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Keeping Glasses On


Question

Do you have any tricks of the trade for keeping glasses on a tactile-defensive four-year-old?

Answer of our experts

Some kids with CdLS just will not wear glasses. About 50% have a behavior characterized by extreme aversion to facial manipulations. But here are some tips:

Cable wrap around temples

Band around the back of the head

Mitts on hands

Water wings inflated on elbows

Make sure they fit and prescription are correct!

AL/TK 7-13-10

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Recommendation(s)

The eyes and the visual system

R36
Surgical correction of ptosis should be considered if vision is significantly affected or if the individual is lifting their chin in attempt to see more clearly and it is affecting the individual’s ability to move around.
R37
Blepharitis in individuals with CdLS should be treated conservatively with lid hygiene. Nasolacrimal duct obstruction (blocked tear ducts) should be suspected if symptoms are not improved with lid hygiene.
R38
Vision should be regularly evaluated in all individuals with CdLS, especially in infancy and childhood. Problems with vision should be corrected early to prevent amblyopia (lazy eye), although children may have difficulty tolerating glasses or contact lenses.

Legal Disclaimer

Please take note that the Ask the Expert service is comprised of volunteer professionals in various areas of focus. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child’s personal physician, psychologist, educational consultant, or social worker can deliver.

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