Pediatric Ophthalmology – Spectrum of Conditions
Dr. Madhu KarnaPediatric Ophthalmologist
India
ROP-Psuedostrabismus
Congenital cataract
With glasses after cataract surgery both eyes
With contact lenses after surgery
Meningocele Congenital Dacryocele
Refractive errors
With Contact Lens
Amblyopia
Congenital syndrome - Hurler’s Syndrome
• Corneal clouding
• Glaucoma
RE- squint due to hydrocephalus
Retinoblastoma -Extension from orbit to brain
Cerebral Palsy - Hemiatrophy
ACCOMODATIVE ESOTROPIA
INTERMITTENT ESOTROPIA ORTHO WITH GLASSES
CONGENITAL ESOTROPIA
ESOTROPIA WITH LE IOOA 6 WEEKS POSTOP
PREOP CONSECUTIVE EXOTROPIA
PREOP WITHOUT GLASSES
POSTOP FIRST DAY
Accomodative esotropia
Beware of a patient like this before you operate her
• High myope – Status post OD:CLE, OS:Lasik
Investigate the track of the muscles before you set them straight
INTERMITTENT EXOTROPIA PREOPERATIVE
INTERMITTENT EXOTROPIA POSTOPERATIVE
Refractive error with IDS
Squint - before and after surgery
Extraocular movements
•RE – limitation of depression in abduction, LE – limitation of elevation in adduction
Head Tilt
25 pd R/L 20 pd R/L
Diplopia charting – Maximum separation of images in detroelevation with the right eye image crossed and depressed.
AHP DISSOLVED- 6 WEEKS
Swelling Left lower lid - cysticercus
Injury LE with a fist-fracture floor orbit with elevation limitation
Cafe au lait spots –bilateral optic nerve
glioma
Proptosis RE – Optic nerve sheath Meningioma
Red eye - AV malformation
Central fundus exam
Optic disc coloboma
Post neuritic optic atrophy
Nystagmus with Face Turn
Thank you