What do we do in our unit - specialities and field of expertise

Our strengths

  • Congenital and Developmental Cataract
  • Traumatic Cataract
  • Use of Intraocular Lenses in Children
  • Congenital Glaucoma
  • Diagnosis and Treatment of Congenital Ocular Malformations - PHPV
  • Amblyopia Treatment
  • Strabismus in Children
  • Strabismus (botulinum - surgery)
  • Nystagmus
  • Familial and Genetic Subluxation Lenses - Marfan Syndrome
  • Genetic Eye Diseases - Chromosomal Aberrations
  • Inflammatory and Allergic Manifestations
  • Nasolacrimal Duct System Disorders
  • Problem of Refraction in childrens' Eyes (myopia - hypermetropia - anisometropia)
  • Aniridia
  • Retinoblastoma
  • Optic Nerve Malformations
  • Retinopathy of Prematurity
  • Eyelids and Orbit Disorders
  • Genetic Therapy
  • Low Vision
  • Laser Treatments

Children admitted to our clinic undergo the following examinations:

  • Thorough medical history and inquiry about any ocular diseases in the family.
  • Visual acuity assessment: In pre verbal children - fixation patterns, optokinetic nystagmus, preferential looking.
  • In verbal children - familiar objects acuity cards, E-illeterate or Snellen cards.
  • Special emphasis is made in order to rule out the presence of amblyopia.
  • Ocular motility: Monocular movements as well as binocular versions in all directions of gaze are evaluated.
  • The ability to converge and divergence is recorded and abnormal or paradoxical movements noticed.
  • Cover test: The cover-uncover and alternate cover tests are performed to ascertain the fixation pattern of each eye, to detect amblyopia and rule out strabismus.
  • Binocular vision: Assessment of binocular functions is an integral part of the pediatric ophthalmology examination and is an important factor in the child's visual performances
  • Slit lamp examination: The external ocular surfaces and the potency of the lacrimal puncti are assessed using a minimal illumination beam. Higher illumination power is used to examine the corneal structures, anterior chamber, iris, pupil and the lens.
  • Dilatation of the pupil: This is carried out by instillation of Tropicamide 0.5% (Mydramide) and Cyclopentholate 1% (Cyclogyl).
  • Objective refraction is carried out after full cyclopegia is achieved.
  • Indirect ophthalmoscopy: Thorough examination of the fundi is carried out with special attention to the posterior pole - retinal and vessels architecture, the presence of well defined macular region and foveal reflex and to the anatomy and color of the optic nerve. Difficult cases and all of those potentially needing surgical intervention are brought for consultation and staff discussion
  • Thorough explanation to the parents regarding the child's condition
    Suggested treatment and invitation for next follow up visit as deemed necessary.
  • Exceptionally difficult cases and especially those with suspected lesions in the fundal periphery are invited for examination under general anesthesia. This is carried out on an ambulatory basis under light sedation.

Day care hospitalization

All pediatric ophthalmology surgeries are carried out on an ambulatory day care basis.

A day before the procedure, children are evaluated by an anesthesist and all administrative paper work prepared. The child and parents are given a thorough explanation about the surgical and anesthesic procedure and asked to come the following day. Solid foods are withheld for six hours and liquids for four hours before surgery. According to the surgical list, the sequence and timing are determined. The parents are asked to be at the day care department an hour before the planned time of surgery. Premedication is generally given to children older than six months.

After surgery, children are observed in the day care and discharged home when recovery is complete. Follow up visit is scheduled according to the type of surgery. Children undergoing intraocular surgery are examined on the following day while those undergoing extra ocular surgery are seen one to two weeks after the surgery.