4th Pediatric Infectious Diseases Conference
 
 
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Common Eye Problems in Children
COMMON PEDIATRIC EYE PROBLEMS
IN CHILDREN

Care of eyes at the time of birth and afterwards
Eyes should be cleaned properly at the time of the birth. Antibiotic drops should be instilled in the eyes. If there is any pus discharge it can be dangerous, particularly if it is caused by a bacteria known as
"gonococci". These organism attack the infant’s cornea and pus spreads in the eye causing permanent blindness.

Congenital catract
Congenital cataract is the one the baby is born with. German measles (viral infection) can cause it if this virus affects the mother during pregnancy. It needs urgent ophthalmic opinion and can be treated surgically if required.

Watering of the eyes in the early months
The most common cause of watering in the first six months is due to dacryocystitis, which is caused by obstruction of the normal passage of tears from the eye into the nose, which can be treated with antibiotic drops on ophthalmologist’s advice. If required, probing can be done to dilate the
punctum( opening of the passage ) and clearout any blockage in this passage (nasolacrimal ) or syringing the passage with antibiotic solutions.

Conjunctivitis
Inflammation of conjunctiva is known as conjunctivitis. In children it can be due to bacterial or viral infection. It can be treated with antibiotic drops. If the cause is allergy, it can be treated with anti-allergy drops combined with antibiotic and short-term use of topical steroid if required. If required, oral (antihistamine) syrups/tablets may be given. Avoiding exposure to those things one is allergic to may prevent allergic conjunctivitis.

Stye
It is an infection of the eyelash hair follicle (root). It causes pain and swelling of the eyelids. It is treated with oral medications (antibiotics) and hot fomentation over the effected eyelids. It usually clears in 2-3 days.

Chalazion
It is a non-infective swelling (cyst) situated over the eyelids. It is a painless cyst. It may reduce in size by hot fomentation and eyelid message. However surgical treatment is required in most cases. It can be prevented by maintaining good cleanliness of the eyelids.

Eye Trauma
If a child is playing with any sharp instrument like pencils, pen, knife, bow & arrows one should be careful that it does not hurt/injure the eyes as it can be very dangerous & may cause perforation of the eye and loss of vision. It may require an urgent ophthalmic opinion.

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