Children

• Does your child seem to wink or squint? Has vision of your child got worse?
• Does your child seem to tear? Does your child often suffer from conjunctivitis ? Does your child tilt his/her head to see bettter, close one eye or have drooping eyelid (ptosis)?
• Has anybody in your family worn eyeglasses before turning 40?
• Have any lazy-eyes blindness, squint or other eye diseases occured in your parents or siblings?

 

 If you have answered yes to any of these questions, see your eye doctor as soon as possible.

 

Modern equipment guarantees your child fast and painless examination.
Pediatric eye and vision examination is far more complicated than adult eye examination since it requires much patience and sometimes must be repeated. Cooperation of parents is highly appreciated. 

 

Only early detection of child´s eye defect guarantees successful process of treatment and defect elimination. Your children will appreciate it when they grow up.

Examinations and services:

• Regular check ups
• Diopters measurement
• Eyeglass prescription
• Examination and treatment of strabismus and amblyopia
• Eyelid and lacrimal passage disorders, wash out of tear ducts
• Conjunctivities
• Lens diseases (cataract), glaucoma
• Retinal disorders, vitreous body disease

 

Your infant´s vision develops fast

 

• 1. month- a newborn doesn´t see in sharp focus
• 2. month – a baby perceives shapes of faces and big objects
• 3. and 4. months – a baby distinguishes parents´ faces
• 5. and 6. months – begins to grab for objects
• 7. month – a baby reaches for objects, takes them, twists them and turns them around
• 8. and 9. month – points at small objects
• 10. and 11. month – looks for familiar faces
• 12. month – can pass an object

 

Home eye tests:

 

• 1. Month old  – Light up a torch next to baby´s face! The baby should follow the light.
• 4. Month old– Move the object! The child shouldn´t take his/her eyes off it.
• 7. Month old – „Hide and seek game“ – You will hide behind newspaper, pillow. The child should follow you with his/her eyes.
• About 8. Month old –Check if the child can look up an object he/she likes playing with and reach for it. 
• 12. Month old – Sit with the child on ground about two metres from each other and roll a ball with him/her. Check if he/she catches it correctly.

 

Informative vision test

 

Preparation:

• Cut out capital E and paste it on paperboard.
• Write down different oriented capital E´s on A3 paper.

 

Pirates game:

• Turn into a steersman onboard of a pirate ship. Your child is a seaman. Make an eye patch for him/her.
• A seaman patrols in a basket, he/she watches for any enemy ships. Since the sea and ships are too big to fit into your living room, it is thus sufficient to  place the paper with capital E´s in the distance of 5 metres.
• The seaman gives a steerman a signal what he/she can see. Cut out letter E serves this purpose.
• Show individual letters E on your test board. The seaman turns his/her letter in a particular direction. Watch out! An eye patch can´t be transparent and has to fit tightly. It is necessary to make sure that the child looks with one eye only!!!
• Use the eye patch for the other eye (orientation test) and repeat the game.
• In case the seaman does not show the right position of the letter, he/she can´t do pirate´s job.

 

The child you play the game with will not be surprised at eye doctor´s office that it is necessary to cover one eye. You can bring in your own cut out letter E to show us what your training at home was like.

In the process of development a child´s tear duct might not be fully developed in one or both eyes. Blocked tear ducts occur most often in babies, even 65% of newborns suffer from this disorder. Tears and mucus cannot drain freely from the conjunctival sac to nose.

The most common symptoms are excess tearing, mucous discharge which may lead to recurrent inflammation of conjunctiva or less often to more serious inflammations of other parts of the eye. They might also be spread to the other eye.

The best time is right after the issue has been detected, ideally within 6 months of the child. If the nasolacrimal duct obstruction is not treated after some months, the ducts may be blocked permanently and traditional surgery with general anaesthetics is acquired to correct it. 

Conservative treatment

Conservative treatment of a blocked tear duct is performed in children within two months. Conservative treatment includes lacrimal sac massage 5 times a day with the application of desinfectant-based or antibiotic eye drops.

Irrigation and probing of tear ducts

It is performed in case the conservative treatment failed, ideally at the ages of 3-4 months. The treatment is not recommended in children older than 1 year and surgery under general anesthesia is necessary.

Irrigation of tear ducts:  the first step to be treated by means of irrigation through lacrimal passage

Probing of tear ducts: in case the blockage isn´t removed by massage, probing is performed by means of fine steel surgical probe which is inserted throuth the punctum in order to clear and open the valves between tear duct and nose. After probing has been performed, massages follow. They last for 1 week and desinfective and antibiotic eye drops are applied. If the first probing happened to fail, the next one is performed not sooner than after 14 days.