Last week I took Lily Pad to the eye doctor to check on a
persistent problem she has had since birth. As a result of the strokes, Lily’s
eyes lack muscle control. Both eyes turn in and out periodically when she is
tired or when she is looking at objects from the point of view of an odd angle.
In addition, her eyes turn in and out when they focus for an extended period of
time however the problem is more prevalent on her left hemiplegia side. To
correct the problem, the doctor prescribed a patch for the right eye in order
to strengthen the muscles on the left. But patching the eye of an infant is not
easy or extremely successful.
Lily learned very quickly how to remove the patch. So, we
switched to adhesive patches, but these eventually caused irritation to the
skin around the eye. Finally, we found the perfect combination! By patching her
eye during mealtimes, we were able to redirect her focus on eating rather than
the annoyance of wearing the patch. Using this technique we were able to fit in
the hours of needed patch time.
And Lily’s eyes have made huge improvements due mostly to
her physical therapy. As the physical therapist focuses on the left side,
Lily’s eyes slowly begin to improve. The more strength and coordination she
gains on the left side, the more strength and coordination she gains with the
left eye. I was not expecting these results, but this does make quite a bit of
sense. As she uses her hemiplegia side, she slowly builds hand/eye
coordination, which in turn benefits the eye muscles.
Lily’s eye doctor has been seeing her every three months
since her birth to monitor the progress or regression of the eye muscles. The
eyes, I have learned, are the gateway to the brain. If there is a problem
within the brain, the first area to be affected will be the eye. Also, the
doctor is able to see if there has been any damage to the optic nerve because
of pressure or bleeding. Lily’s optometrist has not observed any damage, which
is excellent news! It indicates that the shunt is working properly and that the
strokes have not decreased the size and function of the optic nerve.
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