Ophthalmology & Optometry/Lazy eye in toddler?


Dear Doctor Berger

Thank you for your assistance in advance.

We recently noticed that our toddler (almost two years old), has one eye which tends to wander in the opposite direction to the other when she is tired. This is not a problem all the time, but only when she is really exhausted.

Is this something to be concerned about? If so, should we refer this to an optometrist or opthalmologist?

(Note: I am quite short-sighted and my hubsand has kerataconus, so she does not have the best genes as far as eyesight is concerned).

You definitely should have your toddlers eyes checked out. Amblyopia, if present, has its best chance of being treeated successfully before the age of 5 or 6. additionally, a cycloplegic eye examination should be performed to ascertain if there exists any refractive error which needs to be treated. eyeglasses, visual therapy (like eye patching), eyedrops, and even eye surgery are the treatment options for binocular vision problems, eye turns (strabismus), and laxy eye conditions. A childrens specialist in either optometry or ophthalmology is a good starting point.  Good luck

Dr. Ken

Ophthalmology & Optometry

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Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.


36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.

New Jersey Society of Optometric Physicians American Optometric Association

B.A.,1968, Hunter College of the City University of New York B.S.,1970, Pennsylvania College of Optometry O.D.,1973, Pennsylvania College of Optometry Therapeutic Pharmaceutical Administration Certification, New Jersey 1992

Awards and Honors
Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry

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