Pediatric Ophthalmology

Q. Eye symptoms to be aware of in Children?
Ans.
Watering in eye.
Abnormal eye movements
Squinting of eye
Rubbing of eyes
Abnormal head posture
Reading book keeping very close to face.
Difficulty in seeing the black board, TV from distance
Discoloration of eye, Yellow pupils.

Q. Which new born children should be examined for eye?
Ans.
Premature babies
Babies born to mothers with vaginal discharge
Babies born to mothers who have a history of fever during pregnancy
Mothers taking medicines for some ailment during pregnancy
Babies with body deformities

Q. Will the spectacle number decrease with time and with good diet in children?
Ans.
The spectacle number can vary during the developing stage, roughly upto 17 years of age.
Good diet may help but does not ensure decrease in the spectacle number.

Q. Do children have the Cataract, Glaucoma & Squint and should they be operated on?
Ans.
Yes, children can have the Cataract, Glaucoma & Squint and they should be operated on early in order to prevent permanent loss of eye sight.

Q. How does occlusion of good eye improve vision in Amblyopia (lazy eye), how long should it be done?
Ans.
Forceful use of the weaker eye improves the vision and the occlusion should be carried out sincerely as advised.

Cataract

Q. When should I get cataract operated?
Ans.
When you, start seeing double images
When blurring of vision affects daily routine activities
When driving at night become difficult
When glares of light start affecting driving or daily routine work

Q. What Precautions should I take after cataract surgery?
Ans.
Avoid direct contact with water for 2 days
Avoid lifting heavy weight
Eye strain for long hours
All types of food can be had
Proper care & instillation of drops is required
Wearing dark goggles for some days

Top
Can Medicines reduce my cataract?
Ans.
NO, some medicines can delay but not reduce cataract.

Q. Will I require glasses after cataract surgery?
Ans.
Depends on the type of Lens used in the surgery
Normally used lenses usually correct only for distance vision, however glasses may be required for Sharper vision and definitely for near reading
Multifocal lenses correct both for near, distance and intermediate vision (laptop or computer etc)

Q. Does cataract come back after cataract surgery?
Ans.
No, cataract does not come back, a thin membrane like structure may appear behind the lens which can affect vision. It can be removed with laser (different from laser used for lasik)

Q. When should I get the other eye operated for cataract?
Ans.
A minimum of one week can be kept in between the two surgeries. Otherwise cataract surgery is an elective surgery.

Q. Should any season be preferred for getting eye operated for cataract?
Ans.
No, all seasons are good, if antiseptic precautions are taken by the doctor and by you.

Cornea

Q. What precautions should I take in eye infection?
Ans.
Avoid direct contact of eye with cloth, pillow, towel etc
Washing the infected persons clothes separately
Keeping eyes clean with cotton or disposable tissue
Avoiding public places
Avoid going to work/school till the discharge subsides

Q. Who are suitable candidates for LASIK?
Ans.
Spectacle number should be stable for at least one year
Age should be more than 20 yrs
Should not be pregnant
Should be off contact lenses for at least for 3 days to 3 weeks, depending upon the type of contact lenses) before the laser
Your cornea should be of adequate thickness as assessed by your doctor
Fit for lasik as assessed in pre lasik Work Up

Q. Who cannot donate Eyes?
Ans.
HIV positive
Hepatitis B (+ve)
Any-body Infection
Cancer Spread to Eye
Rabies + ve
Time since death more than Six hours
Infected Eyes
Death From unknown cause
Prior refractive procedures

Glucoma

Q. Who should get examined for Glaucoma?
Ans.
Family history of glaucoma
Using steroid Eye drops or Oral steroids for a long time
Trauma to eye
High myopia or Hypermetropia
Age above 40
One sided recurrent headaches
Frequent change in glasses

Q. Do all patients of glaucoma require surgery?
Ans.
No, only those patients whose eye pressure or damage to optic nerve is not controlled with eye drops require surgery.

Q. Will I get back my vision after treatment of glaucoma?
Ans.
No, the treatment aims at stopping further damage not on recovery of lost vision.

Q. Can I stop glaucoma eye drop once my pressure gets normal?
Ans.
No, the treatment has to continue forever inorder to curtail further damage and maintain the normal eye pressure.