<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:georss="http://www.georss.org/georss" xmlns:geo="http://www.w3.org/2003/01/geo/wgs84_pos#" xmlns:media="http://search.yahoo.com/mrss/"
		>
<channel>
	<title>Comments on: update on Mia</title>
	<atom:link href="http://littlefoureyes.com/2008/09/20/update-on-mia/feed/" rel="self" type="application/rss+xml" />
	<link>http://littlefoureyes.com/2008/09/20/update-on-mia/</link>
	<description>babies, toddlers, and young kids in glasses</description>
	<lastBuildDate>Thu, 11 Mar 2010 23:20:05 +0000</lastBuildDate>
	<generator>http://wordpress.com/</generator>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
		<item>
		<title>By: Your stories: you make the best decision based on the information you are provided with &#171; little four eyes</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-3628</link>
		<dc:creator>Your stories: you make the best decision based on the information you are provided with &#171; little four eyes</dc:creator>
		<pubDate>Mon, 08 Feb 2010 14:10:20 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-3628</guid>
		<description>[...] and contacts.  You can read more of Danielle&#8217;s posts about Mia here (introducing Mia, after her second glaucoma surgery, occluding lens for patching, glaucoma valve shifting and corneal scarring, Mia&#8217;s contact [...]</description>
		<content:encoded><![CDATA[<p>[...] and contacts.  You can read more of Danielle&#8217;s posts about Mia here (introducing Mia, after her second glaucoma surgery, occluding lens for patching, glaucoma valve shifting and corneal scarring, Mia&#8217;s contact [...]</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Ann Z</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-1453</link>
		<dc:creator>Ann Z</dc:creator>
		<pubDate>Wed, 11 Mar 2009 15:17:52 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-1453</guid>
		<description>Hi Sue,
Thanks for the comment, what a great testament to how important trust is for kids to patch.  Please keep us updated on how your grandson is doing.</description>
		<content:encoded><![CDATA[<p>Hi Sue,<br />
Thanks for the comment, what a great testament to how important trust is for kids to patch.  Please keep us updated on how your grandson is doing.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Sue Gilfillan</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-1450</link>
		<dc:creator>Sue Gilfillan</dc:creator>
		<pubDate>Wed, 11 Mar 2009 13:41:36 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-1450</guid>
		<description>I&#039;m a grandmother of a boy with all the problems mentioned in the posts.  Cataract, surgery, contacts, IOC, drops and intense struggle by his parents to patch him.  He pulled off the patches around 12 months so there was little success for the next 2 years.  His parents asked me to give it a try.  He is very close to me and so I had great luck.  No crying, no pulling it off, etc. because I took him all over on an ATV.  The vision in the bad eye that also wandered seemed to click on after 30 minutes.  He grinned and said &quot;I am so happy&quot;  Mind you, he is only three.  We went 50 minutes that first day.  After the patch came off, I noticed immediately his eyes were tracking.  Even his grandfather noticed and he is pretty oblivious.  Each day I added 10 minutes and he quickly realized the patch stayed until the alarm on my phone went off.

His doctor said 2 hours was sufficient, his other doctors said 4 - 6 hours.  I patched for 4 days then my son, his father, was successful in taking over.  I hope this answers your question; patching seems to help eyes track together and it lasts for 4 - 6 hours afterwards.  So I guess after a year of patching everyday it should stick.</description>
		<content:encoded><![CDATA[<p>I&#8217;m a grandmother of a boy with all the problems mentioned in the posts.  Cataract, surgery, contacts, IOC, drops and intense struggle by his parents to patch him.  He pulled off the patches around 12 months so there was little success for the next 2 years.  His parents asked me to give it a try.  He is very close to me and so I had great luck.  No crying, no pulling it off, etc. because I took him all over on an ATV.  The vision in the bad eye that also wandered seemed to click on after 30 minutes.  He grinned and said &#8220;I am so happy&#8221;  Mind you, he is only three.  We went 50 minutes that first day.  After the patch came off, I noticed immediately his eyes were tracking.  Even his grandfather noticed and he is pretty oblivious.  Each day I added 10 minutes and he quickly realized the patch stayed until the alarm on my phone went off.</p>
<p>His doctor said 2 hours was sufficient, his other doctors said 4 &#8211; 6 hours.  I patched for 4 days then my son, his father, was successful in taking over.  I hope this answers your question; patching seems to help eyes track together and it lasts for 4 &#8211; 6 hours afterwards.  So I guess after a year of patching everyday it should stick.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: your stories - cataracts &#171; little four eyes</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-1411</link>
		<dc:creator>your stories - cataracts &#171; little four eyes</dc:creator>
		<pubDate>Wed, 04 Mar 2009 03:26:12 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-1411</guid>
		<description>[...] an update on Mia from Sept. 2008, and another post on Mia&#8217;s new occluding lens for patching from Feb. 2009 [...]</description>
		<content:encoded><![CDATA[<p>[...] an update on Mia from Sept. 2008, and another post on Mia&#8217;s new occluding lens for patching from Feb. 2009 [...]</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: occluding lens for patching &#171; little four eyes</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-1127</link>
		<dc:creator>occluding lens for patching &#171; little four eyes</dc:creator>
		<pubDate>Thu, 19 Feb 2009 19:54:20 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-1127</guid>
		<description>[...] had a cataract in one eye.   If you&#8217;re new, you may also want to read Mia&#8217;s story and update. - Ann [...]</description>
		<content:encoded><![CDATA[<p>[...] had a cataract in one eye.   If you&#8217;re new, you may also want to read Mia&#8217;s story and update. &#8211; Ann [...]</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Danielle</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-843</link>
		<dc:creator>Danielle</dc:creator>
		<pubDate>Mon, 19 Jan 2009 09:06:26 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-843</guid>
		<description>Hello Anita,

Has your son’s PO considered a valve implant? Or is this a last resort? Our daughter&#039;s IOP was up in the high 30&#039;s after her cataract surgery and she was placed on Cosopt drops and an oral medication (Acetazolamide) and this only dropped her IOP down to the mid to low 30&#039;s.  She had an iridotomy when she had her valve implant surgery.  Her IOP is now down in low teens, thank god.  When she went in for her EUA 2 months ago, her glaucoma specialist told us that her valve shifted out of place and is pressing against her cornea.  He feels that since the valve is not obstructing her vision he does not want to put her through another surgery, until we have to.  This really concerns me because this means we are waiting until there is damage to her cornea at which point she will need a replacement.  Her PO is in disagreement and feels she should have surgery so the valve can be readjusted and we can avoid having to replace her cornea.  There is a great support group for parents that have children with cataracts and glaucoma, PGCFA (Pediatric Glaucoma and Cataract Family Association).  There is a site  http://pgcfa.org and a support group http://health.groups.yahoo.com/group/PGCFA-Support/.  Both sites have a lot of information and support.  There were a few posts the other day about corneal replacement and one parent was talking about a new procedure where they use and artificial cornea (keratoprosthesis) rather than a donor.  From what she is saying, the keratoprosthesis has a very high success rate, and a the body will not reject the implant. If you need any additional information, or just want to chat please send me an email dblight1@msn.com.  Our thoughts are also with you. 

Danielle</description>
		<content:encoded><![CDATA[<p>Hello Anita,</p>
<p>Has your son’s PO considered a valve implant? Or is this a last resort? Our daughter&#8217;s IOP was up in the high 30&#8217;s after her cataract surgery and she was placed on Cosopt drops and an oral medication (Acetazolamide) and this only dropped her IOP down to the mid to low 30&#8217;s.  She had an iridotomy when she had her valve implant surgery.  Her IOP is now down in low teens, thank god.  When she went in for her EUA 2 months ago, her glaucoma specialist told us that her valve shifted out of place and is pressing against her cornea.  He feels that since the valve is not obstructing her vision he does not want to put her through another surgery, until we have to.  This really concerns me because this means we are waiting until there is damage to her cornea at which point she will need a replacement.  Her PO is in disagreement and feels she should have surgery so the valve can be readjusted and we can avoid having to replace her cornea.  There is a great support group for parents that have children with cataracts and glaucoma, PGCFA (Pediatric Glaucoma and Cataract Family Association).  There is a site  <a href="http://pgcfa.org" rel="nofollow">http://pgcfa.org</a> and a support group <a href="http://health.groups.yahoo.com/group/PGCFA-Support/" rel="nofollow">http://health.groups.yahoo.com/group/PGCFA-Support/</a>.  Both sites have a lot of information and support.  There were a few posts the other day about corneal replacement and one parent was talking about a new procedure where they use and artificial cornea (keratoprosthesis) rather than a donor.  From what she is saying, the keratoprosthesis has a very high success rate, and a the body will not reject the implant. If you need any additional information, or just want to chat please send me an email <a href="mailto:dblight1@msn.com">dblight1@msn.com</a>.  Our thoughts are also with you. </p>
<p>Danielle</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Kaelen's mum</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-839</link>
		<dc:creator>Kaelen's mum</dc:creator>
		<pubDate>Sun, 18 Jan 2009 21:59:47 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-839</guid>
		<description>Hi Danielle,
Our son is 2 in February.  He was diagnosed at 19months with bilateral Congenital Glaucoma.
The news blew our world apart but certainly explains so much.
He has had a left trabeculectomy and trabeculotomy - IOP is now down to 17 from 30 and appears it will need drop therapy to lower the pressure to 14.  On 5 January he had a right trabeculectomy and trabeculotomy - IOP is now down to 5 (too low) from 39.  We are having weekly/10 day EUA&#039;s to check on IOP&#039;s.  
We are truly fortunate to have one of the world top 4 Congenital Glaucoma specialists looking after him.  Long term prognosis will be 3 monthly EUA&#039;s and drops to stabilise IOP&#039;s.  We already have his glasses but he is unable to wear them as his eye has a shield on it day and night to protect it.
We have noticed a significant improvement in his sight (initial prognosis was that he could only see 15cm in front of his nose to what now appears to be about 3m).  His appetite has also improved.
I am interested to learn more about corneal transplants though..  Do you have any info??  Kaelen has significant corneal scarring which lets too much light in - making him intolerant to light and we have been told this will never improve.  
I can sympathise with your drop regime.  We are currently on 5 drops, 6 x daily.  Such fun but I take comfort in knowing that it is helping give him the best chance we can.
Our thoughts are with you,.  Anita</description>
		<content:encoded><![CDATA[<p>Hi Danielle,<br />
Our son is 2 in February.  He was diagnosed at 19months with bilateral Congenital Glaucoma.<br />
The news blew our world apart but certainly explains so much.<br />
He has had a left trabeculectomy and trabeculotomy &#8211; IOP is now down to 17 from 30 and appears it will need drop therapy to lower the pressure to 14.  On 5 January he had a right trabeculectomy and trabeculotomy &#8211; IOP is now down to 5 (too low) from 39.  We are having weekly/10 day EUA&#8217;s to check on IOP&#8217;s.<br />
We are truly fortunate to have one of the world top 4 Congenital Glaucoma specialists looking after him.  Long term prognosis will be 3 monthly EUA&#8217;s and drops to stabilise IOP&#8217;s.  We already have his glasses but he is unable to wear them as his eye has a shield on it day and night to protect it.<br />
We have noticed a significant improvement in his sight (initial prognosis was that he could only see 15cm in front of his nose to what now appears to be about 3m).  His appetite has also improved.<br />
I am interested to learn more about corneal transplants though..  Do you have any info??  Kaelen has significant corneal scarring which lets too much light in &#8211; making him intolerant to light and we have been told this will never improve.<br />
I can sympathise with your drop regime.  We are currently on 5 drops, 6 x daily.  Such fun but I take comfort in knowing that it is helping give him the best chance we can.<br />
Our thoughts are with you,.  Anita</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Ann Z</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-669</link>
		<dc:creator>Ann Z</dc:creator>
		<pubDate>Sat, 29 Nov 2008 20:40:18 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-669</guid>
		<description>Danielle, thanks for the update.  I&#039;m so happy that things are looking pretty good for Mia and that you&#039;re drop and ointment free for the time being!!  That&#039;s got to feel great.  I&#039;m so pleased you have a great pediatrician.  Ours has been a great support, and I&#039;m extremely thankful that when I first brought my concerns about Zoe&#039;s eyes up that she respected my concerns and referred us to an ophthalmologist even though she didn&#039;t see any crossing at that exam.</description>
		<content:encoded><![CDATA[<p>Danielle, thanks for the update.  I&#8217;m so happy that things are looking pretty good for Mia and that you&#8217;re drop and ointment free for the time being!!  That&#8217;s got to feel great.  I&#8217;m so pleased you have a great pediatrician.  Ours has been a great support, and I&#8217;m extremely thankful that when I first brought my concerns about Zoe&#8217;s eyes up that she respected my concerns and referred us to an ophthalmologist even though she didn&#8217;t see any crossing at that exam.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Danielle</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-667</link>
		<dc:creator>Danielle</dc:creator>
		<pubDate>Fri, 28 Nov 2008 16:24:21 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-667</guid>
		<description>My daughter had a Baerveldt valve implant placed in her eye, her glaucoma specialist told me that all the valves are the same.  The Ahmed, Baerveldt and Seton are all different name brands for each valve.  Her valve surgery went great.  She just went in 2 days ago to have an exam under anesthesia and her pressure is low and the valve is draining excess fluid.  The doctor told us that the valve shifted out of place and is pushing against her cornea, however it&#039;s not obstructing her vision.  He told us that she will most likely need another surgery to readjust the valve and possibly replace her cornea.  This is something that we will wait on since she is still so young and we do not want to put her through another surgery until we have to.  The greatest news we received, aside from how well she is doing is that she no longer needs drops or ointments, this will be the first time in over 5 months that we do not have to put anything in her eye.  She will be having another EUA (exam under anesthesia) in 6 months to ensure her pressure is still low and the valve is working properly.  This was also great news considering she is 6 months old and has been under anesthesia 4 times, so 6 months from now with no drops and no surgery is fabulous.  

When was your son diagnosed?  How is he doing?  Does he have glaucoma in both eyes?  How old is he?  Before Mia was diagnosed I never even knew that these eye disorders affected babies/children.  Since she was diagnosed I feel like I should go back to college for ophthalmology, I think I would have a heads up on most of the students.  During Mia’s last check up her pediatrician was asking me questions.  I told him that is was very strange having a doctor asking me medical questions; and it was even stranger that I was able to answer these questions.  

I know most parents on this blog have problems with their pediatrician not following up or noticing their child’s eye conditions.  My  daughters pediatrician was great, I wish more parents had the same experience, not that I want any child to have any health problems.  Dr. Singer noticed Mia’s cataract when she was 12 days old.  I could tell that he felt horrible giving me the news and he sat on the phone for over 30 minutes trying to get her an appointment with an eye doctor as soon as possible, after 30 minutes of trying, he got her an appointment 2 days later.  While I was on the phone giving the receptionist my insurance information, Dr. Singer took Mia from me and he was feeding her and holding her with such compassion.  I felt like he was treating my daughter like she was his own daughter, not a patient.  He really helped me through a tough time, I felt so alone until I looked at him and saw the compassion he had towards my daughter.  I wish more doctors would try to put themselves in their patients shoes and try to understand what they are going through.  

Please keep me updated n your sons progress.  

Danielle</description>
		<content:encoded><![CDATA[<p>My daughter had a Baerveldt valve implant placed in her eye, her glaucoma specialist told me that all the valves are the same.  The Ahmed, Baerveldt and Seton are all different name brands for each valve.  Her valve surgery went great.  She just went in 2 days ago to have an exam under anesthesia and her pressure is low and the valve is draining excess fluid.  The doctor told us that the valve shifted out of place and is pushing against her cornea, however it&#8217;s not obstructing her vision.  He told us that she will most likely need another surgery to readjust the valve and possibly replace her cornea.  This is something that we will wait on since she is still so young and we do not want to put her through another surgery until we have to.  The greatest news we received, aside from how well she is doing is that she no longer needs drops or ointments, this will be the first time in over 5 months that we do not have to put anything in her eye.  She will be having another EUA (exam under anesthesia) in 6 months to ensure her pressure is still low and the valve is working properly.  This was also great news considering she is 6 months old and has been under anesthesia 4 times, so 6 months from now with no drops and no surgery is fabulous.  </p>
<p>When was your son diagnosed?  How is he doing?  Does he have glaucoma in both eyes?  How old is he?  Before Mia was diagnosed I never even knew that these eye disorders affected babies/children.  Since she was diagnosed I feel like I should go back to college for ophthalmology, I think I would have a heads up on most of the students.  During Mia’s last check up her pediatrician was asking me questions.  I told him that is was very strange having a doctor asking me medical questions; and it was even stranger that I was able to answer these questions.  </p>
<p>I know most parents on this blog have problems with their pediatrician not following up or noticing their child’s eye conditions.  My  daughters pediatrician was great, I wish more parents had the same experience, not that I want any child to have any health problems.  Dr. Singer noticed Mia’s cataract when she was 12 days old.  I could tell that he felt horrible giving me the news and he sat on the phone for over 30 minutes trying to get her an appointment with an eye doctor as soon as possible, after 30 minutes of trying, he got her an appointment 2 days later.  While I was on the phone giving the receptionist my insurance information, Dr. Singer took Mia from me and he was feeding her and holding her with such compassion.  I felt like he was treating my daughter like she was his own daughter, not a patient.  He really helped me through a tough time, I felt so alone until I looked at him and saw the compassion he had towards my daughter.  I wish more doctors would try to put themselves in their patients shoes and try to understand what they are going through.  </p>
<p>Please keep me updated n your sons progress.  </p>
<p>Danielle</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Anita Frassetto</title>
		<link>http://littlefoureyes.com/2008/09/20/update-on-mia/#comment-661</link>
		<dc:creator>Anita Frassetto</dc:creator>
		<pubDate>Thu, 27 Nov 2008 09:55:22 +0000</pubDate>
		<guid isPermaLink="false">http://toddlerglasses.wordpress.com/?p=336#comment-661</guid>
		<description>You are such a strong mom.  I have a son with Congenital Glaucoma and we have been through the heartbreaking rollercoaster of surgery after surgery, drops after drops and like you we made a chart - GOD THANK YOU FOR MS EXCEL!!!
It is a horrible feeling when you know the meds / drops are hurting (paining) them.  I keep telling myself and him that we are doing this to save his sight.  
Is the valve mia had implanted called the Seton Valve?  We are at the Trabeculectomy stage of ops after 4 unsuccessful goniotomy&#039;s.  Seton Valve is our next stop if this is unsuccessful.
You are in our thoughts and prayers and I will try and keep up with Mia&#039;s progress.</description>
		<content:encoded><![CDATA[<p>You are such a strong mom.  I have a son with Congenital Glaucoma and we have been through the heartbreaking rollercoaster of surgery after surgery, drops after drops and like you we made a chart &#8211; GOD THANK YOU FOR MS EXCEL!!!<br />
It is a horrible feeling when you know the meds / drops are hurting (paining) them.  I keep telling myself and him that we are doing this to save his sight.<br />
Is the valve mia had implanted called the Seton Valve?  We are at the Trabeculectomy stage of ops after 4 unsuccessful goniotomy&#8217;s.  Seton Valve is our next stop if this is unsuccessful.<br />
You are in our thoughts and prayers and I will try and keep up with Mia&#8217;s progress.</p>
]]></content:encoded>
	</item>
</channel>
</rss>
