The eye of a child is different from that of an adult because it is still immature and developing. Good vision is dependent on the proper development of the eye and with good connections between the eye and the brain. Therefore, any condition affecting the child’s vision must be treated at the earliest. This is the most important reason why pediatric ophthalmology has emerged as a separate subspeciality. The team of pediatric ophthalmologists at Narayana Nethralaya is dedicated towards providing the best eye care for children.

Can all problems of the eye be solved with glasses alone?

The Answer is NO.
The treatment of several problems in the eye is not as simple as glasses or surgery.

Just the way you hit a gym to strengthen your physique when its weak, the function of the eye and its muscles too can be enhanced with exercises when they are weak.

ABC clinic comprising of Amblyopia clinic, Binocular vision clinic and cortical visual impairment clinic deals with just these intricate issues of the eye.

Narayana Nethralaya – one of the best eye hospitals for your child.

Over half of the world’s blind children live in India alone. India has approximately 270,000 blind children and the control of blindness in children becomes important for the following reasons

  • though only 3% of the world’s blind population are children, the number of ‘blind person years’ resulting from childhood blindness is second only to age related cataract.
  • Many of the conditions associated with blindness are also causes of child mortality; for example, vitamin A deficiency, measles, prematurity, congenital rubella syndrome and meningitis.
  • Loss of vision has a significant impact on the child’s psychological, educational and socio-economic conditions, not only during childhood, but extending into adulthood.

A population based study conducted by Narayana Nethralya showed the prevalence of childhood blindness to be 0.9/1000 children in India.

FAQ

Pre Operative Instructions for Cataract Surgery FAQs

The Pediatric wing dedicated to children is adapted in a child friendly manner to cater to the needs of your child. The area also has a play area and feeding room. All the tests that need to be done for your child are strategically located on the same floor to speeding up the process.

Apart from a dedicated team of pediatric ophthalmologists who can treat common eye problems in children like refractive errors, allergies, squint, conjunctivitis, cataract, stye etc., we also have various other specialties who are capable of handling other less common eye diseases in children

Glaucoma services – for diagnosis and treatment of congenital glaucoma, juvenile glaucoma and secondary glaucoma

Cornea services– for diagnosis and treatment of corneal diseases. We have a specialized Keratoconus clinic armed with state of the art equipment and expert doctors to treat keratoconus in children

Oculoplasty services: for evaluation and treatment of ptosis, orbital masses and orbital trauma

Ocular oncologyservices: for diagnosis and treatment of childhood eye malignancies like retinoblastoma

Electro-physiology department: for diagnosing and prognosticating retinal dystrophies and other retinal diseases using tests like ERG, EOG and VEP

The presence of all the expert doctors under one roof enables the child to get the best of the comprehensive approach that we as doctors have adopted in managing patients here especially children

Several eye conditions can affect children. Signs that indicate a child may have vision problems include:

  1. A child with poor vision may manifest in the following ways:
  • Sits too close to the TV
  • Has trouble reading the blackboard ormakes mistakes when copying from the black board
  • Stumbles or trips over things easily
  • Keeps books or reading materials very close to the face
  1. Squinting or crossing of eyes
  2. Adopting an unusual position of head or face (looking through the sides)
  3. Shaking of the eyes
  4. Itching or rubbing of the eyes
  5. Discharge from the eyes
  6. Redness in the eyes
  7. Sensitivity to light
  8. Eyes appear to bulge
  9. White reflex in the center of the eye – which can be a sign of serious and potentially blinding eye diseases such as cataract, retinal detachment or uveitis

Any of the above symptoms or complaints from your child should not be neglected. Some eye conditions and diseases are hereditary and can affect your child as well. Consult your child’s doctor or an ophthalmologist at the earliest for early detection and treatment of eye disorders.

While the brain is 90% structurally developed by the time a child turns one year old, the functional development of the brain is a continuous process which also depends on learning and information. In a similar manner, a child’s eyes and the connections between the eye and the brain are also immature and still growing. This growth and maturity can get affected by poor vision due to various causes, and can lead to a condition known as lazy eye or amblyopia, where one of the eyes or less commonly both eyes do not reach its full visual potential. If the cause of lazy eye is not corrected in time, it can lead to permanent loss of vision. Treatment of the cause at a later age cannot restore vision in the lazy eye.

Causes for lazy eye include:

  1. Squint
  2. Unequal refractive error
  3. Uncorrected high refractive error in both eyes (hyperopia, myopia or astigmatism)
  4. Cataract
  5. Corneal opacity
  6. Drooping of eyelid
  • Congenital eye diseases or genetic eye diseases such as coloboma (structural defect in the eye due to defective development), subluxation or decentration of lens (ectopialentis- weakening of the zonules or anchors which hold the lens in its place), ptosis(drooping of eyelid)
  • Retinopathy of prematurity (ROP) seen in premature babies, especially those with low- birth weight, septicemia, infections, prolonged ventilation etc. ROP is a potentially blinding condition if not picked up and treated in time
  • Congenital or developmental cataract, which can be hereditary or due to infections, trauma or drug induced
  • Cortical visual impairment(CVI), which is impairment in vision due to damage to the visual area of the brain occurring especially during the neonatal period
  • Certain malignancies such as retinoblastoma which can occur especially in children
  • Children with certain systemic diseases may be at a higher risk of acquiring certain eye diseases. Some of these systemic diseases include:
  • Juvenile rheumatoid arthritis
  • Juvenile diabetes mellitus
  • Meningitis
  • Nephrotic syndrome
  • Metabolic disorders
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  • Pediatric ophthalmology, which includes a special visual assessment and refraction testing for babies
  • Pediatric retina
  • Ocular oncology services for Retinoblastoma
  • Amblyopia, binocular vision and CVI treatment clinic (ABC clinic)
  • Myopia clinic
  • Visual rehabilitation
  • Aashraya – Support group for children with blinding eye diseases
  • Correction of refractive error
  • Treatment of squint, with glasses
  • Squint surgery for children
  • Squint surgery for adults
  • Pediatric cataract surgery
  • Membranectomy and YAG capsulotomy (for PCO or posterior capsular opacification)
  • Secondary IOL implantation (for children who are aphakic)
  • Botox injection for squint/nerve palsies
  • Prism trial and prismatic correction of double vision
  • Amblyopia treatment (Home based and office based)
  • Orthoptics exercises at binocular vision clinic
  • Therapy for children with Cortical visual impairment (CVI) including vision therapy, speech therapy, physiotherapy, occupational therapy, special education
  • Visual rehabilitation
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Our patient care philosophy

At Narayana Nethralaya, “Quality of Care” and “Patient Safety” is our priority.  Concern for our patients’ well being is at the core of what we do, and what drives us.  Five units of Narayana Nethralaya are NABH Accredited – the highest national recognition for quality in patient care and safety. Our Pediatric team help patients make an informed treatment choice on the type of treatment and surgery that is best suited for their lifestyle. We have an exclusive counseling team to address any doubts or questions that people may have about Pediatric treatment options, procedures, preoperative testing and post surgery recovery.