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.