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    Ask Dr. B: Can Babies Really Use Contact Lenses?

    I was just reading about babies that wear contact lenses. Is that really true? How do you know what lens to give them and how can they put them in?

    Yes. It is true. But an infant doesn’t get contact lenses just because they don’t like their glasses. Infants as young as one week old may need contact lenses because that is the only way their eyes can get the best sight to ensure proper visual development. Infants might need contacts if they have had cataract surgery, have extremely high prescription glasses, or have very different prescriptions for the two eyes.

    If an infant or very young child needs a contact lens, it can be a challenging  experience for everyone involved. For that reason, contact lenses are only recommended for infants in specific situations wear glasses will not work. After a comprehensive eye and vision exam, I will discuss contacts carefully with the parents and the process should only begin when they have a clear understanding of the risks and benefits of infant contact lens wear.

    The benefits include:
    · Improved vision with contacts
    · Improved conditions for proper visual development
    · Increased compliance when undergoing patching (occlusion) therapy

    The risks are:
    · Can be time consuming and stressful to insert and remove
    · Possibility of irritation requiring removal of contact during the day
    · Increased level of responsibility and care needed to monitor eyes
    · Possibility of infection or ulcer of the eye, especially if proper lens hygiene not followed

    Important information to know before we begin:
    · Contact lenses must be removed every night for cleaning.
    · It will be difficult at first to insert and remove the lens. This can be a two-person job.
    · The contact lenses are custom made and may be expensive to replace if lost or damaged.

    If you are a parent that has an infant or young children in contact lenses, the yahoo group Aphakic is a truly wonderful resource that I encourage you to check out. If you do need contacts for your child, inform yourself as much as possible and ask lots of questions of your eye doctor to make sure he or she is comfortable with the process.

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care

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    • ingridnelson
      Hi there,
      I got your contact details through Little Four eyes, of which I am a member. I just wanted to run a couple of thinks past you if I could. I have a two year old daughter, Paris, she has been wearing glasses for over a year. She is plano in her left eye and -4.5 in her right with some astigmatism correction as well - around 1, axis 90. She patches two hours per day. We saw our PO today ( we live in Australia) and he was pleased to say her acuity had improved from 3/18 to 3/12 in her myopic eye over the last few months of patching. Her script remains the same.
      She does have intermittent exotropia which is controlled well with the glasses however the drift is definitely more obvious and frequent without the glasses. The PO said the important thing was what her eyes are doing with the glasses on. As the eye gets better and she gets some fusion the eye will stay straighter and straighter. Would you agree with this? I also mentioned contacts as I read that contacts are a better option for children with large amounts of difference between the eyes - he said perhaps around age seven or eight? I was just hoping you could give me your opinion on this and what your course of action would be? Based on her condition, what is her prognosis for good vision and straight eyes. Thank you so much. Ingrid Nelson
    • Natebw
      Hello Ingrid,

      While it is impossible to give you specific advice without knowing all of the details, I can say a few general things.

      Two years older is harder with contacts than either two months old or four years old, but many two year old patients use contacts and it will give more natural vision and likely improve the time the eyes are straight.

      It is hopeful that her eyes will become more straight with time, but there is no guarantee and there are things you could be doing to assist her in developing convergence (skill at keeping eye in).

      Have you found an optometrist for an additional evaluation? Australia has many very good optometrists for children. Try this link, if you haven't already: http://www.acbo.org.au/

      All the best!
    • heidi
      My 3 month old just had to get a contact. He was born with a cataract so they removed the lenses along with the cataract. Now he has to wear a contact in that eye for the rest of his life. It is possible to get one in his eye but it is sooo much easier to do when he is sleeping.
    • Yes, putting the contact in while he is sleeping is a great idea. I know that lots of parents use this method as much as possible.

      Thanks for the suggestion!

      -Dr. B
    • Mariana
      My son has Duane Syndrome and the doctor today said that he has to wear contact lenses as he is not cooperating to wear glasses ....... What do you think?

      Does wearing glasses or contacts ever help people with Duane? I get mixed messages on this :(
    • Mariana, please see the response at:
      http://www.brighteyesnews.com/2009/04/08/ask-dr...
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