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What you need to know:

  • Vision problems are very important to be dealt with at the earliest.
  • The further development of the child depends on the ability of the child to see well.
  • A term baby (born at 37 completed week’s gestation) will continue to develop vision over the next few weeks of birth. The vision gets clearer over the next 3-4 weeks.
  • The newborn should be able to follow a bright coloured dangling ring placed in front of his/ her eyes from side to side. This develops over the course of the next few weeks.
  • At 2 months, the baby should easily identify the caretaker and acknowledge his/her presence with a smile, this indicates a normal vision or the ability to well perceive his/her surroundings.
  • Do not hesitate to see a doctor if any of these requisites are delayed.
Note- Slight squint (Certain type) can be normal in babies up to 6 months (Refer to an eye specialist if it lasts longer).
 
Common eye/vision problems:
 
1)BLOCKED TEAR DUCT
 
What is a Tear duct?
  • There is a duct (channel) connecting the eye to the inner nose so that tears can drain into the pipe into the nose.
  • The opening of this duct is on the medial side of the eye (Towards the bridge of nose)
What happens when a Tear duct is blocked?
  • When the duct is blocked, it leads to teary eyes. Generally seen in newborn babies.
  • If it is associated with redness of the eye or yellowish discharge, it can mean an infection.
  • To overcome a blocked duct, you can massage the bridge of the nose with clean hands (thumb and index finger) in circular motions.

 

2) CONJUNCTIVITIS (Redeye)
 
What is Conjunctivitis?
  • It is the infection of the topmost layer of eye (This layer is like a plastic cover)
When does it occur?

This can occur during:

a) Viral infections-

  • Very common in children
  • There is no pus discharge
  • Appears during certain seasons of the year.

b) Bacterial infections

  • Relatively Rare
  • Can have Pus discharge
  • The child may look unwell with pain in the eye.

c) Allergy-

  • Generally, there is a family history of allergy, sneezing, running nose.
  • Responds to anti-allergic treatment

 

3) DROOPING EYELID
 
What is a Drooping eyelid?
  • As the name suggests, it is a certain angle of droop in the child’s eyelids.
  • The eyelids are supplied by certain nerves from the brain.
  • Certain problems with these nerves may cause the eyelids to droop.
What to do if notice a Drooping eyelid?
  • If drooping appears, then it has to be seen by a doctor immediately
  • There could occasionally be a family history and other associations linked to it.
4) SWELLING AROUND THE EYES (Periorbital cellulitis)
 
What you need to know:
  • Children are prone to infection of the skin surrounding the eye.
  • Generally, there is a history of trauma prior to swelling (Scratch to the skin or bug bite).
  • The child may have a fever, inability to move the eye, and the appearance of the eye being pushed forward.
  • The concern is that the infection can later invade the eye.
  • Hence this condition should be immediately diagnosed and treated with antibiotics for 2 weeks

 

4) VISION DISTURBANCES
 
What are the common vision related problems?
The child may present with following symptoms:
  • Blurred vision
  • Headache/ eye ache
  • Repeated rubbing of eyes
  • Closing eyes partially to see better
Most cases are treated by a visit to an Eye specialist who will recommend lenses/ glasses, much like adding an extra lens to a Camera for clearer pictures and zoom capabilities.
Follow up with the doctor regularly at least once in 6 months to see for alterations in the lens power.
 
When to immediately see an Eye specialist in case of Vision problems?
See an Eye specialist at once if any of the symptoms are visible:
  • White colour visible within the eyes of a newborn
  • If the mother during delivery suffered from certain viral infections(Toxoplasma/ Cytomegalovirus etc.)
  • Redness in the eyes of a newborn that does not improve after 1 week( This could mean other transmitted diseases are at play)
  • Severe Pain/watering/ unable to see light/ redness in eye
  • Eye trauma
  • Swelling around eyes
  • Appearance of the eye being pushed out of its sockets

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