PAEDIATRIC OPHTHALMOLOGY

Pediatric ophthalmology is a sub-specialty of ophthalmology concerned with eye diseases and vision care in children. About 80% of learning in the child’s first 12 years come through his eyes. Children are not aware of their vision disorders and mostly grow with this. Truly, diagnosis can help prevent many eye diseases.

RETINOPATHY OF PREMATURITY SCREENING

Individual centers may choose to extend birth weight screening criteria to 1500 g. Initial screening should be performed at 31 weeks’ postmenstrual age in infants with gestational ages of 26 6/7 weeks or less at birth, and at four weeks’ chronological age in infants with gestational ages of 27 weeks or more at birth by an ophthalmologist skilled in the detection of ROP.
Follow-up examinations are conducted according to the ophthalmologist’s recommendation. Infants with high-risk pre-threshold ROP and threshold ROP are referred for retinal ablative therapy. Developing processes for ROP screening, documenting results and communicating results to parents as well as health professionals involved in the infant’s care are important responsibilities.

REFRACTIVE ERRORS

The power of your eye to focus and see an image clearly is dependent on several structures within the eye:

The cornea is a transparent dome-shaped tissue that forms the front part of the eye. It functions as a window and allows light to enter the eye. It also begins the process of focusing light rays that allow you to see words and images clearly.

The lens is composed of transparent, flexible tissue, located directly behind the iris and the pupil. It is the second part of the eye, after the cornea, which helps to focus light and images on the retina.

AMBLYOPIA MANAGEMENT

The amblyopic eye must have the most accurate optical correction possible. This should occur prior to any occlusion therapy because vision may improve with spectacles alone. This improvement is frequently seen in patients with unilateral refractive amblyopia.

Full cycloplegic refraction should be given to patients with accommodative esotropia and amblyopia. In other patients, a prescription less than the full plus measurement that was refracted may be prescribed given that the decrease in plus is symmetric between the two eyes. Because accommodative amplitude is believed to be decreased in amblyopic eyes, one needs to be cautious about cutting back too much on the amount of plus.

EYE SPECIALIST JUST A STEP AWAY FROM YOU

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