PAEDIATRIC OPHTHALMOLOGY & SQUINT

1. Squint Management

A Squinting eye is a condition of deviated eye. Since the eye is deviated away from the visual axis so it is deprived from the vision stimulus. If the deviated eye is left uncorrected the child by the age of 6 years, that eye will become permanently lazy. The Squint correction of the deviated eye back to visual axis by the age of 6 years can prevent a baby permanently going blind. Our centre having facility of General Anaesthesia and surgeon like Dr Shivendra Sahay is capable enough for saving the vision of such kids.

2.Management of Congenital & Paediatric Cataract

Unlike adult Cataract, such cataract needs to be done under General Anaesthesia which our centre is having. Our surgeon is well trained to do Posterior Capsular Rhexis advisable in doing such cataracts. Apart from this we have VR setup to do Pars Plana Lensectomy in conditions where it is needed.

3.Management of Congenital Glaucoma

Unlike adult Glaucoma, Congenital Glaucoma needs to be done under General Anaesthesia which our centre is having. If the surgical treatment of Congenital Glaucoma is delayed beyond 6 years, not only there is risk of Optic Atrophy but there is also risk of development of Amblyopia even if we manage to save the Optic Nerve by conventional treatment. Chances of vision deprivation is always there because of Corneal Edema, etc. Our surgeon is well trained to do the procedure Trabeculotomy and Trabeculectomy advisable in doing Congenital Glaucoma.

Congenital Glaucoma of baby of 1 month treated – The Mile Stone Achievement of Glacoma Unit of this centre- Nearly One and half decades back a baby named xyz Gupta shown in this photograph of Saran Distt was operated with T & T Surgery by Chief Consultant-Dr Shivendra Sahay under General Anaesthesia given by Senior Anaethetist Dr. Mukesh Kumar Sinha.This surgery was recorded and documented for the first time in the state of Bihar.The First eye of the baby was operated at the age of one month and the second eye was operated at age of two months.With the successful surgeries, the vision of both the eyes of the baby was saved who now has cleared her matriculation examination.

4.Management of ROP & Retinoblastoma of Children

With availability of LIO and Cryo Therapy and availability of services of eminent VR Surgeon like Dr Manish Tandon having vast experience of managing cases of ROP in capacity of Associate Professor and Incharge of ROP Unit, Aravind Eye Hospitals, masurai, Our centre (CSN Netralaya) too can manage babies having ROP and Tumors like Retinoblastoma.

5.Eye having Anisometropic Amblyopia that is one eye having Asymmetric refractive error with reference to other eye

In this condition where two eyes have different refractive errors, a small child often sees with the better eye that is the eye having power closure to zero. The other eye having more refractive error starts becoming lazy and it becomes lazier and lazier with the passage of time. If the worse eye does not get appropriate glass before 6 years of age, the worse eye permanently go lazy and no treatment can further help. Our centre is well equipped and trained for correction of Refractive error in Paediatric age group especially before 6 years of age through Refraction under Cycloplegia. Our centre is also equipped for Amblyopia management through Occlusion therapy and Synaptophore Exercises. Our centre strongly advocates for School Screening Programs to prevent such blindness.