OF PEDIATRIC OPHTHALMOLOGY
Children are the future of any society, nation
or country. Examination of a child is quite different from that of the adult.
Children can be unpredictable, non communicative and uncooperative which may make
the examination both time consuming and frustrating for a busy practitioner. The
first thing is to gain the trust of the child for proper evaluation. This "rapport"
is often first established in the waiting room which has been designed to be child
(pictures of the OPD)
ophthalmology focuses on the development of the visual system and the various
diseases that disrupt visual development in children. Paediatric ophthalmologists
also have expertise in managing the various ocular diseases that affect children.
Common eye problems in children are refractive errors, squint, amblyopia.
Squint, also known as cross eyes, is the condition where the eyes do not work
together. Treatment includes glasses, eye exercises or eye muscle surgery.
eye or amblyopia is the term for poor vision in one or both eyes. It can result
from refractive error, squint or several other causes. This needs to be identified
and treated at an early age to recover vision. The gold standard of treatment
is by occlusion.
management of cataract in children is much less straightforward than the management
of cataract in adult. Cataracts in children can be part of multi-system, metabolic
or genetic disorders and may be associated with other structural abnormalities
of the eye.
cataract which is sufficiently dense to reduce the visual acuity significantly
will result in amblyopia if it occurs before the maturation of visual system.Another
cause of concern in children is Retinoblastoma the most common intraocular tumour
which manifests itself as a white reflex.
child born prematurely may suffer from retinopathy of prematurity and it is important
to diagnose it early with prompt treatment
child needs a complete ocular examination in the following conditions:
Poor performance in school|
Viewing objects at a close distance|
history of eye problems like refractive errors |
of vision may affect the patient's ability to read, write, work or travel independently.
This loss because of its consequences can be devastating and frustrating often
leading the person to depression and some even to suicide especially recent onset
blindness due to diabetes.
The patient goes from doctor to doctor for the magic cure that will restore his
vision. Doctors while dealing competently with the diseases are not aware of the
patient's reaction to the diminished vision.
way the patient's are told about their vision loss has profound impact on their
their condition may be irreversible most often there is much help and hope that
can be offered to patients through low vision rehabilitation services. Finally
even if we cannot improve someone's vision we can still do to improve their quality
with this in mind the Low vision services was launched in Sri Sankaradeva Nethralaya
Patients with low vision need special equipment to make the best
use of their vision. By using these aids as well as lighting conditions, it is
possible to continue with most activities.
vision optical devices can be grouped into two basic categories:
"Near" optical devices for activities such as reading, sewing,
writing, and crafting.
Common devices available are hand-held magnifiers,
stand magnifiers, magnifying reading glasses, pocket magnifiers.
"Distance" optical devices for activities such as attending movies and
sporting events; reading street signs and price tags; and identifying numbers
on buses and trains.Devices available are hand-held telescopes, spectacle mounted
telescopes, binocular telescopes.
Contact lens is a thin lens placed directly on the surface of the
eye. Contact lenses are considered medical devices and can be worn to correct
vision, or for cosmetic or therapeutic reasons. When compared with spectacles,
contact lenses typically provide better peripheral vision. This makes them ideal
for sports and other outdoor activities.
Corrective contact lenses: Corrective contact lenses are designed to correct refractive
errors like myopia and hypermetropia could be either soft or RGP (Rigid gas permeable).
Toric contact lenses are used to correct astigmatism.
contact lenses: These lenses help to improve the aesthetics of injured, deformed,
or disfigured seeing or non-seeing eyes.
scleral lenses: A scleral lens is a large, firm, oxygen permeable lens that rests
on the sclera and creates a tear-filled vault over the cornea. The cause of this
unique positioning is usually relevant to a specific patient, whose cornea may
be too sensitive to support the lens directly. Scleral lenses may be used to improve
vision and reduce pain and light sensitivity for people suffering from growing
number of disorders or injuries to the eye, such as severe dry eye syndrome, microphthalmia,
keratoconus, corneal ectasia, etc.
Rose-K lenses are used to correct advanced
keratoconus. Complex lens geometry and flexibility makes the Rose K lens a good
option for enhancing patient comfort and vision.
is a challenge to ophthalmologists due to its numerous underlying causes Fresnel
prisms can be considered in the initial treatment of symptomatic diplopia to avoid
ophthalmic and postural manifestations
charge - DR(Mrs) DAMARIS MAGDALLENE
Other faculties DR GANESH CH. KURI
2. Ptosis surgery
3. Repair I
5. Probing and syringing
auxiliary facilities :
Ultrasonography A Scan + B Scan
Physician Physical Examinations
Lab Services (Microbiology, Pathology and PCR)
24 hours Emergency
Photo Slit Lamp Documentation
Ishihara FM-100 color
Contrast sensitivity test (Prill-Robson)