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eye sigh~


After my previous post, several folks left comments/ emailed me,advising me to seek a second opinon with Dr Khoo Boo Kian, a consultant eye surgeon from the Eye Specialist Clinic at Mt Elizabeth Medical Centre (thanks u all!). He is apparently quite a well-known ophthalmologist and recognised as the best eye specialist for children. Okay, I'm honestly not in denial..if the boy needs prescription glasses, I will get it for him. But I thought what the heck, there's no harm bringing him for another eye check. Oh yes, it probably wasn't clear since I merely posted the eye assessment results but Aidan isn't short-sighted. He has astigmatism. 200 in his right eye and 100 in the left. Which was why the doctor at the refraction clinic at the CCK polyclinic said that he needed to wear specs as it may lead to him having a lazy eye.

Brought the boy down to the clinic today. The wait for the actual consultant was rather long..about 2 1/2 hours but I was already warned by his nurse when I called to make the appointment. After putting Aidan through several tests and checking his eyes thoroughly, the doctor concluded that Aidan's eyesight degradation was the result of an eye condition known as entropion. Entropion is the inward turning of the lower eyelid, resulting in the eyelashes directing towards the surface of the eye, causing discomfort. According to Dr Khoo, the inversion of Aidan's right lower eyelid is more serious which explains why his astig diagnosis is higher as it is affecting his vision. Actually, this isn't news to me. When Aidan was a baby, his eyes were always teary and his doctor had then informed me about his lower eyelids condition. But he'd mentioned then too that usually, the condition may correct on its own so we didn't think too much about it. But it seemed like in Aidan's case, it got worse. So the eye doctor offered me two choices. 1) Wait another year and see if his lower eyelids will self-correct. 2) Treat it by surgery so that the eyelids can be turned outwards to its normal position, protecting the eye and improving his eye condition. Surgery for entropion is usually done under local anaesthesia, as an out-patient. 

The doctor told me to consider both options carefully before making a decision. For the moment, he felt strongly that the boy doesn't really need glasses yet..and also joked that if Aidan was to undergo the surgery, his eyes will probably end up looking even bigger since they will be removing the excess skin at the outerlid. "Will Aidan's astig go down significantly then, after the surgery", I queried. Dr Khoo said that it mostly likely will..especially in his right eye..to about 50 degrees astig for both eyes.I want to add here that the doctor was great..he was very detailed in his explanation and spent quite some time with us, giving me as much information as possible. It was a different experience with the doctor at the refraction clinic who was very flustered (there were many patients waiting) and rushed through the tests.

Oh man, decisions, decisions...Or should I go get a 3rd opinion!!? Anyone of you had or know of someone who had undergone this surgery before?

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Comments

( 34 comments — Leave a comment )
tiffanyx
Sep. 13th, 2007 09:27 am (UTC)
prolly can really consider the possibility of surgery?

cos once you start wearing glasses, i think the degrees will increase more and more. and then not only will he have astig, but shortsightedness as well.

my 2cents angelia. =)
angeliatay
Sep. 13th, 2007 09:33 am (UTC)
yes, i'm more inclined to do the surgery because the entropian may cause further damage to his cornea...waiting for hub to come home so that I can discuss it further with him..
(no subject) - tiffanyx - Sep. 13th, 2007 08:58 pm (UTC) - Expand
kwan_jess
Sep. 13th, 2007 09:33 am (UTC)
wow, Ethan has pretty high astig too and it didn't occur to us to see a specialist. We might just see the doc now, thanks to your post :)
angeliatay
Sep. 13th, 2007 09:34 am (UTC)
yup, no harm right? His contact details is at the website I've linked. The consultation costs $150 but as I'd mentioned, the waiting time is long.
(no subject) - passingsights - Sep. 13th, 2007 09:44 am (UTC) - Expand
(no subject) - angeliatay - Sep. 13th, 2007 09:54 am (UTC) - Expand
(no subject) - passingsights - Sep. 13th, 2007 09:57 am (UTC) - Expand
eggrollkd
Sep. 13th, 2007 10:29 am (UTC)
I work for an ophthalmologist in the states and i would recommend the surgery. If you get it done when hes young the recovery time is much faster. When your son gets older the entropian will be worse if not corrected. The lashes can rub onto the cornea and might even cause him to need a cornea transplant. You have to be aware not to let him pull on his lower lids.. I have seen alot of older much older people have this problem. Did he say what the surgery was?? a quickert or a one snip?

astigmatism is the shape of the eye. if he rubs it then the astigmatic correction will be greater. Your son is young he wont need glasses yet.. And he probably won't wear it. But when he gets older he will need glasses for myopia.. The more he reads the greater the chance for glasses.
angeliatay
Sep. 13th, 2007 10:43 am (UTC)
thanks a lot for your comments.I'm pretty much for the surgery but will probably do it during the school holidays in nov. i am supposed to return for a discussion with him if i was to decide on surgery and he will explain in detail the procedure.
moxielass
Sep. 13th, 2007 10:33 am (UTC)
Actually what Dr Khoo diagnosed is the same as baby adian's doc, right?
angeliatay
Sep. 13th, 2007 10:44 am (UTC)
yup..same condition. just that aidan's paed told us that the condition will most likely self correct when he grows older but it didn't. was remiss of u too as we should have taken note whether his lower lids were bothering him.
(no subject) - moxielass - Sep. 13th, 2007 11:36 pm (UTC) - Expand
eensyweensy
Sep. 13th, 2007 11:00 am (UTC)
whatever you do, just don't make him wear glasses. i consulted an eye dr in the us when my eyes were giving me problems. she told me that astigmatism can actually be 'cured' when a child is below 7. wearing glasses only 'stabilizes' the astigmatism -- i.e. it results in the child actually having poor vision.

as an experiment, all three of us were diagnosed with astig as kids and were made to wear glasses. my brother was the only naughty one who didn't listen. now he's the only one not wearing glasses.
angeliatay
Sep. 15th, 2007 12:04 am (UTC)
i dunno man, some pple do say that astig cant be cured but the condition will just remain relatively stable or degrees lowered a bit with proper eyecare. my preference is of coz for him not to wear glasses till he really needs to.
two cents - (Anonymous) - Sep. 15th, 2007 07:45 am (UTC) - Expand
Re: two cents - (Anonymous) - Sep. 15th, 2007 07:46 am (UTC) - Expand
Re: two cents - angeliatay - Sep. 16th, 2007 07:51 am (UTC) - Expand
squarenails
Sep. 13th, 2007 09:00 pm (UTC)
Angie, I've undergone this surgery before when I was 15. Call me if you wanna talk about it. I think juicy_pout did it too. We were trading surgery stories on my blog sometime ago.
squarenails
Sep. 13th, 2007 09:15 pm (UTC)
mine was the classic entropion case. if you look very closely at my lower eyelids now, you can see some minimal scars but other than that, it was the best thing i ever did. aesthetically speaking, i will NEVER get eyebags. but medically speaking, the teary eyes problem was resolved immediately. because it would irritate my cornea which could lead to visual impairment, my dad scheduled me down for surgery immediately.
i got it fixed by a plastic surgeon because my dad's opthamologist at that time who diagnosed my entropian condition, Dr Arthur Ang (Gleneagles) recommended her. It was classified as a non-medical procedure then. I juiced up on local anaesthesia, felt the movement of the knife slicing me up (quite gross but you can't feel the pain, there's only the sensation of something against your skin), went home the same day, had stitches under my eyelids for a week, went back to remove them and I healed pretty quickly.
now i have a slight far-sighted vision problem, but that's another story altogether.
valska
Sep. 13th, 2007 10:47 pm (UTC)
No eyebags! Nice.

I don't know about this much, but I'd be inclined for the surgery option because I don't like the idea of destroying the cornea more while waiting for it to self-heal, which it hasn't been doing much of the last six years!
(no subject) - angeliatay - Sep. 15th, 2007 12:01 am (UTC) - Expand
(no subject) - angeliatay - Sep. 15th, 2007 12:00 am (UTC) - Expand
(no subject) - squarenails - Sep. 15th, 2007 02:21 am (UTC) - Expand
(no subject) - musomuse - Sep. 19th, 2007 03:02 am (UTC) - Expand
moomeh
Sep. 14th, 2007 01:22 am (UTC)
he's pretty good. i've seen him due to some horrid pain stinging my eye. it turned out to be something "natural" and not that much to be done.

by the 3rd trip i was "can i go now? I'm broke." heh.

sorry, can't really help much on this but say it sounds like the situation is better?
angeliatay
Sep. 15th, 2007 12:02 am (UTC)
thanks ruth! yes, he has really good bedside manners i must say! and really gd with kids!
(Anonymous)
Sep. 17th, 2007 06:49 am (UTC)
Hello!
Hi Angelia!

Just dropping by to say Hi :)

Once in a while I drop by your blog to see how Aidan's doing ... He looks so adorable .. :)


Leonny

PS: I'm a Mom of two .. and oh, here's my blog http://www.oureverydaythings.com Most welcome to drop by anytime :)
angeliatay
Sep. 17th, 2007 11:03 am (UTC)
Re: Hello!
Wow...love your blog layout and the wonderfully taken pics of your kiddos! are you from the creative line? Your son's name is really unique!
Re: Hello! - (Anonymous) - Sep. 18th, 2007 04:30 am (UTC) - Expand
musomuse
Sep. 19th, 2007 02:58 am (UTC)
Oh no..I have entropion as well =( This is wat happens when your eyelashes can get too long for your own good.
angeliatay
Sep. 19th, 2007 10:32 am (UTC)
but entropion isnt b'cuz of long lashes right..it is mainly because of the 'extra skin' on ur lids that cause it to turn inwards...

yeah, will be doing the surgery doing aidan's school holidays!
(Anonymous)
Sep. 27th, 2007 07:01 am (UTC)
i have that problem as well, found out only when i was 16, so had a surgery to make it better. perhaps you should wait for him to grow up be4 making a decisio since the problem might disappear after a few years.
ext_36863
Jun. 7th, 2008 04:15 am (UTC)
Now i know how u feel initially... my kid went for an eye check today and he too was diagnose with astimagtism... very bad case indeed... worse than aidan's first diagnosis... 300 on the right and 100 on the left.. :( am very appreciative of this post... am going to seek a second opinion from Dr Khoo as well
( 34 comments — Leave a comment )

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