01
Inheritance
Family history of squint or high spectacle power raises the chance that a child will need glasses or alignment surgery.
M G Eye Foundation/Services/Pediatric Ophthalmology And Squint Services
Pediatric Ophthalmology And Squint Services
Healthy eyes matter for a child’s learning and social development. At M G Eye Foundation, Bara Gamharia, Jamshedpur, DR MALAY KUMAR DWIVEDI, pediatric ophthalmologist, cataract and squint specialist, examines children according to age and developmental stage. DR KUMAR SAKET supports medical retina and trauma when those problems coexist.
Why children need a pediatric eye doctor
A child’s visual system is still developing. Uncorrected refractive error, cataract, squint or lazy eye can permanently limit vision if they are found late. Examinations, glasses and surgery are adapted to the child’s age, cooperation and the specific disease. We aim for a calm visit and a clear plan for the family.
Why it happens
Causes
Squint and pediatric cataract have several origins. Early examination still gives the best chance of useful vision.
02
Congenital and developmental cataract
A cloudy lens present at birth or appearing in childhood blocks a clear image and can cause amblyopia if not treated in time.
03
Trauma
Injury from a ball, stick, chemical or projectile can damage a child’s eye and needs prompt pediatric trauma care.
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Neurological and systemic disease
Down syndrome, cerebral palsy or a brain tumour can be associated with squint and reduced vision.
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Prematurity
Babies born early or with low birth weight need ROP screening because retinal vessels may grow abnormally.
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Uncorrected refractive error
Myopia, hypermetropia and astigmatism in one or both eyes can lead to squint or amblyopia.
What parents notice
Symptoms
A child rarely describes blur well. Watch for an eye that turns, a white pupil, or difficulty reading.
01
An eye that turns
One eye may look in, out, up or down. This is squint (strabismus) and should be examined even if it comes and goes.
02
Decreased vision
Sitting close to the television, missing the board at school, or covering one eye are common clues.
03
Double vision or reading difficulty
Older children may report two images or skip lines when reading.
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Poor depth perception
Clumsiness on stairs or in ball games can reflect reduced stereopsis.
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Headache and eye strain
Uncorrected power or a poorly controlled squint can cause brow ache after near work.
06
White pupil or abnormal eye movement
A white glow in photographs or roving eyes in a premature baby need urgent assessment, including for ROP or cataract.
Treatment
Treatment is matched to the child: glasses, patching, contact lenses, Botox to selected muscles, or surgery for cataract, squint or trauma. ROP screening is timed for premature babies. Intraocular pressure and visual acuity are measured with child-friendly tools. General anaesthesia is available when a procedure cannot be done awake.
Pediatric and squint services provided by us
01
Pediatric cataract surgery
Cataract clouds the lens and causes blur, dull vision and glare. Surgery is planned for traumatic, congenital, developmental and secondary cataracts in children.
02
Squint surgery
Misalignment (strabismus) means both eyes cannot look in the same direction at once. Surgery aims to align the eyes and improve related symptoms such as reduced vision, poor depth, double vision and reading difficulty.
03
Botox treatment
Botulinum toxin injected into selected extraocular muscles temporarily weakens them so the eyes can realign. It is used for some forms of crossed or misaligned eyes.
04
Pediatric trauma surgery
Care for injury to a child’s eye, including chemical damage, blunt trauma from elbow, fist or ball, corneal burns or infection, and penetrating injury from a stick or projectile.
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ROP screening
Retinopathy of prematurity affects retinal vessels in premature and low-birth-weight babies. Screening is typically done when the baby is four to six weeks old to look for abnormal vessel growth, abnormal eye movement or a white pupil.
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Tonopen and Lea symbols
Tono-Pen is a compact tonometer used to measure intraocular pressure when pediatric glaucoma is a concern. Lea symbols combine pictures and optotypes to measure acuity and help detect amblyopia.
Tono-PenLea symbols
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Luneau loose prism set and Titmus stereo acuity chart
The Titmus chart (housefly, animals and circle sets) measures stereopsis. The Luneau prism set is used to measure and follow squint in the clinic.
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Contact lens
Lenses may be used in selected children for myopia, astigmatism, hyperopia, amblyopia, squint, aphakia after cataract, and other refractive needs.
On-site equipment
Equipment used for children here
Tono-Pen
Comfortable pressure measurement without a large slit-lamp setup, useful in children.
NIDEK ARK
Objective refraction and keratometry to support glasses and contact-lens planning.
ZEISS LUMERA 300
Microscope for pediatric cataract, squint and trauma surgery.
General anaesthesia machine
Controlled anaesthesia when a child cannot cooperate for examination under anaesthesia or surgery.
Slit lamp
Detailed view of the front of the eye when the child can sit for examination.
Types of strabismus
- Esotropia (inward eyes)
- Exotropia (outward eyes)
- Hypertropia (upward eyes)
- Hypotropia (downward eyes)
Pediatric FAQs
Questions patients ask
01What do pediatric ophthalmologists do?
They diagnose and treat children’s vision problems and prescribe glasses and contact lenses when needed.
02How can I fix my toddler’s squint?
Glasses, injections, eye exercises and surgery can all play a role, chosen after examination.
03Can a child develop a squint?
Some children are born with a squint. Others develop it between 1 and 4 years of age.
04How do you know if your baby has squint eyes?
Clues include an eye that turns, decreased vision, double vision, difficulty reading in older children, headache and poor depth perception.
05When should a child see an ophthalmologist?
When there are vision problems, a turning eye, a white pupil, premature birth needing ROP review, or a family history of serious childhood eye disease.
06What age should a child see an eye doctor?
Children should have a first eye exam around six months of age and then at least once every year, or sooner if something looks wrong.
07What is strabismus?
Strabismus, also called squint, is a condition in which the eyes are misaligned.
08What are the different types of strabismus?
The main types are:
- Esotropia (inward)
- Exotropia (outward)
- Hypertropia (upward)
- Hypotropia (downward)
Visit M G Eye Foundation
to provide comprehensive eye care services to all the sections of society at affordable cost.
- Plot No. 121, Durga Puja Maidan, Near Vani Vidya Mandir School, Bara Gamharia, Jamshedpur, Jharkhand
- +91 84090 01008
- mgeyefoundation@gmail.com
- Monday–Saturday: 10:00 a.m.–6:00 p.m.. Sunday: Closed
Doctors
DR MALAY KUMAR DWIVEDI
Pediatric Ophthalmologist, Cataract and Squint specialist
DR KUMAR SAKET
Cataract, medical retina and trauma specialist
