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Old 01-31-2014, 07:55 AM   #1
Isaac
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Default esotropia??

Okay, this is something my 5-year old has been dealing with. One of his eyes is turning inward, which is messing with his depth perception. He's also far-sighted. The "eye doctor" has him in glasses and recommended vision therapy. I think there's also surgical interventions for this condition. I really want to do the least invasive method first, but the problem is that my insurance company doesn't cover what they call therapy for "cosmetic reason"!! WTF!!! So, according to them, a 5-year old should have an eye turning inward and that's normal???? I'm no medical expert, but therapy for this is a heck of alot cheaper for them to cover than surgery, but they still won't cover it. I'm still going to cover ot out of pocket if I have to and even if if breaks me because I don't want anybody cutting into my little boy if there are other options. Nothing against surgical interventions, if it is abslutely necessary.

Why do insurance companies think of themselves as medical experts? Do you run across this in your practice? What do you know about therapy vs. surgical interventions for this condition?
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Old 01-31-2014, 11:58 AM   #2
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I think insurance companies are experts in not spending their profits. Yes, you pay your premiums and then the insurance companies figure out ways to keep it. Other countries don't fleece their citizens to make a profit, but our progressive country does. Maybe a lawyer could convince them, but that would be another expense for you.

There is so much wrong with our health care. Ever thought about moving to Canada? They seem to take care of their citizens.
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Old 01-31-2014, 01:48 PM   #3
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My brother had that problem when he was little. The Dr. back then had him where glasses that they taped up the good side with masking tape (or whatever) so he could only use the bad eye for vision as much as possible during the day. (Sometimes you just can't, like in school and such.) It strengthened it back up and it went back to normal. That's about as non-invasive as it comes lol
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Old 01-31-2014, 05:18 PM   #4
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TK's right about the tape bit. That's another option.

Don't get me started about insurance companies. You don't understand how much shit I have to deal with because they tell me to use Drug B instead of Drug A when they are ALMOST THE SAME. Or when they tell me to place a patient in the hospital under "observation" or if they "qualify" as inpatient status. It's so effing ridiculous. I could go on.
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Old 02-01-2014, 05:30 AM   #5
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TheKDD - They're doing the same thing with the tape on my son's glasses, but it's more of a scotch tape. They're also having me put a patch over his good eye for about 2 hours a day, so his "bad" eye has to work more. Both his eyes do work, just not together, which is what they're rtrying to correct with therapy. Wings - I don't envy you when it comes to having to deal with insurance companies as much as you probably do!! We'll see how it goes.
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Old 02-01-2014, 02:36 PM   #6
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Yeah it totally worked for my brother. I would try using the patch a lot more than 2 hours if you can. Have him do something he really likes that takes focus, or watch a few of his favorite shows with the patch on. The more it has to work the better.
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Old 02-02-2014, 06:04 AM   #7
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We try to, but on days where my wife and I both work, it's kinda hard. My wife kinda had a fit when I went out and got him a nerf dart gun. I set stuffed animals all over the house, and we went on a "safari" hunt!! All with the patch on.
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