CHILDREN’S EYE CARE AND MYOPIA CLINIC

Clear vision for little eyes-
Specialised paediatric eye care

We always recommend that your child undergo a comprehensive eye examination before starting school.

Conditions like refractive errors and amblyopia can go unnoticed if not specifically tested early on. Children under five are especially vulnerable to these issues as they often cannot comprehend or express their vision challenges. So, periodic eye check-ups are recommended for this age group. Early screening is even more crucial for children with a family history of eye problems.

Refractive Errors in Children

Myopia (nearsightedness): The inability to see distant objects clearly

Hyperopia (farsightedness): The inability to see close objects clearly

Astigmatism: Results when the cornea is irregularly curved (instead of being spherical) and the vision is distorted or blurred for both near and far objects. It often occurs together with nearsightedness or farsightedness.

Preventive Measures

Healthy diet: Pack in foods rich in Vitamin A and other essential nutrients for eye health.

Outdoor play: Encourage outdoor activities to reduce the risk of myopia (nearsightedness) associated with excessive screen time.

Proper screen time management: Limit screen time and maintain an appropriate viewing distance to prevent digital eye strain.


Eye safety: Educate children about the importance of eye safety, including wearing protective eyewear during sports and activities.

Treatments

If left uncorrected, the vision may decrease permanently (amblyopia).

In young children, refractive errors are generally treated with corrective lenses (eyeglasses or contact lenses) and can usually be fully corrected.

The Global Epidemic that you have not heard about

Myopia in children affects more than vision. It affects learning and well-being.

The progression of myopia can be slowed down by diagnosing it early in childhood and treating it correctly. The right timing of diagnosis and treatment is everything.

Our myopia clinic has an experienced team of ophthalmologists. Your child will undergo a detailed and comprehensive eye check-up and be prescribed the best treatment. Risk factors for your child are assessed, and individualised treatment, including newer modalities that help slow down myopia progression, will be started.

Screen time and child’s eye health:

Here’s why you should be thoughtful about how much screen time you allow your children –
The amount of screen use per day has been associated with developmental outcomes, obesity, poor sleep quality and eye development. Research from Canada has also found that preschoolers who had more than two hours of screen time per day had a nearly-8-fold increase in ADHD (Attention-Deficit/Hyperactivity Disorder)

The World Health Organization’s 2019 guidelines suggest no screen time for children before age 1 and minimal screen time for children for several years after that.

Blue light from digital devices is not dangerous for your children’s eyes. However, screen time should be limited late in the day to prevent sleep problems from blue light. Skip the glasses that claim to protect eyes from blue light. They lack evidence to support their claims.
A 2019 study published in Ophthalmology, the journal of the American Academy of Ophthalmology, offers more evidence that at least part of the worldwide increase in nearsightedness has to do with near-work activities. The study also found that spending time outdoors, especially in early childhood, can slow the progression of nearsightedness (minus numbered glasses).

Effects of screen use on children’s eyes:

1. Digital eye strain:
Digital eye strain isn’t a single eye condition. It’s a name for the kinds of symptoms that you or your child may experience when looking at a screen for too long. These symptoms can include dry eyes, itchy eyes, blurry vision and headaches. They are temporary, and no permanent damage is being done to the eyes.

The easiest way to avoid digital eye strain (or eye strain from any extended near-focus task like reading or sewing) is to blink often, look up from your screen or close up work every 20 minutes, and focus at least 20 feet away for 20 seconds. This strategy of frequent re-focusing is called the 20-20-20 rule and lets the eyes relax and reset.

2. Sleep disruption from screen use:
While some of the dangers of blue light may have been overhyped in recent years, screen use too close to bedtime can harm sleep quality. Sleep is so important to childhood development that the World Health Organization made sleep one of the focuses of its latest recommendations.

3. Safety tips for children and screens:
The best way to deal with the possible effects of screens on children’s eyes and vision is to help them set good habits for using screens. These tips are also good practices for adults and anyone with chronic dry eyes or eye strain.

FAQS

Myopia or nearsightedness is a vision condition in which people can see near objects clearly, but objects farther away appear blurred.

Myopia occurs if the eyeball is too long or the cornea is too curved. As a result, light entering the eye is not focussed correctly, and distant objects look blurred.

  • Genetic factors: There is a greater than six-fold increased risk of myopia in children if both parents are myopic
  • Lack of outdoor activities
  • Prolonged reading or other close-up activities
  • Using computers or smart devices for long periods
  • Reading in dim light

Watch out for these indications:

  • Difficulty in seeing things on whiteboards/screen projections in the class
  • Excessive blinking
  • Frequent rubbing of eyes
  • Squinting/squeezing of the eyes
  • Preferring to sit close to the television
  • Holding books/objects close to the face
  • Headaches and eyestrain

They could suffer from:

  • Poor school experiences – delays in reading or other academic skills
  • Persistent eyestrain and headaches
  • Difficulty with social interactions, poor self-esteem
  • Glasses
  • Contact Lenses
  • The recent development of specialised glasses and contact lenses provides clear vision and can also control the worsening of myopia.

Childhood is the critical time for slowing myopia progression.

  • Low-dose atropine eye drops.
  • Orthokeratology contact lenses: Special contact lenses worn overnight, help in clear daytime vision, by flattening the corneal surface.
  • Peripheral defocus contact lenses: Different areas of focus to sharpen distance vision while they defocus side vision.
  • Peripheral defocus spectacle lenses

There are no guaranteed strategies for myopia prevention. The following can help:

  • Annual eye examination for children.
  • Play outside in natural light- for at least 60-90 minutes per day.
  • Use good lighting when working.
  • Limit screen time:
  • Keep track of time spent by your child on digital devices. Limit the number of hours on television, phone, computer or tablet.
  • Teach kids to use the 20-20-20 rule: Every 20 minutes, focus your eyes on an object at least 20 feet away for at least 20 seconds.

It is expected that myopia will increase progressively during adolescence and stabilise after the age of 20 years in most cases. The power may fluctuate even after 21 years of age. It is important to wear proper correction and come for regular check-ups.

Between the ages of 3 and 5, the child should have a thorough in-person optometric eye examination, to make sure that vision is developing properly and there is no evidence of eye disease.