Cataract is generally associated with old age. However, in some unfortunate cases, children could be affected by cataract as well. A cataract can be defined as a cloudy or opaque layer that forms on the eye's natural lens that lies behind the iris and the pupil, leading to eventual loss in vision. Cataract can affect children in one eye or both eyes.

Cataract can be a congenital birth defect or can develop as the child grows older. The latter case is known as pediatric cataracts. The exact cause of cataracts in children is not known, but it has been associated with a number of genetic disorders, low birth weight and infections during pregnancy. Traumatic events such as an injury to the eye can also cause cataracts.

The earlier a cataract is diagnosed and treated, the better it is. It is easier to identify a cataract that affects both eyes than a cataract that affects only one eye. If a congenital cataract is not treated in time, the part of the baby's brain used for sight may not develop properly. Hence it is crucial to recognize cataract symptoms.

Here are a few you should look out for:

    Not looking directly or responding to large, colourful objects.
    Not being able to find small objects while crawling.
    Excessive squinting or shielding their eyes to bright sunlight.
    Eyes that do not focus on the same point.
    White reflex instead of a red reflex in photographs.
    Uncontrolled movement of the eye.

Cataracts that are too small to affect sight can be treated with eye drops to dilate the pupil. However, this provides only temporary relief. Surgery is the most preferred form of cataract treatment. This surgery can be performed even in the first few weeks of a baby's life. The child is put under anesthesia and a microsurgical instrument is used to break the lens into small pieces and remove it.

This surgery is followed by the use of lenses or glasses to help the eye regain its power to focus again. In some cases, the lens may be implanted to replace the natural lens. In cases where cataract affects only one eye or one eye is more severely affected than the other, there may be a tendency to develop amblyopia or lazy eye syndrome. In such cases, it becomes necessary to patch the good eye shut and stimulate vision in the eye that has undergone surgery.

Cataract in Children

While spectacles are a fashion statement for some people, for others they are an uncomfortable necessity. Though contact lenses may be a little more aesthetically pleasing they too can be quite uncomfortable and cannot be worn throughout the day. Thankfully, there is a third way to correct vision. Laser surgery or LASIK, it is a popular refractive procedure that can correct common vision problems, such as nearsightedness, farsightedness and astigmatism. This procedure aims at reshaping the cornea so that light entering the eyes can be focused onto the retina for the person to have a clearer vision. 

Laser surgery is pain-free and quick in most cases. Usually, it does not take more than 15 minutes to correct vision in both eyes. The results of this surgery can be seen in as little as 24 hours. 

The first step of laser surgery to correct vision is to create a thin, circular flap in the cornea. This is then folded back to access the stroma or underlying cornea. An excimer laser is then used to remove some of the corneal tissue. For people suffering from nearsightedness, the cornea is flattened while for people suffering from farsightedness, the cornea is made steeper. In cases of astigmatism, an irregular cornea is smoothened. Once the correct gradient has been achieved the corneal flap is put back into place and the cornea is allowed to heal naturally. There are no stitches or bandages required in a laser eye surgery. You may feel a temporary burning or itching sensation in your eyes immediately after the procedure. It is important not to rub your eyes or place any pressure on them. Your vision may also be cloudy or blurred for the first few hours. A doctor will usually advise you to rest for a few days after the surgery so that your cornea can heal properly. In a few days, your eyesight should stabilize, though, in a few rare cases, it may take a little longer. You should also avoid any form of strenuous exercising for a few days after the surgery. 

Though LASIK surgery has a very high success rate, there are very rare occasions where spectacles may still be needed even after the surgery. Thus LASIK is a choice of treatment for many who seek freedom from glasses.

LASIK - Say No to Boring Glasses! 

Eyeglasses and contact lenses are both used for vision correction. Both of the options have their advantages and disadvantages but a number of factors like lifestyle, comfort and age etc. are important while deciding which one to choose. Here is a list of the fundamental differences between using spectacles and using contact lenses:

1. Distance from the cornea
Lenses are worn directly on the eye and are in constant physical contact with the cornea while glasses are worn over the eyes. Contact lenses may cause infections in the eye because the user has to touch the eye in order to wear them and to take them off.

2. Difference in vision
Since the lenses of spectacles are a little distance away from the eye, vision can be slightly distorted but contact lenses can provide natural and accurate vision. Also, side vision is not improved by glasses as you have to turn your head to see what is beside you. The contacts move around with your eyeballs and the peripheral vision is in focus.

3. Ease of use
Some people find eyeglasses difficult to use because of the constant weight on the face and the obstruction caused by the frames of the glasses. There may also be a constant need to adjust the frames. Often eyeglasses slip down the nose when you sweat or engage in rigorous physical activity. Contact lenses are free from all these hassles - they are not distracting or obstructive and so they are extensively used by dancers and athletes. Spectacles is very uncomfortable to wear during the rains or in humid weather because they fog up.

4. Infections and complications
Contact lenses can get displaced inside the eye and they can be difficult to reposition. They also cause the eyes to itch and water if you wear them for a very long time at a stretch or if tiny dust particles enter your eyes. The use of eyeglasses is far more flexible in this respect - they can be removed in case your eye itches or burns, but regular use of glasses causes dark circles and bags under the eyes.

5. Aesthetic differences
People often prefer contact lenses as they do not change the physical appearance - they help you look natural and you can also use colored lenses to change the color of your eyes. Glasses may look slightly unnatural but some people also prefer them for the fashion quotient.

Lens Vs Specs

Glaucoma is a group of diseases that causes damage to your eye's optic nerve and gets worse over time. The optic nerve is a bundle of millions of nerve fibres which carry visual impulse from the retina at the back of eye to the brain. The increased Eye pressure, called intraocular pressure, can damage the optic nerve and fasten the natural nerve fibre loss. Since nerve cells can't regenerate this damage is permanent and irreversible.

Without treatment, glaucoma can cause total permanent blindness within a few years. Because most people with glaucoma have no early symptoms or pain from this increased pressure, it is important to see your eye doctor regularly so that glaucoma can be diagnosed early and treated before significant functional visual loss occurs.

If you are over age 40 and have a family history of glaucoma, you should have a complete eye exam with an eye doctor every one to two years. If you have any risk factors, you may need to visit your eye doctor more frequently.

What Are the Symptoms of Glaucoma?

For most people, there are usually few or no symptoms of glaucoma. The first sign of glaucoma is often the loss of peripheral or side vision, which can go unnoticed until late in the disease. This is why glaucoma is often called the "Sneak Thief of Vision" or "Silent Thief of Eye Sight".

If you have any of the following symptoms, seek immediate medical care:

Seeing halos around lights
Vision loss
Redness in the eye
Eye that looks hazy (particularly in infants)
Nausea or vomiting
Pain in the eye
Narrowing of vision (tunnel vision)
Risk Factors

There are several risk factors, which may lead to glaucoma, such as

Age of the individual
Ethnicity- African, Caribbean, Hispanics and Asians are at higher risk
Increased eye pressure or IOP History of glaucoma in family or relatives
Presence of Myopia or Hyperopia
Previous eye injuries
Use of steroids- as injections, tablets, eye or ear drops or ointments or protein supplements for muscle building in gyms or inhalers
Previous history of anemia
Individuals conditions affecting blood flow like hypertension, diabetes or high blood sugar, migraine etc are also at risk.
Treatment-

The treatment for glaucoma relies on the nature and seriousness of every case. Generally, glaucoma cannot be totally cured, but it can be controlled. Eye drops, pills, laser strategies, and means of surgery are utilized to maintain and prevent further harm from happening. Talk to your eye doctor to find out if you are at risk of developing glaucoma.

Glaucoma - 7 Signs You Are Suffering From It!

Amblyopia or Lazy eye is the eye condition in which vision is reduced and cannot be corrected with glasses or contact lenses. All the images seen by the amblyopic eye are not fully acknowledged by the brain. It always affects only one eye, but may be accompanied with reduction of vision in both eyes. It can cause loss of vision, including loss of depth perception and two-eyed 3D vision. It's treatment can yield improvements at any age, but early detection can offer the best chances for a cure. Recent research has proven that lazy eye treatment can be successful in older children and adults. Comprehensive vision examinations are required for infants, toddlers, and pre-school children for the detection of lazy eye or amblyopia.

When the brain parts related with visual processing do not function properly, problems arise with such visual functions as the perception of movement, depth perception and fine detail (acuity, clear eyesight and sharp vision). Amblyopia is the most prevalent neurological defect of vision in children and adults resulting from developmental problems in the brain. Any interference with clear vision in either eye during the first six years or 'critical' period of visual and brain development can cause a lazy eye.

Constant strabismus or the constant turn of one eye in any direction, be it inward turn or crossed eye is one of common causes of amblyopia. The differences in vision or it's prescription between the two eyes leads to refractive amblyopia. Sometimes congenital disorders or a physical blockage of an eye due to trauma, drooping lids, cataract or a blocked tear duct can also lead to amblyopia. Many parents and children are not aware of any symptoms, as amblyopia usually occurs in one eye only and a lazy eye condition can exist without a noticeable eye turn. The visual acuity tests in addition to the 20/20 eye test charts and eye examination with cycloplegic drops by ophthalmologists are necessary to detect lazy eye.

Vision therapy for the eyes and brain is a highly effective non-surgical treatment for lazy eye. It is a progressive program of vision exercises customized to fit the visual needs of each patient. It is conducted at the clinic and occasionally supplemented with exercises to be done at home or workplace. It improve visual comfort, ease, and efficiency and change how a patient processes or interprets visual information. When considering treatment options, it is important to understand that lazy eye results from neurological deficit or problems in the brain and surgery for lazy eye is performed on the muscles on the outside of the eye. Most of the cases, lazy eye surgery provides cosmetic benefits and does not improve the patient's vision, hence options for vision improvement should be exhausted before eye muscle surgery is considered.

Lazy Eye or Amblyopia - Symptoms and Cure

Are you suffering from eye pain? Well, rubbing your eyes is not a wise thing to do under such circumstances. Rubbing will only turn the white of your eye into a scarlet-colored surface. The eyes can get irritated due to the influence of foreign materials like dust particles, flies or remains of beauty products. The eyes also develop pain due to physical injury. Here are some tips to get rid of the eye pain or irritation:

Use Ice pack: In case of an injury, apply ice pack on the eyes. Cold compression on the eyes for 15 minutes reduces any sort of pain or swelling.

Cry to smile: Tears are known to have positive effects on the eyes. They prevent the drying up of cornea. It is advisable to bathe the eye with artificial tears.

Compress your eyes: It is advisable to soak a washcloth in warm water and compress your eyes with that to get relief from pain in sty. Sty is an infection of the eyelid, which reddens the lids and causes pain. Warm compression helps in liquefaction of the oils in the eyes.

Wash your eye: Irritation or pain is also caused by dust particles in the eyes. Therefore, it is best to wash your eyes with saline solution. Don't use normal tap water or distilled water for washing your eyes.

Get rid of the invader: Try to remove or dislodge any fleck or speck 'the cause of pain' by using a cotton swab.

Try the cold treatment: It has been found that dry eyes can be treated best by cold application. Apply a pack of ice on dry eyes for 5 to 6 minutes in every two hours. This helps in reducing the pain and forms tears to keep the eyes moist.

Flip your eyelids: Try to remove the painful particle inside the eyes by pulling the eyelids. Pull the upper lid gently over the lower one so that the foreign particle comes out.

Tips to Treat and Prevent Eye Pain

Don't wait any longer, manage your Ophthalmologist online with a Lybrate doctor today

Consult for Ophthalmologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES