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