A seven-year- old patient came into my office. Her complaints included headaches. The mom remarked that the teacher indicated that the patient had trouble focusing from the book to the board. The patient had 20/20 vision in each eye without any distant prescription.
The patient held everything close up within 4 inches to read. When I put the reading prescription in front of her, she was able to see it more easily and she was able to hold the book around 10--12 inches away.
The reading prescription would blur the distance so we gave her a bifocal with no prescritpion on top and the reading prescription on the bottom. I have done this often for kids who just need correction for reading and it has made a real positive difference.
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