Eye examinations are usually started after the patient has heard the complaint and is seen. Since the visual examination requires full compliance of the patient, parents are concerned about the age at which the child can undergo an eye examination and where this examination can be made. In our country, there are no eye doctors for children. Each ophthalmologist is trained to examine and treat both children and adults. If you encounter a situation that exceeds your possibilities, your eye doctor will refer you to another person or place.
Eye examination does not have a certain age. Children with complaints can be examined at any age. In cases where the child does not allow the examination, sleepy, sedative medicines are used, and if they cannot get an efficient result, the general anesthesia is completed and the examination is completed. Children should have at least one eye examination at least once until they are 3 to 4 years old, even if they have no complaints.
What families are most curious about during the examination is whether their children see it or not. In children under three years of age, vision can be determined by non-adaptive methods or combined with all examination findings, giving a rough idea of how much the child sees. Children over three years of age can learn the letters E if they are interested, and they can be examined for vision by looking at the direction of their ends. In addition, shapes can be asked. In older children, visual acuity is determined by asking letters as in adults. An examination of the children, which is different from that of adults, is also an eye examination. Especially in older children incompatible with infants and young children, a special instrument called skiaskopi can be dripped and the number of glasses can be determined with a computerized measuring instrument. Medicated examination also helps to evaluate the posterior parts of the eye.
The pupil is the black round in the center of the colored part of the eye. When the pupil turns into a color other than black, such as white, gray or yellow, it indicates serious illness:
- Cataract: It may be congenital in childhood or later due to injuries such as injuries, metabolic disorders and infections and is one of the most common causes of white pupil. Permanent vision loss can lead to strabismus and uncontrolled eye movements if not detected and treated early.
- Tumors: Many benign tumors, as well as a retinoblastoma called benign tumor whiten the pupil. Its treatment is of vital importance rather than preserving eye and vision.
- Infectious and inflammatory conditions: Different bacterial, viral or parasitic infections may whiten the pupil. In addition, many inflammatory conditions can cause this condition.
- Developmental disorders: The eye passes through certain stages in the mother's womb and reaches the form of birth. Serious abnormalities occur if the drug is interrupted for any reason such as infection, metabolic disorder, injury or premature labor.
- Others: Dislocating the nerve layer of the eye, disorders of the eye vessels, abnormalities of the eye nerve, bleeding into the eye, and many other conditions, such as bleaching the pupil. It is undesirable for a disease to be detected after the pupil is white. Success will be better if it is treated in advance. The success of the pupil will be limited, even after the hasty.
Both eyes should look together. One of the eyes looking at the desired target while the other is looking at other directions strabismus means. Strabismus is seen in all ages but is more common in childhood. It is not a single disease. There are different types. In childhood strabismus, the child usually opts for one eye to prevent double vision. In the unintended eye, laziness develops. Eye laziness, treatment is a serious disorder that can only be done in childhood. Strabismus is the most common strabismus in children. Strabismus is more rare when the eyes move outward, upward or downward. Each strabismus may not be advanced enough for the mother, father or relatives to understand. Even some strabismus may not be detected even with a simple examination and further investigations may be required.
Sometimes there are situations that mimic strabismus. These are called pseudo-strabismus. False strabismus can usually occur in conditions such as abnormalities, asymmetry, eyelid disturbances and nasal root compression. After the differential diagnosis of these cases mimicking the strabismus, a part of the treatment is done for the causative agent and in some of the cases it will be sufficient to follow the development of the child. A common term in our society is hidden glide or hidden strabismus. The medically concealed slip can be explained as slippage that can be revealed by certain tests while it is not in the normal state. Also in cases where the child is healthy
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