The child was admitted and after examination by Dr. Madhu Karna, Pediatric Ophthalmologist at Sankara Eye Hospital, Ludhiana, immediately started on medical treatment. The boy had developed a pouch full of fluid inside the eye due to injury which was raising the pressure inside the eye and obscuring the vision.

1. Pediatric Ophthalmology –
Spectrum of Conditions
Dr. Madhu Karna
Pediatric Ophthalmologist
India

2. ROP-Psuedostrabismus

3. Congenital cataract

4. With glasses after cataract surgery
both eyes

5. With contact lenses after surgery

6. Meningocele Congenital Dacryocele

7. Refractive errors

8. With Contact Lens

9. Amblyopia

10. Congenital syndrome - Hurler’s Syndrome
• Corneal
clouding
• Glaucoma

11. RE- squint due to hydrocephalus

12. Retinoblastoma -Extension from orbit
to brain

13. Cerebral Palsy - Hemiatrophy

14. ACCOMODATIVE ESOTROPIA
INTERMITTENT ESOTROPIA ORTHO WITH GLASSES

15. CONGENITAL ESOTROPIA
ESOTROPIA WITH LE IOOA 6 WEEKS POSTOP

16. PREOP CONSECUTIVE EXOTROPIA
PREOP WITHOUT GLASSES
POSTOP FIRST DAY

17. Accomodative esotropia

18. Beware of a patient like this before
you operate her
• High myope – Status post OD:CLE, OS:Lasik

19. Investigate the track of the muscles
before you set them straight

20. INTERMITTENT EXOTROPIA
PREOPERATIVE
INTERMITTENT EXOTROPIA
POSTOPERATIVE

21. Refractive error with IDS

22. Squint - before and after surgery

23. Extraocular movements
•RE – limitation of depression in abduction, LE – limitation of elevation
in adduction

24. Head Tilt
25 pd R/L 20 pd R/L
Diplopia charting – Maximum separation of images in detroelevation with the
right eye image crossed and depressed.

25. AHP DISSOLVED- 6 WEEKS

26. Swelling Left lower lid - cysticercus

27. Injury LE with a fist-fracture floor orbit with
elevation limitation

28. Cafe au lait spots –
bilateral optic
nerve glioma

29. Proptosis RE – Optic nerve sheath
Meningioma

30. Red eye - AV malformation

31. Central fundus exam

32. Optic disc coloboma

33. Post neuritic optic atrophy

34. Nystagmus with Face Turn

35. Thank you