THONEH’s Paediatric Ophthalmologists aim to ensure that each child has a bright and clear future. With the latest technologies and internationally recognised best practices supporting our specialists, we ensure your child is given optimal eye care for the various conditions affecting the paediatric population.
Among the commonest eye problem in children are:-
Refractive errors occur when the refractive power of the eye does not connect with the axial length of the eye, so the image does not fall on the retina.
All babies should have had their first eye examination at 6 months of age.
A second eye examination at age 3-4.
All children should have an eye examination at the age of 6, just before starting school.
Children with refractive errors should have an annual eye check till adulthood.
Prescription eye glasses correct refractive errors and allow clear vision. In the recent year there are new options in the treatment of refractive errors. Myopia control treatment using special ophthalmic lenses can be opted for to prevent the progression of refractive error. Contact lens wear using special hard lens and long term use of eye drops can also be opted.
Reduced vision in one or both eyes due to deprivation of vision.
Amblyopia is a term used when the vision of one eye is reduced because the affected eye and the brain do not work together properly.
Amblyopia is diagnosed with refractive assessment and orthoptic assessment
Strabismus refers to the squinting of the eye.
In children the following factors may cause strabismus:
The treatment of strabismus depends on its root cause.
At times a combination of treatment modalities is required to obtain the best result possible.
It is important that children with this condition have regular check-ups with their Paediatric Ophthalmologist and Orthoptist
Congenital cataract refers to lens opacity present at birth. Congenital cataracts may affect either one or both eyes. The severity may also vary where while some congenital cataract does not significantly affect vision, others may cause severe, long-term visual impairment.
Congenital cataract is responsible for nearly 10% of all vision loss in children world wide. It is one of the most common treatable causes of visual impairment and blindness during infancy, with an estimated prevalence of 1 to 6 cases per 10,000 live births worldwide.
Congenital cataract has a wide range of potential causes. This includes genetic, metabolic, infection, and even as a side effect from the medication that the mother took during pregnancy.
Congenital cataracts most often look different than other forms of cataract. Symptoms may include:
The cataract can be removed with surgery. The younger the child, the greater the urgency is to remove the cataract due to the risk of amblyopia. However, other factors will also be taken into account. If the cataract is too mild to affect vision, paediatric ophthalmologist may not consider performing the surgery immediately, but instead will continuously monitor the cataract and the child’s visual development until he/she reaches adulthood.
As parents, be wary of the symptoms stated above. Easiest sign to detect is the white appearance at the centre of the eye. If a parent suspects his/her child has congenital cataract, immediate consultation with paediatric ophthalmologist is needed. This is to ensure that the child’s visual development is not affected which may lead to life-long visual impairment.
Ptosis is a drooping or falling of the upper eyelid. If severe enough and the child left untreated, the drooping eyelid can cause other conditions, such as amblyopia or astigmatism. Ptosis can affect either one or both eyes.
Ptosis occurs due to dysfunction of the muscles that raise the eyelid or their nerve supply. While mostly an acquired disease, congenital ptosis can be hereditary where a child is born with it. Congenital ptosis is also associated with Horner’s Syndrome.
Ptosis can be detected by the droopy appearance of the eyelid. In cases where it only affects only one eye, comparative position of the eyelids is the easiest method that parents can use to detect ptosis. In cases where it affects both eyes, parents may judge by the abnormally droopy appearance of the eyelids.
Congenital ptosis may require surgical correction if severe enough to interfere with vision or if cosmetics is a concern.
Parents who suspect ptosis in their children should seek immediate consultation with a paediatric ophthalmologist as ptosis may cause astigmatism and amblyopia.