Paediatric2018-11-22T07:20:20+00:00

Paediatric Ophthalmologist


 
 
 
 
 
 
 

Not all patients are candidates for LASIK and Contoura Vision treatment. A qualified ophthalmologist must conduct a thorough eye exam and health history to make sure a patient will benefit from the procedure. At Eyemantra Eye Centre in New Delhi, Our team of eye specialists evaluate the unique eye conditions of each patient and recommend a treatment plan that will provide the best visual outcome.

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How is the eye of the child different?

Just as a particular doctor is required for your child’s general health, even the eyes of a child need specialist care. It is because the considerations in terms of eye care are entirely different from those in adults. The reasons for this are as follows:

  • The brain-eye connections are not fully made, so any deprivation of vision in early childhood, if it remains uncorrected, can result in lazy eye or amblyopia. These means that the visual potential of the child becomes limited, and even proper corrective glasses cannot help in later help. Amblyopia therapy is critical in the early years of life
  • The congenital anomalies or disorders of development show up in the early years of life. These can range for refractive errors which merely require corrective glasses, to squint or misalignment of eyes, congenital nasolacrimal duct block, ptosis or lid droop and even cataract and glaucoma.
  • Infants who are born premature, of low birth weight or who have a prolonged tumultuous stay in the newborn nursery, are at risk for a disease called Retinopathy of Prematurity, RoP. RoP is potentially vision threatening and must be screened for in these high-risk
  • In settings of malnutrition, children are susceptible to Vitamin A deficiency, and its attendant eye problems including dry eye, corneal ulcers, and even blindness. Fussy and choosy eaters may also sometimes be deficient in some micronutrients despite being healthy and well fed otherwise.
  • Children, because of their active lifestyle and playing outdoors are more prone to eye allergies and trauma.
  • TV viewing, increased screen time and video games have given rise to a particular set of concerns in this age group.
  • There is a set of eye tumors and malignancies that are typical of infancy and childhood like retinoblastoma.

What are the special tests and services that Eyemantra Eye Centre offers for children?

The eye specialists and the ancillary team at Eyemantra Eye Centre are fully aware that our children require special nurturing and care to thrive, and achieve their full potential. The team of eye care professionals is happy to partner with you in your efforts to ensure the best eye care for your child.

Eyemantra Eye Centre offers state-of-the-art technology in child vision care, with the empathy and compassion that is the hallmark of the patient acre with the group. The specialist services and eye tests for children, in addition to primary eye care, include:

  • Vision assessment and refraction under dilation
  • Squint assessment and evaluation of binocular vision
  • Amblyopia therapy
  • Synaptophore assisted eye exercises for stimulating the eye muscles and binocular vision.
  • Management of all childhood infections and allergies
  • Trauma services
  • Examination under sedation or anesthesia, if indicated. Comprehensive pre-anesthetic check-up and post-operative care.
  • Glasses and low vision aids
  • Surgical and medical management of childhood and congenital disorders, as indicated: congenital cataract, congenital ptosis, glaucoma and squint.

The surgeries performed routinely by the pediatric eye surgeons at Eyemantra Eye Centres include:

  • Phacoemulsification with intraocular lens implantation with and without posterior capsulorhexis and vitrectomy.
  • Intraocular lasers for RoP.
  • Ptosis surgeries including sling surgery and other lid reconstructions.
  • Complex and straightforward squint surgeries including recti and oblique muscles, syringing and probing, dacryocystorhinostomy, trabeculectomy with MMC and Ahmed Glaucoma Valve implantation, as well as complex vitreoretinal surgeries and retinal lasers.

Which is best hospital for eye care in children?

For your child’s eye care, Eyemantra Eye Centre is the best eye clinic and some of the top pediatric ophthalmologists in Delhi, who understand the importance of healthy eyes and good sight for the overall development of a child.

They are not only exemplary in their professionalism and training, but also in their ability to make friends with your child, and ensure that the children look forward to a visit to the eye doctor.

The environment in the pediatric ophthalmology department is always relaxed, and the staff always eager to play with the children, ensuring trouble and hassle-free eye check-up for your precious little one.

How is cataract managed in children and what is its visual prognosis?

Pediatric cataracts can occur in one eye (unilateral) or both eyes (bilateral). They can be complete or partial and can be present at birth or occur sometime after birth. Cataracts can be partial at birth and later progress to become visually significant. In contrast to adults, cataracts in children present a special challenge, since early visual rehabilitation is critical to prevent irreversible amblyopia (lazy eyes). The earlier the onset, and the longer the duration of the cataract, the worse the prognosis. With new techniques and material in the treatment of congenital cataracts and improved surgical and clinical management, visual prognosis has improved. Now ophthalmologists operate as early as the first week of life and visually rehabilitate the child with either glasses or contact lenses.

Cataract surgery in children is done under general anesthesia. It involves removal of the cataractous (opaque) crystalline lens. This is often accompanied by surgical measures (primary posterior capsulorrhexis /anterior vitrectomy) to ensure the clarity of the central visual axis in the postoperative period, which can otherwise get obscured by the ‘after cataract’ (collection of inflammatory cells and fibrous tissue) formation. We currently consider IOL implantation in patients who are one year or older, and IOL implantation is the procedure of choice in children 2 years and older. The use of aphakic glasses or contact lenses continues to be the treatment of choice for congenital cataracts in neonates, while an IOL is preferred for children over one year of age. Postoperatively, the child will still require glasses after the IOL implantation. The child may require occlusion therapy for the management of amblyopia.

Our Team

Dr. Shweta Jain


“Qualification:MBBS, DNB (Opthal)”

Dr. Rajiv Mohan


“Dr. Rajiv Mohan is a renowned ophthalmologist who has been instrumental in providing quality eye care and education in Northern India, both in private and charitable sectors. He received his medical degree from University College of Medical Sciences, Delhi in 1985 and Masters in Ophthalmology from Karnataka University in 1989. In 1990 he did his advanced medical training in the field of vitreo- retina from England and got his FRCS (Glasgow) in 2002. ”

Dr. Sanjiv Mohan


“Qualification: MBBS from SMS medical college Jaipur
MS from Dharwad university, Belgaum.
Trained for higher surgical training in Scotland U.K for 2 years.
FRCS
Experience: Dr. Sanjiv Mohan has an experience of over 18 years as an Ophthalmologist”

Frequently Asked Questions

1. What are the usual symptoms indicating Cataract?
There is a painless, gradual decrease in vision. Early cataract is associated with difficulty in reading in normal light conditions, and extra illumination is required. Excessive glare and reduced sharpness can make night driving difficult. Some experience a rapid change in the number/power of glasses.
In advanced cases there is a complete loss of sight and lens becomes pearly white in colour.
If you experience any of the following issues, schedule an appointment with your eye doctor immediately:

  • Cloudy or blurry vision
  • Double vision (diplopia)
  • Fading of colours
  • Seeing halos around lights
  • An increased sensitivity to glare
  • A distortion of vision that makes objects appear as if you’re looking at them through a veil.
2.What are the problems associated with Cataract?
There is a painless, progressive reduction of vision. Initially, some help is achieved by changing the spectacle number, but in advance cases, the spectacles also prove to be ineffective.
Cataracts are the world’s leading cause of blindness, accounting for approximately 42 percent of all cases of blindness in all the countries, luckily its easily treatable in the present age through a simple surgery.
3. Who is normally affected by Cataract?
Cataract is a long-term problem that usually starts developing around the age of 40 and intensifies by the time an individual attains the age of 50 to 60. It is also caused by eye-trauma, long-term diabetes, corticosteroid medications or radiation treatments.
Some infants are also afflicted by cataract, which is caused as a result of infections during pregnancy. The disorder can also be a symptom of metabolic disease affecting the body’s processing of carbohydrates, amino acids, calcium or copper among infants and young kids. If left untreated, cataracts might also lead to blindness.
4. How long does it take to recover from the surgery?
There is usually no visible scarring, but at times the white of the eye can have a degree of redness.You may go home with an eye pad and shield, or just a shield. The pad can be removed after the first hour. The shield should be worn at night for the first week.
The eye may feel gritty, and sometimes you may experience some mild headache. These symptoms are common. The discomfort should rapidly improve over the next 24 hours. There should be no worsening of your symptoms. If your discomfort or a headache should deteriorate, you should contact your doctor immediately.
Your vision will normally be much better on Day 2. Sometimes there can be some blurring or misting in the eye, but this should improve over the course of the day. If you feel your vision is becoming more blurred, contact your hospital immediately.

If you take part in a sport that risks a poke in the eye, you should discuss returning to these activities with your surgeon before the operation. You should not go swimming for the first 2 to 4 weeks to minimize the risk of infection. When cycling in the first few weeks following surgery, keep your sunglasses on to reduce the impact of dust.

5. When can I return to work?
Every person recovers differently and has different needs. Surgery normally has a very quick recovery, and the majority of individuals can normally get back to work almost immediately.

Jobs that are more physically demanding and involve exposure to liquids or dust might require a more graduated return to full activities, but are best discussed with your surgeon.

6. Will I need to use glasses after surgery?
The lens which is placed in the eye is of a fixed power. The power of the lens for a particular eye is calculated with the help of an eye ultrasound. After surgery, routine distance activities can be carried out without glasses. For reading, glasses would be required.

You may opt to choose for lenses which provide you vision for distance and near. In such cases, dependency on glasses is reduced.

7. Is there a lens which can give me good clarity for both distance and near vision?
Patent protection is territorial right and therefore it is effective only within the territory of India. However, filing an application in India enables the applicant to file a corresponding application for same invention in convention countries, within or before expiry of twelve months from the filing date in India. Therefore, separate patents should be obtained in each country where the applicant requires protection of his invention in those countries. There is no patent valid worldwide.

8. I have both cylindrical and spherical number. Can both be corrected by cataract surgery?
Cataract surgery has now become a refractive surgery, and the goal is not just to remove the opacified cataractous lens but also to reduce dependency on glasses.

Routine surgery can only correct the spherical component of the eye leaving behind the cylinder power which has to be later corrected by additional prescription glasses.

With advancements in surgical techniques and IOL (artificial lens) designs, today both spherical and cylinder components of the eye can easily be corrected with the highest precision.

The cylinder component in Cataract Surgery can be corrected by three ways

  • LRI or Limbal Relaxing Incisions: In this technique, a Femto Laser is used to give highly precise incisions at the periphery of the cornea to induce cylinder correction. Since these incisions are given by a laser, it can only be coupled with a Femto Cataract Surgery.
  • Toric Lenses with Verion Digital Axis Marking: Toric lenses are special lenses which have both cylinder, and spherical component build in one lens. Since cylinder axis varies in individual eyes, the lens has to be aligned to the specific axis of the individual. In such cases, even a minor deviation from the original axis can cause significant disturbance in final visual outcomes. Now with the introduction of Verion Digital Axis Marking system, these toric lenses can be aligned with outmost precision, up to 1 degree.
  • Toric Lenses with Manual Marking: As discussed above, the final visual outcome in a toric lens depends on how precisely it is aligned to the original cylindrical axis of the eye. Since the manual markings cannot be as precise as digital markings, the manual system may give slightly inferior results compared to the digital system.
9. Can an immature cataract be operated?
It is easier and safer to operate on an immature cataract. As it matures, it tends to become harder requiring more energy to do the same job. Beyond a certain limit, excess energy may cause harm to the eye.

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