Extended Information

Pediatric Vision Care

What is special about children’s vision? 

School Performance 

Many vision problems can be corrected more easily with early diagnosis and treatment. Reports have estimated that up to 25% of students in grades K – 6 have vision-related problems, which may contribute to poor school performance. 

Here are some statistics:

  • 95% of vision issues can be corrected if detected and treated early. 
  • 7 – 12% of children have eye problems that may lead to permanent loss of vision if not detected and treated in time. 
  • 2.4 million (or 10.5% of) children between the ages of zero and four are affected. 
  • 86% don’t have eyes examined before first grade. 
  • Only 14% have their eyes examined before age 18.

So if your child is having difficulty in school, getting headaches, using their finger as a reading guide, let’s determine if an undiagnosed vision problem is the cause of your child’s learning issues.  


Ocular Trauma

Examination  

Eye injuries can occur at any time.  Our office is equiped to handle most eye injuries. The primary instrument we use is a biomicroscope, sometimes referred to as a slit lamp.  The biomicroscope has a high magnification and is particularly designed to aid us in evaluating the extent of an eye injury. Whether it is a laceration, foreign particle embedded or a burn, the biomicroscope is the primary tool to carefully examination the injury.

Embedded Foreign Bodies  

A common injury is a hot iron metalic foreign body embedded in the cornea.  Grinding or drilling in iron or other metals will release particles that are hot and when they hit the eye they embed themselves in the cornea.  If it is iron, as in this example, it will immediatley begin to rust due to the salty consistency of our tears. When the metal particle is removed, there is a remaining rust deposit that has infiltrated the surrounding cornea. We have experience at removing these rust spots. With proper medical treatment these injuries resolve well. If the foreign particle was embedded in the central visual axis of the cornea, there may be a scar remaining which could effect the patients ultimate visual acuity. Safety glasses are always recommended to prevent these type of injuries.  

Ocular Disease

We provide diagnosis, treatment and management of diseases which affect the human eye and visual system. Group Eyecare can 3D image (photograph) every aspect of your eye’s anatomy, seeing the issue(s) helps for better understanding.  Some disease examples include:  

Cataract is a clouding or opacity of the natural internal lens of the eye.  This opacity may be a small spot or may cover the entire lens.  When light enters the eye it is scattered, causing images to appear hazy and blurred.  There are many different types of cataracts.  The one shown here is a cortical cataract.  Here the opacity forms first is the periphery of the lens and develops inward, like spokes of a wheel. Ultimately, the best  treatment is to remove the cataract lens and replace it with an acrylic man made lens. This is referred to as cataract surgery.

Retinal Trauma 

Contusions, otherwise referred to as a “black eye” can result in more than just the obvious bruises on the face.  The retina is the nerve tissue that senses light which lines the back of the eye.  There is a blood vessel layer under the retina.  This is very delicate and sensitive tissue.  

Retinal Hemorrhages  

A compression type of injury can knock the retina loose and cause bleeding underneath. These examples show both retinal hemorrhage and retinal detachment.  Both can result in blindness to the effected eye. Immediate examination and subsequent treatment is needed in these type of injuries.

Macular Degeneration

A condition in which the central part of the back of the eye loses blood circulation.  It is considered a natural aging process.  There is a breakdown of retinal pigment epithelium cells in the macular region.  As the disease progresses, central vision diminishes.  It is believed that this breakdown may be due to a lack of nutrients being supplied to the region. Additional studies have found a genetic link to this disease.  Treatment can range from better nutritional management, sometimes to include a tablet containing the primary minerals and vitamins that are found lacking in many macular degenerated patients.

Glaucoma is a condition where the pressure inside the eye increases to unacceptably high level , thereby causing damage to the optic nerve and as a result, loss of vision. Classifying you as a glaucoma suspect indicates that your intraocular pressure may be higher than normal and/or the appearance of the optic nerve in one or both of your eyes shows some evidence of suspicion in regard to glaucoma. Unfortunately for glaucoma, there is no symptoms until nearing the endpoint.    Glaucoma is a very serious treatable disease. You can be assured that everything possible will be done to achieve our mutual goal: preservation of your sight.

Diabetic Retinopathy is a condition when a diabetic persons blood sugar gets too high. High blood sugar levels start a series of events which end in damaged blood vessel walls. As such, the blood vessels begin to leak fluid or bleed, causing the retina to swell and form deposits know as exudates. Vision can be lost if these spots are not watched and treated.  Here, at our office, we carefully examine the back of your eyes to follow and manage this and other important eye diseases.

Dry Eye Syndrome occurs when the normal flow of tears over the eyes is interrupted, or the tear film is abnormal.  In many cases, dry eye syndrome is a life long problem.  You can relieve the symptoms, but not cure the original cause.  Artificial tear lubricants or in some cases blocking the tear ducts will concentrate the limited tears that are available. Ask us about Restasis and Punctal Plugs to help relieve Ocular Surface Diseases.

Keratoconus is a disorder that occurs when the cornea, which is typically rounded, becomes cone-shaped. The progression is usually slow and can stop at any stage from mild to severe. This distortion increases as the cornea bulges and thins.  The apex of the cornea often scars, reducing the vision.  Treatment of Keratoconus is most effective with gas permeable contact lenses, designed specifically for the irregular corneal surface.  If contact lens treatment is not successful, surgical corneal transplant may be necessary.

Emergency Eye Care

 If you have symptoms of  “Flashes of Light” in your vision, when there is no light to explain the flashes, this could mean that there is something happening on the back of the eye. The eye does not have any pain sensors so flashes are your best clue that there is something wrong. 

In contrast the cornea (the clear window on the front of the eye) has more nerve pain sensors that any other part of the body.  Injury to the cornea can be incredibly painful.  However, in both cases, immediate treatment is needed. Our office staff is well trained to know how to expedite the treatment of these type of injuries. Call immediately when an injury occurs. We are here to help. 

For emergencies during office hours, call 541-772-7273.  

After hours, call 541-944-0758.