When should you go to a pediatric review?
What are the most common diseases in ophthalmic pediatrics?
• "Lazy eye" or amblyopia. Amblyopia or "lazy eye" is one of the main causes of unrecoverable vision loss in developed countries. It must be detected as soon as possible for proper handling.
• Refractive defects. Refractive defects that may appear since childhood are myopia, astigmatism and farsightedness. They cause an unfocused vision, without sharpness. Early detection is very important because they can affect school performance and it should be borne in mind that children may not complain about possible symptoms.
• Child strabismus. Child strabismus is the abnormal deviation of one or both eyes in all or some of the gaze positions. When this occurs, the parallelism of the ocular axes is lost and this causes the binocular vision to be altered (relief vision or "3D"). This lack of alignment means that both eyes cannot focus on the same point simultaneously. When this occurs in childhood there is an adaptation phenomenon whereby the brain selects the best quality image and disconnects the vision of the other eye, thus avoiding the double vision that would appear as a result of not being able to see exactly both eyes with same picture.
What symptoms can a child present to alert his parents to go to an ophthalmologic check?
• Continuous tearing in either eye or both.
• Frequent legacies when getting up.
• The pupil must be black, if it is white (leucocoria) or it is not round, it is necessary to go to the ophthalmologist.
• Fall of one or both upper eyelids (palpebral ptosis).
• Involuntary lateral eye movements of “vaiven” (nystagmus).
• In addition, parents should observe if the child gets too close to the paper when reading or watching television, if he fixes his eyes or if he rubs frequently, or if he has many headaches.