I had a 10 year old patient yesterday. His mom's complaint was that his eyes watered. I noted that his lids drooped significantly. The patient was referred from the school for blurred distant vision. I found the patient to have a significant astigmatism as well as a focusing problem up close. I could tell by the responses of the patient that he was a bright kid. The mom said however that he had problems reading. When I put the prescription in front of the patient, his reading was very fluid (normal). The mom stated she never heard him read aloud like this before.

Also, I feel the lid droop could have possibly caused the astigmatism. I referred the patient to a specialist to determine whether it was necessary to have the lid condition treated with possible surgery. He was also prescribed drops for eye allergy.