

sees the neurologist. I did not notice the eye crossing much only when she was

tired.

> Her PMG is on the left side of her brain but her weak eye is the left eye. She

is very typical but does have some motor skills that we work on with PT and ot.

Has anyone had a similar situation? If yes what has been the recommended

treatment?

> She is also starting K this year and I am torn between bringing the PMG to the

schools attention or taking a wait and see approach. She did not qualify for any

services when she aged out of early steps becuase they said it was a medical

condition and did not fit the education model. Any advice?

> Thanks

> MAria

>

>

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Guest guest

-

My 3 year old has bilateral PMG and strabismus in both eyes. (Her eyes were

crossed, also known as esotropia.) It was so bad, you could barely see the

pupils in her eyes. We had differing opinions about what to do, but both

suggested surgically correcting her eyes (either before 3 years or 5) to ensure

that she would have the neural passageways for binocular vision set. But,

because her case was so severe and she was going blind, one doctor insisted upon

doing it right away. In the end, she needed two surgeries due to the severity.

Fortunately, her eyesight was preserved and restored.

But, she had a seizure that knocked them out of alignment. However, because she

was able to use her eye binocularly before the seizures started, her brain is

wired for it and will, in all likelihood, work itself out as she ages. If your

daughter was using both eyes together before the age of 3, she can still have

binocular vision, too (according to the doctors we talk with).

Right now, we patch my daughter's right eye because she won't use her left eye

when she can see with her right. She might lose her vision in her left eye, if

we don't do this. Ask if your daughter's vision is good in both eyes. If it is,

just give her time. In time, she may work it out. If it's not, glasses or

patching might be your options. Check with your eye doctor.

Good luck,

>

> > hello:

> > I took my five year old to the eye doc for an annual checkup today. He

diagnosed her with Strabismus, but did not recommend any treatment yet until she

sees the neurologist. I did not notice the eye crossing much only when she was

tired.

> > Her PMG is on the left side of her brain but her weak eye is the left eye.

She is very typical but does have some motor skills that we work on with PT and

ot. Has anyone had a similar situation? If yes what has been the recommended

treatment?

> > She is also starting K this year and I am torn between bringing the PMG to

the schools attention or taking a wait and see approach. She did not qualify for

any services when she aged out of early steps becuase they said it was a medical

condition and did not fit the education model. Any advice?

> > Thanks

> > MAria

> >

> >

>

>

>

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Guest guest

Hi ,

About special ed/accommodations: we are in Texas and PMG qualifies for

learning/classroom accommodations under the " other health impairment "

category. Like Diane, our daughter is in a regular classroom but her

learning is not uniform - she does fine in some areas and struggles in

others, so accommodations are necessary to keep her in the mainstream

setting.

As far as strabismus, goes, we had 3 surgeries for strabismus and last

year did 8 months of vision therapy to address Eva's lack of binocular

vision (even though the eyes were surgically corrected to look straight,

they weren't seeing straight neurologically because the brain hadn't

rewired itself - it did after vision therapy.) I think in her case both

the surgeries and the vision rehab (basically PT for the eyes) was

necessary but may not be in all cases. (For Eva, we knew she needed

something because she would literally walk into walls and fall out of

her chair at 7 years of age because she had no depth perception.) She

is now 8 and with therapeutic glasses and the rehab, her accidents have

gone from daily to only very occasionally.

We also did patching for her strabismus. This brings me to a new

question: has anyone used Constraint Induced Movement Therapy? It's

basically the equivalent of doing the eye patch but for weak limbs

(using something like a mitten) while doing intensive therapy on the

weak hand. Eva has left sided weakness, most noticeable in her hand and

fingers, and I had wondered if any of our kids could benefit from this?

She benefitted from traditional OT to some extent but has plateaued.

Blessings,

(mom of Eva, 8, unilateral right hemi PMG)

>

> hello:

> I took my five year old to the eye doc for an annual checkup today. He

> diagnosed her with Strabismus, but did not recommend any treatment yet

> until she sees the neurologist. I did not notice the eye crossing much

> only when she was tired.

> Her PMG is on the left side of her brain but her weak eye is the left

> eye. She is very typical but does have some motor skills that we work

> on with PT and ot. Has anyone had a similar situation? If yes what has

> been the recommended treatment?

> She is also starting K this year and I am torn between bringing the

> PMG to the schools attention or taking a wait and see approach. She

> did not qualify for any services when she aged out of early steps

> becuase they said it was a medical condition and did not fit the

> education model. Any advice?

> Thanks

> MAria

>

>

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Guest guest

Hi ,

Boy! I shouldn't have written this while in the hospital with my daughter

(recovering from a bad seizure episode). I left out some details.

Like said, vision therapy (VT) is wonderful. Check with your local

school for the blind for recommendations for therapists. Our daughter had VT

twice a month around the times of her surgeries. She did well, and the services

were cut in half once she was no longer legally blind.

Also, here in Massachusetts (USA), any medical diagnosis will qualify you for

testing for special ed public school services. The number and type of therapies

are based on evaluations. They also describe her condition as " neurological " .

This will ensure that she'll get services beyond age 8. (Here, up until age 8,

you can use " developmental delay. " Then, you have to get more specific. But,

" neurological " is a separate category that is defined until age 22, when all

kids have to graduate from public school.) My daughter is in an integrated

preschool classroom, and she has her own aide to help her.

Good luck,

(mom to Anne, aged 3)

PS , I've never heard of Constraint Induced Movement Therapy. It sounds

interesting!

> >

> > hello:

> > I took my five year old to the eye doc for an annual checkup today. He

> > diagnosed her with Strabismus, but did not recommend any treatment yet

> > until she sees the neurologist. I did not notice the eye crossing much

> > only when she was tired.

> > Her PMG is on the left side of her brain but her weak eye is the left

> > eye. She is very typical but does have some motor skills that we work

> > on with PT and ot. Has anyone had a similar situation? If yes what has

> > been the recommended treatment?

> > She is also starting K this year and I am torn between bringing the

> > PMG to the schools attention or taking a wait and see approach. She

> > did not qualify for any services when she aged out of early steps

> > becuase they said it was a medical condition and did not fit the

> > education model. Any advice?

> > Thanks

> > MAria

> >

> >

>

>

>

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