Dr. Prashant Murhe

Pediatric Treatment

What are pediatric eye diseases?

These are all the abnormal eye conditions presenting before the age of 16 years.
These include conditions like

  • Glasses
  • Lazy eyes
  • Glaucoma
  • Allergic eye conditions
  • Eye infections
  • Drooping of eyelid (ptosis)
  • Retinal problems
  • Corneal problems
  • Cancer of eye
  • Vitamin A deficiency

This is a small part of the huge list of eye conditions present in children. Conditions mentioned here are relatively easier to detect at primary care level and most of them can be treated to certain extent if diagnosed at a proper time.

Why are these diseases important?

All these diseases occur when simultaneous development of eye is taking place. 80% of eye development occurs within first 2 years of age rest of the 20 % development occurs during the next 8 to 10 years. Therefore initial 8 to 10 years of life are most important for development of eye and vision.
Any problem during this period can interfere with normal development of vision and can have permanent impact throughout the life of a child. This can lead to years of functional disability Therefore even though the incidence of eye diseases in children is lesser than that of adults the total number of functional years lost is much more.
Second important issue with children is that they do not complain. So even if they have glasses, they will strain their eye and see but not complain. This is because they do not know what normal vision. Also is if only one eye vision is less and the other eye is normal then the problem doesn’t get recognized at all. Most of these type of eye problem get recognized when something happens to the normal eye or during the medical fitness tests for jobs.
Point to be emphasized here is if appropriate treatment is given at appropriate time, these diseases can be completely cured.


Tricks to detect eye diseases in children.
  • Refractive error or glasses
    Children with minus number will be able to see clearly if they hold the object close to face. This would be the most common sign observed in children with minus number.
  • Squeezing of eyes
    Squeezing of eyes will reduce the number of light rays entering the eye and therefore will reduce the distortion induced by the refractive error. This makes the image clearer for the child .Child will do this for distance as well as near object.
  • Watering of eyes
    Glass number will produce severe strain in the eye. This strain will cause various effects over the eyes. Most common amongst it is watering of the eyes.
  • Squinting of eyes
    If the child has high plus number he may try to use his eye muscles excessively to control the number. This may produce squint in the eyes. This type of squint which is due to glasses generally is noted after the child starts going to school. This can be intermittent and will be seen more commonly when the child is reading or when he is looking at a near object.

  • Going close to the board or television

    If the child is active enough he may try to go closer to the board or television set In addition to these the child may complain of headache (older child of course) may be inattentive in school will not copy things correctly from the board will have poor performance in exams will not show much interest in sports

2. Lazy Eyes Or Amblyopia

  • Inappropriate development of vision in one eye as compared to the other is called amblyopia or lazy eyes. This happens when is used more frequently than the other. These are of three types.
    • Due to different glass number in two eyes
    • Due to squint
    • Due to cataract
  • It is very difficult to detect these diseases for layman. Because one eye has good vision and therefore the child does not complain or show any features of decreased vision. This is especially true for amblyopia due to difference in glass number. Regular and routine eye checkup is therefore very important Lazy eyes due squint and cataract can be detected early

  • Lazy eye are treated with glasses and eye patches . This treatment is of long duration. May take one to two years to have its effect. If done at proper time and with full dedication, complete benefit can be obtained.

    If the child is active enough he may try to go closer to the board or television set In addition to these the child may complain of headache (older child of course) may be inattentive in school will not copy things correctly from the board will have poor performance in exams will not show much interest in sports

3. Cataract

    Tricks to detect cataract
  • May show white opacity in the eye. If the cataract is dense it can be seen with naked eye or else a torch light can be used to detect the same.
  • Child with cataract may also have squint
  • But it important to remember that not all opacities will be seen with torch light. Some small but significant cataracts are seen only with specialized ophthalmic equipment.

4. Glaucoma

    Glaucoma is increase in pressure inside the eye .This can cause damage to the nerve of the eye and can lead to permanent loss of vision Tricks to detect glaucoma
  • Child will have excessive watering of eyes
  • Eye will appear large
  • Front black portion of the eye ( cornea ) will appear white.

5. Allergic Eye Conditions

    Tricks to detect
  • Child will constantly keep on rubbing the eyes and will have severe itching
  • Eye will appear red
  • White part of the will appear dull and muddy
  • Though this is trivial disease of eye it can have devastating complications .Therefore recognizing and treating this is important.

6. Infection Of The Eye

    Infections of eye serious disorders of eye which have to be taken care of as early as possible. These can occur immediately after birth also and can lead to severe impairment of vision.

    Tricks to detect infections
  • Discharge from eye
  • Swelling of eyes
  • Redness of eyes
  • Child not opening his eyes
  • Severe cases child may have general malaise and fever

7. Retinal Problem

    Tricks to detect
  • Child will have difficulty in night vision
  • There may be family history of similar illness
  • May have difficulty in opening the eyes in very bright light
  • May have constant movement of eyes
  • May have very low vision
  • May have squint
  • These are difficult diseases to treat. But special glasses called low vision aids can be given to improve their vision

8. Vitamin A Deficiency

    Tricks to detect
  • Child will appear otherwise very malnourished
  • There may be white spots over the eye
  • This is a preventable disease if appropriate care of nutrition

9.Cancers Of The Eye

    Tricks to detect
  • There may be white reflex from the eye
  • Eye may appear large
  • There may be repeated redness of the eye
  • Eye may appear pushed outwards
  • These are also difficult to treat diseases but timely management can save the life of the child.

10.corneal Problem

    These will appear as white opacities of the black portion of the eyes. Severe amongst these need corneal replacement.

11.Drooping Of Eye Lid (Ptosis)

    This is again not just a cosmetic problem. If the drooping eyelid causes obstruction to light entering the eye it can cause lazy eyes as discussed earlier. This again can be treated surgically with good results.


Krishna Eye Institute is the most Trusted and Oldest Eye Care Centre with Dynamic management and Most qualified Eye care Professional with motto of 'single place for Complete Eye Care

Hospital Address

2nd Floor, The Big World, Soman Sun Citi,
Opp Bhoirwadi Bus Stop, Near Gurukrupa Hospital,
Near Sidhivinayak Marriage Hall, Birla Collage Road,
Kalyan (W) Thane 421301.

Contact Details

Tel No. : 0251-2313399
Direct No. : 9403442323 / 9699424438
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