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16 month old with cataract in left eye

Question:
My son was diagnosed with cataract in his left eye, a week ago by an eye specialist. and another pediatric opthomologist confirmed it yesterday.

i cannot see proof that he is loosing vision on one of his eye. are there any tests that we can perform on a 16 month old to see if he is loosing vision on one of his eye.

the doctor has informed that he has to perform another test under anesthesia in two weeks and then perform a surgery right then if needed.

my son does not show any symtoms other than occasional cross eyes when looking at objects. he shoots the basketball extremely well from 1 to two feet. reads books and identifies objects in the book.

is there any chance i can wait couple of years and monitor him monthly/weekly?? so that we can perform surgery in couple of years when the kid can communicate.


Answer:
The simplest test you can do would be for you to cover each of his eyes in turn and watch his reaction. If he protests to you covering his 'good' eye that's a fair indication that the other eye is at least blurry... but it's not a 100% definitive method.

If two ophthalmologists have said your son has cataract then that's pretty clear cut. Cataracts aren't difficult for eye doctors to diagnose. But there's often nothing visible to the casual observer until the cataract becomes quite mature and dense. The proof that he is losing vision in one eye is the fact that the cataract is present. The reason he doesn't show any symptoms is because his other eye is 'covering' for the cataract eye.

If your son occasionally goes cross eyed then this could be a sign that his brain is already starting to ignore the eye with the cataract, and this is a very good reason to have the surgery done. Delaying a few weeks or even a couple of months mightn't be a big problem, but delaying a couple of years could potentially be to the detriment of his vision for his whole life.



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