Squint & Pediatric Opthamology

Squint & Pediatric Opthamology

WHAT SHOULD YOU LOOK FOR IN YOUR CHILD

Take a good look at your child while he/she is playing on watching a book/Tv and note if any of the follwing are present.

  • Squeezing his/her eyes while looking at book/Tv/Toys.
  • Tilting the head while talking, walking/ playing.
  • Going to close to the book or tv.
  • Recurrent eye pains, headaches.
  • Avoids reading, colouring most of the time.
  • Has bad handwriting at school.
  • Eyes turning inwards/outwards.
  • Difficulty in seeing in sunlight, bright light on the evening.
  • Itching, watering.

 

 

If any of the above are present then you should suspect the chld to have a possibility of eye problem. The problem could be either glasses or squinting of the eyes.these are easily treated and a proper screening of the child having any of the above complaints is needed to rule out any other causes as well.

 

SHOULD ALL CHILDREN SHOULD BE SCREENED

All children should be seen by an eye doctor for the first time at 3-4 years of age .however if any of the following are present then the child should be brought to the eye doctor at the earliest:

  • One on both parents wearing glasses
  • History of consanguity(marraige among cousins) in family
  • Premature delivery
  • Birth weight less than 1.5 Kgs.
  • History of any congenital defects like heart, kidney etc.
  • History of febrile fits or any convulsion.
  • History of admission in the ICU- incubation/ ventilation given to child.
  • Behavioural disorders or any developmental delay in the child.
  • History of colour blindness and retinal disease in family.

 

WHY SHOULD AN EYE DOCTOR SEE A CHILD

  • Early detection of eye sight problem gives rise to bettter vision development.
  • Good vision correction causes good performance at school and home.
  • Squinting of eye if diagnosed early can be treated with exercises and glasses in some cases.
  • It is possible to give the child good binocular(coordinated) development of eyes.
  • Other behaviouaral, social problems if present in the child will also benifit in their treatment.

 

WHEN IS THE BEST TIME TO BRING THE CHILD

If the child has a problem then anytime is a good time to visit the eye doctor however specific visits can be planned as follows

  • A preterm infacts/low birth at infant at 4 weeks after birth.
  • A normal baby at 3 to 3½ years of age for a preschool eye check.

 

SERVICES OFFERED

  • Comprehensive preschool check up
  • Watery eye evaluation
  • ROP screening
  • Squint clinic
  • Glasses prescription
  • Lazy eye Screening
  • Visual disorders management
  • Screening for special children

 

Comprehensive preschool eye check

This involves a complete screening of a child for vision, squint, retina and optic nerve diorders. For preschool eye check following examinations are carried out

  • Examination of anterior part of the eye :screening for congenital corneal disease, anterior chamber,lens diseases.
  • Vision testing : ability of the child to see, that is measured by specialized preschool picture charts of international standards and is age matched.
  • Examination of presence of any deviation or squinting of the eyes: this is carried out by speacial measuring instrumrents that are child friendly and not intimidating ot the child in any way.
  • Binocular vision function of eyes testing: here the tests performed ascertain whether there is coordinated use of both the eyes.
  • Color vision, pupil and contract senstiviy testing.
  • Examination of the intraocular pressure:this is done in children specially with a positive family history or examination findings suggestive of an increase.
  • Check for confirmation of eye glasse power: by special eye drops after relaxing the eye muscles so that any glass power that is hidden and not apparent can also be screened
  • Examination of retina and optic nerve.

 

Treatment

Medical

  • Lazy eye management.
  • Glass prescription.
  • Eye excercises.
  • Low vision aids.
  • Allergic eye conditions.
  • Eye infections.
  • Glaucoma management.
  • Retinal lasers.

 

 

Surgical

  • Congenital cataract management.
  • Glaucoma surgeries.
  • Corneal transplant.
  • Squint correction.
  • Pediatric lasik.
  • Retinal surgeries in children.