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.
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.
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