Pediatric Ophthalmology and Squint
Pediatric Ophthalmology and Squint – Overview
Our children are our future and proper care of their ocular health is paramount. Children can be afflicted by many eye diseases. They may be born with or develop serious eye problems like cataracts, glaucoma, retinal and orbital tumors; or may need glasses and interventions to see more clearly or for misaligned eyes (strabismus) or poor visual development in one eye (amblyopia).Even before a child can speak, pediatric ophthalmologists can tell what a child sees, if he or she needs eyeglasses or contact lenses, and if any problems exist with the eyes. Children are not miniature adults, and their eye problems require special skill-set, diagnostic and treatment methods different from that of adults. Fortunately, most eye problems can be treated without surgery, but few may require surgical corrections.
Paediatric Ophthalmology & Strabismus Department at Susrut Eye Foundation & Research Centre is well-equipped with state-of-the-art facilities for examining and treating children with common paediatric eye diseases like Refractive Errors, Allergic Eye Disorders, Squint, Amblyopia, Childhood Cataract, Congenital Glaucoma and Nystagmus. It also conducts Screening and Treatment for Retinopathy of Prematurity (ROP) in association with the Vitreo-Retina Department. Our Low Vision Rehabilitation Clinic ably guides children with visual impairment by providing either optical or non-optical Low Vision Aids (LVA) to enhance their residual vision. Children suspected/ found with disorders related to Cornea, Retina, Uvea & Orbit are referred to respective specialty clinics.
This department takes care of eye diseases in children. The pediatric department of Susrut is supported by Orbis International.
Diagnostic and Therapeutic Facilities available
- 1. Visual Acuity Testing in all age groups
- Cardiff and Teller’s Visual Acuity cards
- Lea’s Symbols
- Log Mar and Snellen‘s Charts
- 2. Cycloplegic Retinoscopy
- 3. Contrast Sensitivity Testing
- Pelli Robson’s Chart
- 4. Colour Vision Testing
- Ishihara Chart
- Farnsworth Munsell 100 Hue test
- 5. Stereopsis Testing
- For Near- Titmus Fly Test and TNO test
- For Distance- Randot Test)
- 6. Strabismus (Squint) Evaluation and Measurement
- 7. Nystagmus Evaluation
- 8. Accomodation and Convergence measurement
- Royal Air Force(RAF)Ruler
- 9. VEP and ERG in cooperative children
- 10. Amblyopia management
- Synaptophore(Bifoveal Stimulation exercises)
- 11. Orthoptic Exercises
- 12. Evaluation of neurological system and other cranial nerves in paretic strabismus
- 13. Hess Charting and Diplopia Charting
- 14. Synaptophore assessment where required
- 15 .ROP screening
- 16 .Prism
- 17. Low Vision Rehabilitation
Surgical Facilities available
- Surgical correction of Cataract as early as 3 months of age under General Anaesthesia (GA)
- Surgical correction of all types of Strabismus under Anaesthesia appropriate for age (General/ Local)
- Paediatric Glaucoma Management
- Examination under Anaesthesia: For children who need detailed evaluation (where cooperation is a concern) and for whom various specialty opinions are required at the same time.
- Surgery for Nystagmus
Pediatric ophthalmologists at Susrut Eye Foundation & Research Centre also engage in various educational and research activities in addition to the clinical and surgical care of their child patients.
When to consult a doctor?
The most common problem with a child is that the child usually does not complain of any difficulties. The parents need to consult a doctor, when they notice any of the following problems.
- Prematurely born baby – to rule out or treat retinopathy of prematurity.
- Baby does not fix or follow parent’s face when interacting with parents
- Child faces problems in school in reading/copying blackboard correctly at school
- The two eyes are not aligned/straight, which may be constant or intermittent
- A whitish reflex is visible in the centre of the eye (pupil) when light falls on the eye (can be a sign of life-threatening eye cancer in a child)