Squint & Paediatric Ophthalmology

Squint is a condition in which the eyes are not properly aligned with each other.

Take a good look at your child while he/she is playing or watching a TV and note if any of the following are present.

Squeezing his/her eyes while looking at book/TV/Toys.
Tilting the head while talking, walking/ playing.
Going to close to the book or TV.
Recurrent eye pains, headaches.
Avoids reading, colouring most of the time.
Has bad handwriting at school.
Eyes turning inwards/outwards.
Difficulty in seeing in sunlight, bright light in the evening.
Itching, Watering.
If any of the above are present then you should suspect the child to have a possibility of eye problem. The problem could be either glasses or squinting of the eyes. These are easily treated and a proper screening of the child having any of the above complaints is needed to rule out any other causes as well.

SHOULD ALL CHILDREN BE SCREENED?

All children should be screen by an eye doctor for the first time at 3-4 years of age however if any of the following are present then the child should be brought to the eye doctor at the earliest:
One or both parents wearing glasses.
History of consanguity (marraige among cousins) in family.
Premature delivery.
Birth weight less than 1.5 Kgs.
History of any congenital defects like heart, kidney etc.
History of febrile fits or any convulsion.
History of admission in the ICU- incubation/ventilation given to child.
Behavioural disorders or any developmental delay in the child.
History of colour blindness and retinal disease in family.

WHY SHOULD AN EYE DOCTOR SEE A CHILD?

Early detection of eye sight problem gives rise to better vision development.
Good vision correction causes good performance at school and home.
Squinting of eye if diagnosed early can be treated with exercises and glasses in some cases.
It is possible to give the child good binocular (coordinated) development of eyes.
Other behaviouaral, social problems if present in the child will also benifit in their treatment.

Comprehensive preschool eye check

This involves a complete screening of a child for vision, squint, retina and optic nerve disorders. For preschool eye check up following examinations are carried out.
Examination of anterior part of the eye: screening for congenital corneal disease, anterior chamber, lens diseases.
Vision testing: ability of the eye : screening for congenital corneal disease, anterior chamber .
Examination of presence of any deviation or squinting of the eyes: This is carried out by special measuring instruments that are child friendly and not intimidating of the child in any way.
Binocular vision function of eyes testing: here the tests performed ascertain whether there is coordinated use of both the eyes.
Color vision, pupil and contrast sensitivity testing.
Examination of the intraocular pressure: This is done in children specially with a positive family history of glaucoma.
Check for confirmation of eye glass power: by special eye drops after relaxing the eye muscle so that any glass power that is hidden and not apparent can also be screened.
Examination of retina and optic nerve.


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Pediatric Ophthalmology

Squint & Pediatric Ophthalmology

Pedetric Opthology services at Sunder Netralaya