Education India Project #21601

The VIIO Child Eye Care Project

by Vittala International Institute of Ophthalmology

Project Report | Feb 4, 2021
EYE CARE

By DR KRISHNA R MURTHY | PROJECT LEADER

17 yr old operated with vitrectomy

In accordance to our driving spirit to fulfill the dream of our founder, we are continuously striving to spread awareness and educate regarding childhood vision problems and its side effects in children. Eye exams by your child's doctor are an important way to identify problems with your child's vision. Problems that are found early have a better chance of being treated successfully.

1.Cryptococcal Retinitis

A 17 yrs old boy was seen at our hospital by Dr.Krishna R Murthy on 14.12.2020. The child is HIV positive and is on ART treatment. The child was diagnosed to have both eyes Cryptococcal Retinitis. Cryptococcus is an AIDS-defining illness, and is a common cause of infectious choroiditis in immune deficient patients. The illness initially presents as mild headaches, fatigue, fever, and nonspecific eye complaints such as intermittent blurring or loss of vision. Patients should be followed closely initially, until a clinical response is seen. The child was advised for surgical intervention of Vitrectomy under sedation.

The child underwent the same on 30.12.2020 and presently is on close follow-up.

2. Congenital cataract with mixed nystagmus

A male baby aged 1 month 25 days was seen at our hospital in the month of October 2020. The baby was seen by Dr.Vinay Kumar K, Vitreo-Retinal Surgeon. Parents informed of noticing white reflex in both eyes since 20 days. On examination the baby was unable to perceive light in both eyes. The baby was diagnosed to have both eyes congenital cataract. The baby was advised to undergo both eyes lensectomy + Vitrectomy under general anaesthesia.

The baby underwent the same at the age of 5 months on 08.01.2021 and presently is on follow-up. The child will need occlusion therapy - Occlusion of the good eye in order to facilitate vision in a deviating eye.

5 month old baby operated for congenital cataract

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Oct 6, 2020
Vision - The sense of seeing

By DR KRISHNA R MURTHY | PROJECT LEADER

4 yr old child operated for chemical injury

Healthy eyes and vision are a critical part of child's development. Several eye conditions can affect children. Most are detected by a vision screening using an acuity chart during the preschool years. The problem of poor vision is particularly important in young children, who without appropriate correction struggle to see the blackboard in the classroom. This means that they can have great difficulty in learning at school, which has an untold impact on their education, their social participation, their overall quality of life. Vision is more than just the ability to see clearly or having 20/20 eyesight. It is also the ability to understand and respond to what is seen. There are many basic visual skills beyond seeing clearly that are important to supporting academic success.

CHEMICAL INJURY

A 4 year old female child was seen at our hospital on 17.08.2020. On examination the child’s mother informed of chemical injury to child’s left eye on 16.07.2020. The child was on topical treatment for the injury. It was a grade 4 chemical injury with total corneal opacity with 360 deg limbal stem cell loss. (Chemical (alkali and acid) injury of the conjunctiva and cornea is a true ocular emergency and requires immediate intervention. Chemical injuries to the eye can produce extensive damage to the ocular surface and anterior segment leading to visual impairment and disfigurement. Early recognition and treatment ensures the best possible outcome for this potentially blinding condition). The child was suggested for surgical intervention to left eye under general anaesthesia. LEFT EYE – AMNIOTIC MEMBRANE GRAFT WITH SYMBLEPHARON RELEASE.

The child underwent the above suggested surgery on 20.08.2020. The surgery lasted for 3hrs 45 min and was uneventful.

INJURY WITH TOP

A 10 year old male child was seen at our hospital on 19.09.2020. The child’s mother gave a history of alleged trauma with top to his right eye while playing on 17.09.2020. His visual acuity in right eye was presence of perception of light and projection of rays. Anterior segment examination showed full thickness corneal tear with iris prolapse and vitreous in the wound + hyphema. The child was advised for emergency intervention of Corneal tear repair + Vitrectomy + intravitreal antibiotic and antifungal injection under general anaesthesia.

The child underwent the suggested surgery on 20.09.2020. The surgery lasted for 3 hrs & was uneventful.

NUCLEAR CATARACT

A 1yr old male baby was evaluated at our hospital on 15.09.2020. Parents informed of noticing white reflex in right eye since 1 month. The baby was diagnosed to have nuclear cataract. (A cataract is a clouding of the lens in the eye leading to a decrease in vision. It can affect one or both eyes). On examination the baby’s visual acuity in right eye was presence of perception of light and in left eye the baby was able to fix and follow light. The baby was suggested for RIGHT EYE CATARACT EXTRACTION WITH IOL IMPLANTATION UNDER GENERAL ANAESTHESIA.

The baby underwent the suggested surgery on 24.09.2020. The surgery lasted for 2 hrs and was uneventful.

10 yr old boy operated for top injury

1 yr old baby operated for nuclear cataract

1 yr old baby post surgery

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Jun 8, 2020
Eyes - The visual spectrum

By DR KRISHNA R MURTHY | PROJECT LEADER

child treated for complicated cataract

All children, even those with no signs of trouble, should have their eyes checked at regular intervals. Any child who experiences vision problems or shows symptoms of eye trouble should receive a comprehensive eye exam by an eye doctor. Eye care professionals use many different treatments to correct a child’s eye problems. These treatments may be used alone or in combination. Poor vision in early ages of childhood affects performance in school, at work or in a social circle. Overall, it has a negative influence on the growth and development of the child. Being able to see clearly is important for a child’s overall development and helps them to discover and learn about their world.

Neurotuberculosis with complicated cataract

A 4 year old male child was seen at our hospital in the month of May 2020. On examination parents informed of noticing vision problem since 1 month & gave a history of on treatment for tuberculosis. It is a known case of neurotuberculosis. Neurotuberculosis, which affects mainly young patients, is considered the most dangerous complication as it often leads to severe neurological sequel.

The child was diagnosed with panuveitis with complicated cataract. Panuveitis is a serious inflammation of the uveal tract of the eye. The uveal tract includes the iris, the ciliary body, and the choroid. Panuveitis also typically involves the retina and the vitreous humor. Panuveitis can be caused by infections, chronic inflammatory diseases, or its cause may be unknown. Uveitis is a major cause of blindness worldwide.

The child was suggested for surgical / medical management to both eyes under general anaesthesia.LEFT EYE – Lensectomy (removal of lens) + Vitrectomy + intravitreal antibiotic and antifungal injection; RIGHT EYE: intravitreal antibiotic and antifungal injection.The vitreous sample was sent for microbiology/cytology to rule out endophthalmitis.

The child underwent the above suggested management on 20.05.2020. The surgery lasted for 2hrs 15 min and was uneventful.

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