DEPARTMENT OF PEDIATRIC OPHTHALMOLOGY

 

PAEDIATRIC OPHTHALMOLOGY SERVICES

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 friendly.
(pictures of the OPD)

Paediatric 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.

Post operative day

 

Lazy 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.

 

The 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.
A 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.
A child born prematurely may suffer from retinopathy of prematurity and it is important to diagnose it early with prompt treatment
A child needs a complete ocular examination in the following conditions:
Poor performance in school
Squint
Nystagmus
Viewing objects at a close distance
Family history of eye problems like refractive errors

LOW VISUAL AIDS:

Loss 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.

The way the patient's are told about their vision loss has profound impact on their successful rehabilitation.

Though 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 of life.

So with this in mind the Low vision services was launched in Sri Sankaradeva Nethralaya Guwahati.
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.

Low 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 LENSES
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.
Functions
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.
Cosmetic contact lenses: These lenses help to improve the aesthetics of injured, deformed, or disfigured seeing or non-seeing eyes.
Therapeutic 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.
FRESNEL PRISMS
Diplopia 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


Faculties :

In charge - DR(Mrs) DAMARIS MAGDALLENE
Other faculties – DR GANESH CH. KURI


Facilities :

1. Squint surgery
2. Ptosis surgery
3. Repair – I
4. Repair – II
5. Probing and syringing

 

Other auxiliary facilities :

Orthoptic Exercise
Ultrasonography A Scan + B Scan
Physician Physical Examinations
ECG
Lab Services (Microbiology, Pathology and PCR)
24 hours Emergency Service
Fundus Photography
Contact Lens
Photo Slit Lamp Documentation
Ultrasound Biomicroscopy
EUA
VEP
ERG
EOG
Ishihara FM-100 color vision test
Contrast sensitivity test (Prill-Robson)
OCT

 



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