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PAEDIATRIC OPHTHALMOLOGY

What is Paediatric Ophthalmology?
Paediatric Ophthalmology is a branch of Ophthalmology that deals with the treatment of eye diseases in children aged <16 years.

Why a separate Paediatric Ophthalmology Clinic?
Because the type of eye diseases that affect children are different from those affecting adults and treatment methods required in children are also quite different. Moreover, the eye doctors for children are distinctive and trained differently.

When should a child go for an Eye Check up?
A child should go for an eye checkup if following symptoms are there:
  • Crossed eyes.
  • Keeps object close to his eyes.
  • Not seeing the chalkboard at the school.
  • Things looking blurry or funny.
  • Feel itching,burn or scratchy.
  • Getting things hit in the eye.
  • One or both the parents have glasses.
    It is recommended to have an eye check up even in a seemingly 'normal child' 3 years and between the age of 7 and 16 years.

    What are the Common Eye Diseases in children?
    Although any eye disease that affect an adult can affect a child's eye; most common diseases are -
    Refractive errors
    Lazy eye disease
    Eye injuries
    Squiniting of eyes
    Watering from the eyes
    Eye allergies

    What is Lazy Eye Disease?
    This is a common eye disease affecting nearly 5-10% of the children. In this disease a child cannot see well from one or both the eyes due to uncorrected refractive error or squint. Appropriate treatment at correct time can restore good vision.
    Unfortunately, Lazy Eye Disease goes undetected as, children do not complain and parents do not realize it.

    What do I do if the child's eyes go red?
    Do not just put any eye drop especially the ones with Steroids. Washing the eye with plenty of water will wash of any foreign body or allergic material. Consult a Paediatric Ophthalmology soon if the redness persists or if the eye is sore.

    What are the treatment options for children who have refractive errors?
    Spectacle (glass) is most effective and safest treatment option in children. Contact Lenses can be prescribed in children after age of 12-13 years when they can handle them well and laser correction (LASIK) can be done after age of 18 years once the power in the eyes become constant.
    Special glasses and medicines like Pirenzipine are found to be effective in retarding the progression of myopia (near sightedness). There are also methods to reduce the hypermetropia (far sightedness) by assisting the process called emmetropization.

    Parents role
    Preparing your child for an eye exam
  • Your child may be afraid of an eye exam and may not cooperate. You can help by telling     your child what to expect.
  • There won't be any shots.
  • The doctors may put drops in your eyes. The drops may sting for a few seconds and your     vision may get a littile blurry but this will go away shortly.
  • The doctor shines a light in your eyes to see inside them.
  • The doctor asks u to name pictures or letters or point to things. You may special glasses or sit     at a big machine.

    Your Role
    Pay attention to your child's eyes and behavior. Call the doctor if you notice a problem or if your child complains. And have your child's eyes checked at 6 months, 3 years, 5 years, and at last once between the ages of 7 and 18. Correcting vision problems early is the best way to correct your child's sight.

    How the child sees?
    Unusual behavior can sometimes be a sign of an eye problem. Watch your child for of the following warning signals:
  • Closing one eye or turning or tilting the head to see the things.
  • Squinting to see things in the distance.
  • Not seeing things you point out.
  • Consistently holding objects close to the face or sitting very close to the tv.
  • Blinking or rubbing one eye a lot.
    Running into objects or falling down at night or in places that are not well lit.
  • For more details you can Email at paediatricophthal@adityajyot.org

    Aditya Jyot Eye Hospital Pvt. Ltd.
    Plot No. 153, Road No. 9, Major Parmeshwaran Road,
    Opp S.I.W.S. College Gate No. 3, Wadala, Mumbai 400 031. India.
    Tel (91 22) 2416 5533, 2418 1001, 2417 7600.  
    Fax: (91 22) 2417 7630.
    E-mail: ajeh@vsnl.com or ajehpatient@gmail.com