Tag Archives: optic nerve hypoplasia


I don’t have much time this morning.  I have a dental cleaning for myself in less than an hour. I have four-thousand other things on my to-do-list.  Oh, and I am generally pissed off today. 

So here goes. 

RM had an ophthalmology appointment yesterday.  It had been a while.  Almost three years.  I had no idea.  I knew it had been a while but not three whole years.  RM was born with a whole number of medical issues and one of them was optic nerve hypoplasia (ONH) – small optic nerves.  This can cause blindness, crossing and other vision impairments.  But at her last appointment three years ago *ahem* the doctor had said with confidence that after following her for two years, he felt that her nerves however on the small side did not appear to be of any large concern.  “Let’s just keep on top of it by checking her yearly.”  Sure, if I remember to bring her to you every year. 

Anyways, things looked good.  RM did a phenomenal job throughout a ninety-minute appointment including a 15-minute pause in between for dilating drops.  At the end of the appointment came the shocker.  RM is slightly farsighted.  In other kids her age glasses would not be recommended.  But considering RM spends full days in an ABA program doing sets and tasks up close, we decided glasses for school would be a gamble worth taking.  Maybe she will appreciate them and wear them with ease, maybe she will have nothing to do with them.  I was also warned that sometimes, children in ABA programs who begin to wear glasses for farsightedness will show a temporary improvement in progress – not due to the vision improvement – but because of the praise and focus on the glasses to entice the child to wear them.  Interesting.  

As I handed over my debit card to the optometrist to pay $250 for the adorable purple glasses RM had just picked out, I kept thinking about how ridiculous this ride is sometimes.  And I really, really wanted off


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