8 months old baby operated for lens opacities
The control of blindness in children is a VISION 2020 priority: the right to sight. Because the number of ‘blind person years’ resulting from blindness starting in childhood is second only to cataract. Blindness may be due to genetic mutations, birth defects, premature birth, nutritional deficiencies, infections, injuries, and other causes. Severe retinopathy of prematurity (ROP), cataracts and refractive error are also causes.
1. A 8 months male child was referred to us with complaints of premature birth with birth weight of 1.5 kgs + gross developmental delays + left inguinal hernia which requires surgery after eye management (A hernia occurs when a part of the intestine pushes through a weakness in the belly (abdominal) muscles. A soft bulge shows up under the skin where the hernia is. A hernia in the groin area is called an inguinal hernia. A hernia can develop in the first few months after a baby is born. It happens because of a weakness in the abdomen muscles). During visual acuity examination the child was able to follow light in both eyes. Anterior segment examination showed congenital total cataract in both eyes. The child was managed with surgical intervention of BOTH EYES LENSECTOMY UNDER GENERAL ANAESTHESIA on 22.06.2018.
2. A 4 yrs old male child was recognized in one of the eye screening camps with a rare eye condition. The child was referred to us for the possible surgical intervention. The parents informed of growth on the medial side of both eye + c/o both eyes watering with whitish discharge on and off. The child was able to fix and follow light in both eyes. The child was diagnosed to have Midline facial dysmorphism with upper lid coloboma + medial canthal dystopia (Eyelid Coloboma is an uncommon, unilateral or bilateral, partial or full-thickness eyelid defect. It is caused by failure of fusion of the mesodermal lid folds. It may be isolated or associated with other ocular or systemic anomalies. Immediate attention at an early age through corneal protection, surgical repair of the eyelid defect, and monitoring of the visual development are essential to prevent complications: corneal leukoma, symblepharon, and amblyopia). The child was suggested to undergo surgical management in 2 stages.
- Stage – 1 - Coloboma correction
- Stage 2- Debulking, medial canthal reconstruction with transnasal wiring.
The child underwent 1st stage of correction on 27.06.2018.
3. A 13 yr old boy was evaluated in one of our school screening camps and was referred for squint surgery to base hospital. On examination the parents informed of squinting since 3 yrs of age and were unaware of requirement of surgical intervention for correction of the same. His visual acuity in both eyes was 6/6p. The child was diagnosed to have bilateral alternating exotropia (SQUINT) - Squint (also known as strabismus) is a condition that arises because of an incorrect balance of the muscles that move the eye, faulty nerve signals to the eye muscles and focusing faults (usually long sight). If these are out of balance, the eye may turn in (converge), turn out (diverge) or sometimes turn up or down, preventing the eyes from working properly together. If left untreated, it can lead to a permanent visual defect in the squinting eye.. The child was managed with surgical intervention of bilateral squint correction surgery (2 muscles) under General Anaesthesia. The operation involves moving the muscles that control eye movement so that the eyes line up better. If a squint or amblyopia is not picked up before the age of 7/8 years old then it can have a permanent effect on the vision in one eye.
4 yr old boy operated for rare eye condition
13 yrs old boy operated for squint