My 6 year old son has a -0.75 to -1.0 D prescription for each eye but his eye doctor says it can be pseudo myopia or accommodative spasm and I should take him for second opinion 3 months later.
What should I do now? Is there any treatment such as eye drop or eye exercises for accommodation spasm? I would like to try anything (of course, safe) for his eyesight.
I truly appreciate your advice.
Thanks for your Question
There is a muscle inside the eye called ciliary muscle and this muscle contract when you work for near tasks such as reading. Continuous contraction of this muscle without any stimulus is called accommodative spasm
Symptoms of accommodative spasm are blurred vision especially for far, headache, esphoria ( inward deviation of the eye ) and eye strain.
First of all your child should be examined for cycloplegic refraction which is the refractive power of the eye after we use cycloplegic eye drops. These eye drops will dilate the eye and temporary paralysis and relaxing ciliary muscles inside the eye and this will help to eliminate any spasm and will show the true refractive power of the eye.
This true refractive power should be addressed with eyeglasses and then re-examine him after few weeks.
According of the results of this re-examination we can confirm accommodative spasm and we can decide the treatment.
Treatments of accommodative spasm can be by over or under correction of eyeglasses, reading glasses, bifocal or multifocal contact lenses, cycloplegic eye drops and home vision therapy exercise.