Squint & Pedriatric Ophthalmology Services

Eye problems in children are common place. Childhood eye problems include wandering eyes, eye injuries, eye infections, and vision problems. You child’s eyes are precious. So watch out for symptoms and warning signs! If you notice anything uncommon or unusual, take the child to an eye doctor for a check-up immediately.

What Should You Watch Out For!

One eye is turned up or down or Cross eyes or if one eye is turned in or out.

One eye looks different from another because of larger or smaller pupil.

Eyes that looks swollen, red-rimmed, crusty, or bloodshot.

Discharge of blood, fluid, or red bumps on the eyelids.

The child’s colour photo shows pupil with white reflection instead of red.

Observe The Behavioural Changes In The Child

Tilting or turning or closing one eye to see things.

Peering or squinting to see distant objects or people.

Sitting very close to TV or bringing books or things close to the face. This is normal, but it is not a good sign if child does it in a regular manner.

Blinking or rubbing the eyes in a frequent manner.

Running into objects and falling down at night or in dimly lit places.

Talk And Pay Attention To What The Child Is Saying

I am not able to see the chalkboard at school.

These objects look funny or blurry.

There is something in my eye

I am getting hit in the eye

I have pain in the eye/eyes

I cannot look at the light as it hurts

What is Wandering Eye?

Wandering eye is a condition in which the child’s eyes do not work well together for some reason or the other. One eye shows ‘laziness’, or it wanders all over the place or it moves in different directions such as in or out, or up or down. In such situations, the brain receives different images from each eye. The brain responds to this condition by switching back and forth between the two images, or it may completely turn off the weaker image.

What is Squint (Strabismus)?

Squint is an eye condition wherein the two eyes point in different directions. This is called by the eye doctors as Strabismus. This is a misalignment of the eyes in which the child cannot focus properly. One focuses on a particular object while the other eye looks away from the same object. Sometimes the focus shifts to and fro or back and forth between the object and surroundings. Occasionally, you can also notice one eye looking upwards while the other eye is looking downwards.

Vision Problems :

Children have vision problems when they have trouble seeing objects that are near or far. There is failure to see far away objects (near-sightedness) or those that are up close (far-sightedness). Sometimes, the child sees both near and distant objects as blurred due to excessive farsightedness.

The front part of the eye is called as cornea. If the child’s cornea is irregularly curved (astigmatism), he or she sees blurry objects at all distances. Such common vision problems in childhood can be corrected easily with glasses or contact lenses. However, Failure to get these vision problems corrected in time can lead to amblyopia (one eye becomes lazy and there is good vision only in the other eye).

Nonsurgical Management Of Squint:
Optical Management Steps:
The eye sight has to be checked regularly at the optician to calculate the refraction so that correct spectacle power can be prescribed.
Practise eye exercises suggested by the ophthalmologist.
Get early treatment for amblyopia on eye doctor’s advice.
Surgical Management Of Squint:
Surgery is suggested by the eye doctor only if other treatments have become unsuccessful in correcting a squint.
Strabismus Surgery:
Each eyeball has six different muscles attached to it and they tend to work only in pairs. If a muscle is too strong in the strabismus patient, it may cause the eye to turn in or out or rotate too low or high. A weakness in eye muscles may also cause misalignment in certain other cases. In such cases, the cranial nerve has a dysfunction which makes the muscles have poor control over the movement of eyes.
The surgery is conducted primarily to improve the alignment of the eyes in order to help them work together. The appearance of the eyes also improves as a result of the operation. The surgeon may decide to operate on both eyes even if the squint is only in one eye so as to achieve proper balance.
The surgery will normally involve the following procedures –
The outer muscles attached to the eye are moved to a new position.
The normal procedure is that in a pair of muscles one is weakened and the other is strengthened to make the eyes straighter. The surgeon may use adjustable sutures to perform minor adjustments as a post-operative procedure to achieve the best possible position for the eye.
Strabismus Surgery Involving Recession and Resection Procedures.
The six outside muscles which control the eye movements are called as extra-ocular muscles. These muscles may be too weak or too strong resulting in irregular eye movements.
The recession method is used to weaken muscles which are too strong. If a muscle is too strong, then the surgeon detaches it and reattaches it farther back in the eye to weaken its relative strength. If the muscle is too weak, then its opposing muscle is weakened to restore a more balanced functioning.
Resection is used to strengthen muscles to correct misalignments associated with strabismus such as esotropia or inwardly turned eyes. The lateral rectus muscles are the muscles which are located on the side of each eye towards the ear. These muscles are detached and reattached at a different location to increase relative strength so that the child can turn the eyes in the outward direction much farther. The eyes also achieve better alignment after this surgical procedure.
Adjustable Suture Strabismus Surgery
This surgery is suggested for those who develop strabismus in adulthood due to changes in eye alignment at a later stage.
Patient is taken to the operating room and general or local anaesthesia is administered by the anaesthesiologist.

The surgeon adjusts sutures to hold eye muscles in place after a resection procedure.
The operated eye is patched and the patient has to wait for 24 hours.
The patch is removed after anaesthesia and sedation have faded.
Ocular alignment is then evaluated by the surgeon to decide whether to strengthen or weaken the muscle further.
The sutures are adjusted to tighten or loosen the treated muscle to achieve the desired alignment.
This adjustment may cause mild discomfort due to tightening of the muscle.
The surgeon ties the adjustable suture permanently in place to complete the procedure.

Our Services:

Synoptophore Exercises

Clinical Examination Using Anaesthesia

Investigation Using Probing And Syringing

Amblyopia Therapy.

Anomalies Management Through Convergence And Accommodation

Squint Surgery Including Complicated Strabismus Correction

Paediatric Cataract

ROP Laser