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At the Virgilio Galvis Ophthalmology Center, we focus on children's proper development, which is why we focus on one of their main stimulation pathways: the visual system. This is why our center is designed to rule out serious and complex ocular and visual disorders that can disrupt a child's visual development, allowing for early intervention.
The first eight years of life are very important for visual development, and therefore, it is vital that children be examined early in a Pediatric Ophthalmology clinic so that any necessary treatments can be provided in a timely manner.
[/vc_column_text][inwave_item_info style=”style1_4″ preview_style4=”” title=”{Defectos Refractivos}” description=”La prevención y la detección precoz de patología oculares es fundamental para el buen desarrollo de los niños.” icon_size=”50″ align=”center” img=”3144″][inwave_item_info style=”style1_4″ preview_style4=”” title=”{Consulta a Tiempo}” description=”La clave para tener un buen desarrollo visual es consultar a tiempo sigue las siguientes recomendaciones.” icon_size=”50″ align=”center” img=”3322″][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner width=”1/2″][vc_video link=”https://www.youtube.com/watch?v=LCWxXknKEp4″][/vc_column_inner][vc_column_inner width=”1/2″][vc_column_text]
When is the best time to visit a Pediatric Ophthalmology clinic?
When talking with parents, this is the most frequently asked question, and the answer is: "It's never too early." Sometimes parents wonder whether an ophthalmology exam is appropriate for a newborn, and the emphatic answer is "yes." The purpose of the ophthalmologic exam in pediatrics varies depending on the patient's age.
Some of the most common alterations or pathologies are:
- Refractive errors in children
- Squint
- Amblyopia or lazy eye
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Rule out congenital diseases (cataracts, corneal disorders, ocular hypertension, etc.)
Rule out retinoblastoma tumor pathology (the most common retinal tumor in childhood), ocular toxoplasmosis, congenital cataract, congenital glaucoma, optic nerve malformations.
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They may also suffer from ocular deviations (strabismus), which in some cases are small and not easily detected.
[/inwave_accordion_item][/inwave_accordions][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”yes” gap=”35″][vc_column_inner][inwave_accordions layout=”accordion2″ preview_style2=””][inwave_accordion_item title=”Desde 1-3 años”]Los niños pueden sufrir de diversas alteraciones visuales incluyendo miopía, hipermetropía y astigmatismo, que puede requerir el uso de gafas para garantizar un adecuado desarrollo visual y prevenir/tratar el ojo perezoso (ambliopía).
Consultations for strabismus: the patient may twitch one or both eyes continuously or sporadically.
Consultas por ojo vago: el paciente no sigue bien las imágenes al ocluir el ojo bueno.[/inwave_accordion_item][/inwave_accordions][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”yes” gap=”35″][vc_column_inner][inwave_accordions layout=”accordion2″ preview_style2=””][inwave_accordion_item title=”A partir de los 3 años”]
Visual acuity check (if the patient cooperates).
Ocular motor studies.
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After the initial examination, an annual check-up is important, at least until the age of 8, since growth simultaneously elongates the eyeball and myopia may develop.
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Monitoring of previously diagnosed pathologies and their appropriate treatment.
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In the first month of life: the baby closes his eyes with light.
1-2 months: begins to follow some images in his/her immediate field of vision.
2-3 months: Follows images better and begins to recognize the faces of close people (father, mother).
From 4 months: visual acuity improves and binocular vision with relief perception begins.
From 6 months: the visual system is more refined and in most cases the eyes are focused most of the time.
Up to one year: progressive maturation of the visual system that allows walking and good visual acuity for everyday activities.
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In the first months of life:
- Look at the color of the pupil, which should be black.
- See if he closes his eyes when you project light on them.
- Check if you can follow luminous objects with your gaze.
- Later, roll a toy on a rug (don't make any noise) and see if he or she follows it with his or her eyes.
From 1 – 2 years:
Play pirates with your child. Cover one eye and see how they defend themselves with the other. Do the same with the opposite eye. It's normal for them to misjudge distances; they lose binocular vision. If the child consistently refuses to have one eye covered, the other may be a lazy eye.
Notice if they shift their eyes and if they correct it when you call their attention. This can happen in normal cases if they're tired, sick, or even angry.
From 4 years old:
Even if nothing is detected, if you have a family history of ophthalmological problems, go to your first appointment.
From 6 years old:
Perform the first school visual acuity check.
Other reasons for attending a pediatric ophthalmology consultation include:
• If the child averts his eyes.
• If you have problems with near vision: you move closer to the paper when reading or writing.
• If you have distance vision problems: to see the dashboard or TV.
• Frequent itching or discomfort in the eyes
• Headaches after visual effort.
• Red eyes, frequent conjunctivitis, tearing.
• Changes in pupil color
• Changes in eye color
• White spot on the outside or inside of the eye.
• Abnormal eye movements.
• Changes in the eyelids
• Different vision between one eye and the other.
• Family history of myopia, hyperopia, astigmatism or other eye diseases.
• Occasional or permanent ocular deviation
• Having been premature
• Having had Zika infection during pregnancy
Other maternal problems during pregnancy such as severe flu episodes and/or infections with toxoplasmosis, syphilis, rubella, HIV or cytomegalovirus
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Refractive errors include myopia, hyperopia, and/or astigmatism, all of which cause or result in poor vision. These defects are especially harmful in childhood when left uncorrected, as vision develops during the first years of life.
When one eye has a refractive error and the other eye does not, the brain selects the image from the eye that sees better and cancels or stops using the other eye. If refractive errors are not corrected during childhood, especially before age 8, a lazy eye (amblyopia) can develop.
Myopia can increase with a child's development, as eye size tends to increase (axial length). In contrast, hyperopia does not increase with development and may decrease with increasing eye size. Astigmatism is one of the most stable refractive errors and generally does not change with a child's development.
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There are certain behaviors that may be observed by parents, teachers, or caregivers, such as:
- It gets very close to objects
- Moves awkwardly or constantly bumps into things
- He is not interested in distant things
In some cases, patients with mild to moderate hyperopia may have good vision, thanks to the effort of a natural lens that everyone has at birth. However, this effort can sometimes lead to symptoms such as headaches, eye strain, lack of motivation to study, line skipping, learning difficulties, and even strabismus.
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Refractive errors can't really be prevented. What CAN be prevented is lazy eye. This is why it's important to detect and correct them early.
An ophthalmological examination is necessary to detect them. To properly assess vision defects in children, it is important to apply eye drops that dilate the pupil and thus determine the completeness of the defect, measured in diopters.
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Treatment is achieved with optical correction, either with glasses or contact lenses. The choice of one method or another will depend on the defect, the differences in each eye, the patient's age, and the patient's needs.
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Amblyopia, commonly called lazy eye, can be treated if detected in childhood.
Amblyopia is a common condition. We have probably all seen a child with one eye covered. What that child suffers from is what is known as lazy eye.
Amblyopia, the medical term for this problem, is a decrease in vision without an organic lesion, and can be due to several causes:
- Functional origin, what is known as strabismus.
- Anisometric origin, which occurs because there is a different prescription in each eye.
- Organic origin, for example, derived from a cataract.
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When it comes to preventing these problems, what you should do is observe whether a child shows any symptoms and, if not, wait until the age of 3, which is the recommended age for the first examination by an ophthalmologist.
If at either time it is noticed that the child has one eye with a different prescription than the other, treatment is initiated. The most common is occlusion, which consists of covering the better-seeing eye for a few hours or a few days, depending on the severity of the problem, to force the lazy eye.
There are less aggressive occlusions that don't involve directly covering the eye, but rather placing milder obstacles on the stronger eye. For example, through glasses that obscure vision.
The most important thing in cases of amblyopia is prevention and regular examinations during the first years of childhood, since our brains don't learn to see until we are eight or ten years old.
After the age of 10, the eye is considered unable to learn, so if this problem is not detected from that point on, the so-called lazy eye will be unrecoverable because treatment does not work in adulthood.
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