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 Paediatric Ophthalmology

PAEDIATRIC VISION EVALUATION AND OPTICAL SERVICES

 

A comprehensive eye exam includes testing and evaluation of visual skills (function, performance, etc. In the absence of complete testing, common paediatric vision problems can go undetected, and, in some cases, can be misdiagnosed as a learning disability or behavioral problem.

PAEDIATRIC SENSORY EVALUATION INCLUDING STEREOPSIS CHARTS AND SYNAPTOPHORE

Synaptophore is ideal for the assessment and treatment of ocular motility disorders by reliably performing the most comprehensive binocular vision assessment available today.

DIPLOPIA ASSESSMENT

Diplopia chart is the record of separation of the diplopic or double images in the nine positions of gaze. It can be charted in patients who appreciates double vision and with incomitant or comitant deviation.

ORTHOPTIC ASSESSMENT FOR STRABISMUS, CONVERGENCE AND ACCOMMODATION

Orthoptic evaluation is for the diagnosis and non-medical management of strabismus (eye turn), amblyopia (lazy eye) and eye movement disorders.

HESS CHARTING

It aids in the diagnosis of ocular motility defects. It measures the deviation and the amount of underaction and overaction of muscles. It is a repeatable and reliable record of the condition and is therefore a good way to show improvement or deterioration of the condition.

AMBLYOPIA THERAPY

Amblyopia or lazy eye is decreased vision in one or both eyes due to abnormal development of vision in infancy or childhood.  Vision loss occurs because nerve pathways between the brain and the eye aren't properly stimulated. The brain “learns” to see only blurry images with the amblyopic eye even when glasses are used. As a result, the brain favours one eye, usually due to poor vision in the other eye. The most common cause is refractive error in one or both eyes that is not corrected early in childhood resulting in poor development of the visual function in the affected eye/s.

EXERCISES FOR CONVERGENCE INSUFFICIENCY

Convergence insufficiency is a condition in which your eyes are unable to work together when looking at nearby objects. This condition causes one eye to turn outward instead of inward with the other eye creating double or blurred vision or eye strain.Convergence insufficiency is usually diagnosed in school-age children and adolescents. It can cause difficulty reading, for which parents or teachers might suspect the child has learning difficulties rather than an eye disorder.
Video game (computer) based amblyopia and convergence insufficiency therapy which is done as a weekly course helps in faster rehabilitation if clear vision and saves kids from prolonged patching exercises.
 

PAEDIATRIC CATARACT EVALUATION AND BIOMETRY

A cataract is any cloudiness or opacity of the lens of the eye, which is normally crystal clear. Cataracts can result from genetic problems, infections, or they can occur spontaneously. Lens malformations that occur in conjunction with medical problems are often the result of a genetic or metabolic anomaly. These cataracts may be present at birth or may develop during childhood.

ROP SCREENING

Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina among premature babies. The crucial period for detection of ROP is from 32 weeks to 40 weeks of gestational age

CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION EVALUATION

Nasolacrimal duct obstruction is blockage of the lacrimal drainage system.  In children, majority of nasolacrimal duct obstruction is congenital. There is no sex predilection and no genetic predisposition. The blockage can be unilateral or bilateral.

CONGENITAL GLAUCOMA EVALUATION

Primary juvenile glaucoma is glaucoma that develops due to ocular hypertension and is evident either at birth or within the first few years of life. It is caused due to abnormalities in the anterior chamber angle development that obstruct aqueous outflow in the absence of systemic anomalies or other ocular malformation

CONGENITAL PTOSIS EVALUATION

A drooping eyelid is called ptosis or blepharoptosis. In ptosis, the upper eyelid falls to a position that is lower than normal. In severe cases ofptosis, the drooping eyelid can cover part or all of the pupil and interfere with vision, resulting in amblyopia.

CORTICAL VISUAL IMPAIRMENT THERAPY

Cortical visual impairment (CVI) is a decreased visual response due to a neurological problem affecting the visual part of the brain. Typically, a child with CVI has a normal eye exam or has an eye condition that cannot account for the abnormal visual behavior.

PAEDIATRIC OCULAR MALIGNANACIES EVALUATION

The most common primary ocular malignancy of childhood is retinoblastoma. Even more common, however, is secondary ocular involvement from leukemia.

PROCEDURES

  • CONVERGENCE AND ACCOMMODATION ANOMALIES MANAGEMENT
  • SQUINT SURGERY INCLUDING COMPLICATED STRABISMUS
  • CORTICAL VISUAL IMPAIRMENT THERAPY
  • AMBLYOPIA THERAPY
  • SYNAPTOPHORE EXERCISE
  • EXAMINATION UNDER ANAESTHESIA (EUA)
  • SYRINGING AND PROBING
  • PAEDIATRIC CATARACT EXTRACTION AND INTRAOCULAR LENS IMPLANTATION
  • CONGENITAL PTOSIS CORRECTION
  • ROP LASER

Our Doctors

Dr. ABRAHAM KURIAN

Senior Consultant
MBBS, MS, DO
Cornea Services,Paediatric Ophthalmology ,Orbit & Oculoplasty Clinic

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Dr. Resmi Bhaskar

Senior Consultant
MBBS, DO, MS, DNB
Paediatric Ophthalmology ,Squint Clinic & Orthoptics

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Dr. SWAPNA NAIR

Senior Consultant
MBBS, DO, FRCS, FAICO
Cataract & Refractive Surgery,Paediatric Ophthalmology

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