A three-year-old child has optic nerve atrophy in the left eye.

Patient's question:

During the routine health check-up for a two-year-old child, mild astigmatism was found in the left eye. At that time, the doctor said it might be due to the child's incomplete development. Now at three years and four months old, during an eye examination at the hospital, the doctor said that the left eye has optic atrophy and cannot see anything, and it cannot be treated.

Doctor's answer:

There are many causes of optic atrophy, including cortical blindness, trauma, primary conditions such as Leber's hereditary optic neuropathy, glaucoma, optic neuritis, retinal vasculitis, retinal pigmentary degeneration, and so on. Treatment varies depending on the underlying cause.
It is recommended to first measure intraocular pressure to rule out glaucoma. Additionally, it is unclear whether the child has a history of high fever or trauma. What is the current vision level (most children over three can recognize the Snellen chart)? It is essential to identify the underlying cause before proceeding with targeted treatment.

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