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Seeing small
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sofred posted:
My five year old son has been mentioning that he intermittently sees things "small". I have not been able to establish if he is trying to be funny or whether it is a real problem. The best explanation I have been able to elicit is that "it is magic". This is a fairly recent thing (started last week) following a very severe cold.

Is this something I should seek medical help for? A quick check on the Internet suggests something along the lines of Micropsia or AIWS.

However, given that I cannot get him to respond seriously to my questions I cannot establish whether there is enough cause for concern here to go see a doctor. Do doctors have better tools than asking him questions to establish whether there is reason for concern?

I'd much appreciate any help.
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Alan M Kozarsky, MD responded:
It is probably not possible that any health professional can make a diagnosis or eliminate any diagnosis based upon the occasional symptom of "micropsia" or seeing small. Most five year olds are unable to elaborate on their symptoms enough to give accurate diagnostic clues.

If the symptom persists my approach would be to start with a comprehensive eye exam by a pediatric ophthalmologist. Like many issues in young children, the symptom is likely to go away spontaneously and without explanation. It it persists or becomes more frequent (extremely unlikely), it will lead to visits to a pediatric neurologist and possibly others.......again, very, very unlikely.
 
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sofred replied to Alan M Kozarsky, MD's response:
Thanks!


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