Years ago, back in my college days, I worked as a lab technician for a company that cut lenses for eyeglass prescriptions, similar to Lens Crafters. While it wasn't a long term career decision, it did give me some familiarity with prescription lenses an the technical precision required in developing a set of glasses. About 90% of the prescriptions for myopia that came through the lab fell into the -1.50 to -3.00 range. About once every few weeks, we might get a -6.00 to -8.00, which would require more attention to detail in the lab with the actual lens cutting, frame selection/patterns, and so on, since of course, the higher the number, the worse the vision, and ultimately for patients with myopia, the thicker the edges of lenses are. Only once, in my year or so tenure working in the lab, did I ever see anything over -9.00. This is Mira's prescription from today:
I was completely shocked when they told us that her vision was so awful. Needless to say, we have a follow-up appointment in a month with a specialist that has more familiarity with CVI and how Mira's vision, seizures, and everything else play into this. They will also look at structural issues and dive into this deeper. In the meantime, we are going to pursue getting her some glasses - this is uncharted territory for Mira and we aren't sure how she will react to having something on her face. It's no wonder she cannot focus on anything more than a foot away from her. Prior to her appointment, I had the idea that we were going to discuss potential avenues with her vision therapist at school, to try out a Tobii device, to see if it would be something Mira might be able to take advantage of. However, this really threw me for a loop.
On top of this, as we were in the waiting area for her appointment, Mira starting having a string of subtle tonic-clonics. She had 2 or 3 within about an hour - not fully involved, intense tonic-clonics, but rather they seemed to slowly unravel. Definite seizures, but not as involved as her typical ones. She continued to have a few more of these episodes as Sarah was taking her to school. With all of this activity, we ultimately decided against taking her, and Sarah ended up making a detour for home. Mira continued to have an off day - clammy, rigid, and quiet. She was in a decent mood this morning and at her appointment, but she slowly clammed up the rest of the day and was very reserved - not irritable at all, just altered.