Strabismus or squint
A squint is a condition where the eyes are misaligned and occurs in approximately 3% of children. Mr Imran Jawaid may recommend surgery if it can restore your child’s ability to use their eyes and reduce double vision or improve the appearance of the eyes.
Treatment for squint in children is usually aimed at treating the ‘lazy eye’, known as amblyopia, as well as cosmetic.
Mr Jawaid can offer strabismus surgery using adjustable sutures as well as small-incision (fornix) squint surgery. Small incision surgery can be used in children and young adults to allow for more rapid healing and improved discomfort post operatively.
Mr Jawaid will perform the procedure under general anaesthetic and will access the muscles that control the position and movement of the eyes, either strengthening or weakening the muscles. Typically, this operation is performed as a day-case procedure and Mr Jawaid will give comprehensive aftercare information.
The eye lens is normally clear and a cataract is a clouding of the lens that affects vision. Cataracts are usually a progressive eye condition and are rare in children.
Some children suffer from congenital cataracts either in one or both eyes. It is important that the cause for congenital cataracts is looked for and paediatric ophthalmologists will work alongside paediatricians and geneticists to help do this.
Secondary cataracts can occur in childhood as a result of another illness or treatment for that illness. Traumatic cataracts occur after an eye injury, either at the time or years after.
Symptoms include misaligned eyes and blurred vision. Treatment depends on your child’s age, the symptoms they are experiencing and their general health.
Cataract surgery in adults is a very common, highly successful operation, but in children it is less predictable as the eyes are still growing and will be performed under a general anaesthetic. Mr Jawaid will discuss all of this with you during your consultation.
Eyelid lumps and bumps
Our eyes have hundreds of small oil glands along the eyelashes which work to lubricate them. If they become blocked or infected, it can cause eyelid lumps or bumps. A chalazion is when the oil gland becomes blocked and may get infected. A red, swollen lump appears, causing pain, blurry vision, swelling and redness..
A chalazion or stye will usually disappear on its own after a few days but occasionally they need to be treated with medication or removed surgically.
Double vision is a common eye condition. Also known as diplopia, it’s not normally a serious issue but it can be a sign of something more serious so you should also seek a medical diagnosis if your child complains of double vision. Causes of double vision include problems affecting the cornea, eye muscle issues such as squint, and conditions affecting the brain which interprets the signals sent by the optic nerve.
Inflammation of the inner parts of the eye can have no known cause or result from injury, infection, or autoimmune conditions. It can affect the iris, the fluid inside the eye and the choroid, which lines the eyeball.
Sometimes symptoms of ocular inflammation aren’t noticeable. Your child might complain of light sensitivity or blurred vision. The eye might look red or cloudy. Early treatment is essential to prevent permanent damage. Mr Jawaid will typically prescribe eye drops to either dilate the eyes to prevent scarring or steroid drops to reduce inflammation. Oral steroids may also be prescribed.
In healthy eyes, the retina acts like a film in the camera, but in retinal abnormalities the retina malfunctions. Sometimes this can be a congenital disorder or it can be the result of a illness, such as diabetes, or medication.
Premature babies can suffer from Retinopathy of Prematurity (ROP), which results in problems with the retina’s blood vessels. Retinal abnormalities can be either stationary or progressive. Symptoms vary widely, but include poor night vision, sudden or unexplained loss of vision, loss of peripheral vision, involuntary eye movements, and sensitivity to the light.Treatment can include laser surgery to destroy abnormal blood vessels and prevent further loss of vision.