Is it possible to have longsightedness and still read books without difficulty?

[PriyaSiva85]

My daughter 7yr old has been diagnosed with longsighted cyclindrical power(+3.5) she reads a lot of books (no tablet or mobile exposure except for 40 mints TV time for the whole week). She never complained of any issues. But I started noticing she was finding it difficult to see the time in our clock and few mistakes in notebook copied from black board. We just took her for a general eye CHK up. Is it possible to have longsighted and still have totally no issues while reading books or writing? Bcaz I was under the assumption that long sightedness will cause blurness or difficulty in reading books or objects close by. And only shortsightedness will cause issues with objects in distant and hence had confusion if the diagnosis is rite.

[JohnHaganMD]

Like many people you over-simplify.  First the term is hyperopia  which people call 'farsighted'  It really means the eye is too short or the cornea too flat.   Depending on the amount people, especially children may have no symptoms or may not be able to read at any distance without glasses.    You also say she had +3.5 "cylincer power" that means astigmatism and is different than farsighted, or nearsighted (myopia).   It does appear your child needs glasses.  You can always get a second opinion if you are not comfortable. If you have other children check them as this often runs in families.

[PriyaSiva85]

Hello dr John Hagan. Thanks for responding. I didn't know about the technical aspect and used the exact terms my child's pediatric opthomologist did to me. I did Google but didn't wan't to misinterpret so mentioned the same terms.

Thanks again for giving clarity on the concern raised. Will surely consider ur advise and take my daughter for second opinion (she's my only daughter and no one in the family has a history of eye power in childhood).

[JohnHaganMD]

Okay good luck. If you have time come back and post what the second physician said.

[PriyaSiva85]

Sure will keep u posted dr. Thanks for ur time and guidance

[JohnHaganMD]

=

[PriyaSiva85]

Hello dr,

Had  one more CHK up and got the final report of my daughter's eyechkup:
OD  Distance
Sph - +1.0
Cyc - -1.50
Axis - 180
V/A - 6/7.5

OS Distance
Sph - +1.0
Cyc - -1.0
Axis - 175
V/A - 6/7.5
Advise to use glass for single vision, CR 39 shell frame.

This report was provided after reviewing her 3 days post eye dilation.

Kindly give Ur opinion.

[JohnHaganMD]

Was this the same Eye MD?   If not what was the full RX like this from the first Eye MD?    In any case the child needs glasses  "all the time"  and to be followed to be sure vision stays up.

[PriyaSiva85]

This is from the first eye MD. We did go for second opinion and the same will be provided to us tomorrow. I LL post that for Ur reference once I get the result.

Thanks for Ur time.

[JohnHaganMD]

It is important that the glasses RX be in MINUS cylinder formulation to compare the two.  Like weight being in pounds or kilograms  glasses RX are written in PLUS and MINUS cylinder and the same RX will look very different in each form.

[PriyaSiva85]

The second opinion results for ur notice dr,

Left
Sph - +1.0
Cyc - -1.50
Axis - 180


Right
Sph - +0.75
Cyc - -1.5
Axis - 170

Is thr a lot of difference between the two chkup result dr?

[JohnHaganMD]

No RE is the same and very little difference in the LE.  Glasses are needed. Follow up with the eye MD you feel most comfortable with.

[PriyaSiva85]

Thanks for all ur advice dr. Have given order for the glasses based on the first MD. Thanks for being very patient and clarifying my concerns.

[JohnHaganMD]

You are welcome.  Will need regular check-ups to monitor vision and check for glasses changes till an adult.  Also these problems run in families. I seem to recall you do not have other children but if you do they needed checked also.