Paediatric ophthalmology

2005 ◽  
pp. 533-552
2013 ◽  
Vol 33 (1) ◽  
pp. 80-82
Author(s):  
Ujjowala Devi Shrestha

Children are primarily examined by paediatricians. In Nepal, child health is in low priority due to illiteracy, there is total lack of awareness about children’s eye health. The common avoidable causes of childhood blindness are refractive errors, amblyopia, retinopathy of prematurity (ROP), vitamin A deficiency (VAD), xerophthalmia, ophthalmia neonatorum (ON), congenital cataract, and retinoblastoma. Paediatricians could be the key persons for early referral of these children to a paediatric ophthalmologist. Paediatricians can send the patients for eye examination after birth within 6 weeks, at 6 months, at one year and before going to school. In conclusion, early screening and referral by the paediatricians to the paediatric ophthalmologist prevents children from being sightless. DOI: http://dx.doi.org/10.3126/jnps.v33i1.7605 J Nepal Paediatr Soc. 2013;33(1):80-82


Author(s):  
Alastair K.O. Denniston ◽  
Philip I. Murray

‘Paediatric ophthalmology’ provides the reader with a practical approach to the assessment and management of ophthalmic disease in children. After outlining the relevant embryology of the eye, the chapter addresses the key issues and clinical presentations arising in children, before going on to discuss specific diseases such as ophthalmia neonatorum, orbital cellulitis, congenital cataract, uveitis in children, glaucoma in children, retinopathy of prematurity, metabolic diseases and developmental abnormalities. Using a patient-centred approach the key clinical features, investigations and management (including medical and surgical treatments) are described for each condition.


2020 ◽  
pp. archdischild-2020-318991
Author(s):  
Alexandra O Robertson ◽  
Valerija Tadić ◽  
Mario Cortina-Borja ◽  
Jugnoo Rahi

ABSTRACTObjectiveTo explore feasibility of using child/young person patient-reported outcome measures (PROMs) routinely in practice, using vision-specific instruments and paediatric ophthalmology as the exemplar.MethodsParticipants comprised patients aged 8–17 years, with visual impairment or low vision (visual acuity of the logarithm of the minimum angle of resolution (logMAR) worse than 0.3 in the better eye), attending the Department of Ophthalmology at Great Ormond Street Hospital, London, UK. All participants completed age-appropriate PROMs before attending their outpatient appointment. Half were randomly assigned to completion at home, with the choice of paper-and-pencil or electronic format. The other half were invited to complete PROMs during their hospital appointment, and randomly assigned to completion format. All participants completed a face-to-face survey exploring their attitudes and preferences. Analysis comprised survival analysis, and direct comparisons of proportions, with complementary qualitative data analysis.Results93 patients participated. 48 (98%) completing PROMs at home chose the paper-and-pencil format. Completion at home took longer than at hospital (median=20, vs 14 min, p<0.001). Visual acuity was associated with completion time (p=0.007) and missing data (p=0.03). Overall, 52 (60%) reported a preference for completion at home but there was no clear preference for format (37 (43%) preferred either format).ConclusionPROM completion at home ahead of hospital appointments may be preferable for collecting complete, high-quality datasets. Despite equipoise on preference for format, the majority of those completing at home chose the traditional paper-and-pencil format, despite impaired sight. These findings should inform implementation of child/young person PROMs into routine practice.


2001 ◽  
Vol 46 (5) ◽  
pp. 158-158
Author(s):  
S Sutherland

2018 ◽  
pp. 165-192
Author(s):  
Sing Harn, Janice Lam ◽  
Shufen, Cheryl Ngo

Eye ◽  
2020 ◽  
Vol 34 (12) ◽  
pp. 2197-2218 ◽  
Author(s):  
J. E. Self ◽  
R. Taylor ◽  
A. L. Solebo ◽  
S. Biswas ◽  
M. Parulekar ◽  
...  

AbstractCongenital and childhood cataracts are uncommon but regularly seen in the clinics of most paediatric ophthalmology teams in the UK. They are often associated with profound visual loss and a large proportion have a genetic aetiology, some with significant extra-ocular comorbidities. Optimal diagnosis and treatment typically require close collaboration within multidisciplinary teams. Surgery remains the mainstay of treatment. A variety of surgical techniques, timings of intervention and options for optical correction have been advocated making management seem complex for those seeing affected children infrequently. This paper summarises the proceedings of two recent RCOphth paediatric cataract study days, provides a literature review and describes the current UK ‘state of play’ in the management of paediatric cataracts.


2012 ◽  
Vol 06 (01) ◽  
pp. 7
Author(s):  
Matteo Sacchi ◽  
Massimiliano Serafino ◽  
Paolo Nucci ◽  
◽  
◽  
...  

Although interest in optical coherence tomography (OCT) has increased markedly during the past decade in many fields of ophthalmology, there are only a few reports of the use of spectral domain (SD)-OCT in paediatric ophthalmology. In this article, the authors describe the use of SD-OCT in children as a new indication for OCT. Paediatric patients with aniridia were examined for the presence of keratopaty, cataract, glaucoma and foveal hypoplasia. Children with cataracts were followed for six months after surgery. The type of cataract, intraocular lens position, posterior capsule opacity and corneal incision healing were visualised by SD-OCT. In total, 24 eyes with aniridia and seven eyes with congenital cataract were enrolled. OCT was able successfully to detect ocular conditions associated with aniridia. After cataract extraction, OCT was also used to follow corneal incision healing and the development of posterior capsule opacity. In children with aniridia and congenital cataract, OCT can provide clinically relevant information. With the introduction of new generation, high-speed OCT, paediatric ophthalmology is likely to become a new and interesting target for OCT.


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