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PEDIATRIC -Ophthalmology

Babies Vision
Childhood Reading Problems
Children and Vision
Strabismus

Babies' Vision

Parents should be aware of signals of poor vision. If one eye turns or crosses, that eye may not see as well as the other eye. If the child is uninterested in faces or age-appropriate toys, or if the eyes rove around or jiggle (nystagmus), poor vision should be suspected. Other signs to watch for are tilting the head and squinting. Babies and toddlers compensate for poor vision rather than complain about it.

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Childhood Reading Problems

When children have difficulty reading, parents often think poor vision is the problem. If a visit to an ophthalmologist rules out any medical or vision problems, it may be a learning disability.

A learning disability is a disparity between a person's ability and performance in a certain area. It has nothing to do with intelligence or IQ. A learning disability can make it difficult to succeed in school and, if untreated, gets worse, causing a child to lose self-confidence and interest in school.

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Children and Vision

People are often confused about the importance of glasses for children. Some believe that if children wear glasses when they are young, they won't need them later. Others think wearing glasses as a child makes one dependent on them later. Neither is true. Children need glasses because they are genetically nearsighted, farsighted, or astigmatic. These conditions do not go away nor do they get worse because they are not corrected. Glasses or contacts are necessary throughout life for good vision.

Unlike adults, children who need glasses may develop a second problem, called amblyopia or lazy eye. Amblyopia means even with the right prescription, one eye (or sometimes both eyes) does not see normally. Amblyopia is more likely to occur if the prescription needed to correct one eye is stronger than the other. Wearing glasses can prevent amblyopia from developing in the more out-of-focus eye.

Children (and adults) who do not see well with one eye because of amblyopia, or because of any other medical problem that cannot be corrected, should wear safety glasses to protect the normal eye.

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Strabismus

Strabismus refers to misaligned eyes. If the eyes turn inward (crossed), it is called esotropia. If the eyes turn outward (wall-eyed), it is called exotropia. Or, one eye can be higher than the other which is called hypertropia (for the higher eye) or hypotropia (for the lower eye). Strabismus can be subtle or obvious, intermittent (occurring occasionally), or constant. It can affect one eye only or shift between the eyes.

Strabismus usually begins in infancy or childhood. Some toddlers have accommodative esotropia. Their eyes cross because they need glasses for farsightedness. But most cases of strabismus do not have a well-understood cause. It seems to develop because the eye muscles are uncoordinated and do not move the eyes together. Acquired strabismus can occasionally occur because of a problem in the brain, an injury to the eye socket, or thyroid eye disease.

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