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PEDIATRIC OPHTHALMOLOGY

image1Pediatric eye care comprises a wide range of evaluations and treatments for our young patients, from screening for normal vision to caring for the most complicated eye conditions.

Children should have routine vision and eye examinations at their regular primary care appointments with their pediatricians. If there is cause for concern or further evaluation, a pediatric ophthalmologist is best qualified to provide the necessary care. Once in treatment, it is best to make sure your child is consistent with recommended follow-up appointments, to allow the physician to monitor conditions closely and accurately. Some of the conditions that we care for among our patients include:

Poor Red Reflex:

If a parent or primary care provider notices a white reflex coming from the eye(s) or the usual red reflex from the eyes appears abnormal, urgent consultation with a pediatric ophthalmologist is necessary. A condition called retinoblastoma, the most common intraocular tumor of childhood, could be responsible. Other serious, vision threatening causes, include congenital cataract and coloboma of the eyes.

Childhood Strabismus:

Strabismus is the medical term for eye misalignment, also known as crossed eyes or wandering eyes. Strabismus can develop at any time during childhood, but most commonly develops between birth and age 5. Untreated, strabismus can harm depth perception. If one eye becomes dominant, amblyopia, or poor vision, can also occur.

Amblyopia:

Poor vision in one or both eyes that develops during childhood in an otherwise normal eye is called amblyopia. The most common causes of amblyopia, or poor vision from disuse of the eye, are strabismus and anisometropia, a difference in the power between the two eyes. Strabismus can often be easily identified by a parent or primary care provider. However, anisometropia is more difficult to identify. Vision screening at school or at an ophthalmologist’s clinic can help detect poor vision in one eye.

Adult Strabismus:

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We see adults who have a persistent misalignment from a previous childhood strabismus, as well as adults who develop double vision. We often can treat the double vision with prisms or surgery.

Double Vision:

When the eyes become misaligned  (also known as crossed eye; lazy eye; wandering eye; strabismus), a patient will typically develop blurred vision, double vision or frontal headaches. This misalignment can occur from many different causes including diseases that affect the eye muscles, nerves or the brain. It is very important to understand the cause of the misalignment so that proper treatment can be provided.

Lazy Eye:

Most people are familiar with children having a lazy eye, and they are surprised to know that lazy eyes can also develop in adulthood. Common causes for lazy eye in adulthood include vision loss and muscle or nerve weakness. Regardless of the cause, it can almost always be fixed.

Asthenopia:

Some patients have an underlying tendency for the eyes to separate where the only symptoms are eye strain, forehead discomfort or headaches.

Convergence Insufficiency:

Following trauma, patients can have many different reasons to have blurred or double vision. One of the most common causes is an inability for the eyes to work together when a patient is looking up close. This can cause fatigue and eye discomfort while reading.

Treatment

Our surgeons have expertise in diagnosing and treating all causes of adult strabismus. Treatments include prism therapy, Botox injections and strabismus surgery