
Yesterday we took Carolyne to visit a new eye doctor. Since Carolyne has now been wearing glasses for two years, we thought it would be best to get a second (and third) opinion on Carolyne's vision and a plan for the best treatment for her. We discovered yesterday that Carolyne has exotropia.... a fancy word for eye misalignment. This is not the same condition as amblyopia, also known as lazy eye. Exotropia refers to an outward deviation of the eye. With Carolyne, it is mostly only noticeable when she is looking in the distance. This basically means that the muscles on the outside of Carolyne's eyes are too tight. We are not sure what causes the deviation, but we do know that it affects her eye's ability to properly align on it's own, therefore, forcing Carolyne to constantly pull her eye into focus. When a significant eye misalignment exists, the brain's developing visual system does not acquire binocular vision. In some cases, if not treated, exotropia can cause the brain to "turn off" the misaligned eye to reduce double vision. So, it is necessary for us to treat this condition to improve Carolyne's eye alignment and, in turn, protect her vision for the future. Carolyne also has an astigmatism in both eyes. She will continue to wear glasses to treat the astigmatism. For the exotropia, we have a two phase treatment plan. As of today, we will patch Carolyne's eye for four hours every day. We will revisit the eye doctor in two months and again in four months to check her progress. Unfortunately, eye patching is not a permanent cure. It is likely that within the next year, Carolyne will require eye surgery to correct the exotropia. The surgery will weaken the muscles in Carolyne's eye to allow them to properly align without great force on her part. It is suggested that this surgery be done around 4 or 5 years of age. So, for now, she will be our little "pirate princess". I am sure the patching will be a challenge at times, but she had a great first day. She picked out a pink patch with crowns and wands. We went on a quick shopping trip this morning and she walked through the store singing "Yo ho, Yo ho, the Pirate's life for me!" It was precious! Leave it to a three year old to find the fun in any situation!