Home » Our Services » Pediatric Ophthalmology
Who We Are
The pediatric ophthalmology department at Dr. Shroff’s charity eye hospital works to protect and restore the magic in a child’s world, by taking care of their eyes. The department is the first specialized pediatric eye care facility in North India. Since its inception in 2002, it has catered to millions of children, solving their eye problems, and providing them the gift of sight. Over the years it has grown to become a centre of excellence providing advanced care in all the pediatric eye disorders and training manpower. Our specialists are all trained experts in their respective fields and collectively we take care of the full spectrum of pediatric eye diseases.
Key Facts & Figures for year 2023 - 24
Our Experts
Pediatric Ophthalmologists
Pediatric Optometrists
Diagnosis & Treatment
Our team of experienced and specialized pediatric ophthalmologists are skilled in diagnosing and treating a wide range of eye conditions in children.
Conditions We Treat
Our experienced team of optometrists and pediatric ophthalmologists specializes in prescribing glasses for children, considering unique principles for different conditions like strabismus, cerebral visual impairment, low vision, Down’s syndrome, and nystagmus. Myopia, the most common refractive error, can progress and lead to serious complications. We offer various solutions, including eye drops, special spectacles, and contact lenses, to prevent myopia progression and safeguard vision in children.
We offer effective amblyopia management through patch therapy, atropine penalization, and binocular dichoptic exercises for children and young adults in need. Early intervention can lead to successful treatment and improved vision.
Requires prompt surgical intervention to prevent lazy eye. It is often present from birth and associated with nystagmus, Postoperative rehabilitation and long-term follow-up are crucial for successful outcomes in children. Eye power changes in growing eyes, necessitating frequent glasses adjustments and additional management for amblyopia and squint. Our skilled pediatric ophthalmologists excel in holistic care, performing cataract surgery with intraocular lens implantation and providing optimal post-operative support for excellent results at our centre.
Early treatment is crucial to prevent vision loss and maintain 3-D vision in children. There are various forms of strabismus like esotropia, exotropia, hypotropia, or hypertropia. Treatment includes refraction, eye muscle exercises, injections, and eye muscle surgery. Our strabismus experts at SCEH manage both simple and complex cases with the best available strategies.
It may occur with or without strabismus. It can be a sign of underlying serious conditions and poor vision. Nystagmus can lead to an abnormal head posture, affecting a child’s education and overall development. Our nystagmus experts at SCEH do a comprehensive ophthalmological check-up, perform tests and offer various medical and surgical options to reduce nystagmus and correct abnormal head posture with the best available strategies.
Binocular vision dysfunction, like convergence insufficiency, accommodative insufficiency, and more, can cause discomfort, headaches, and double vision. These conditions are often treatable with lifestyle changes and eye muscle exercises. Our binocular vision therapy clinic, with experienced orthoptists, has been successfully managing such patients for over 20 years.
The eyes serve as windows to the brain, but some babies may experience brain stress during birth, affecting their ability to perceive images despite having normal eyes. This condition, known as Cerebral Visual Impairment (CVI), can impact other senses and motor abilities. Supportive treatment, including glasses, management of strabismus, and rehabilitative exercises, is crucial for these children. At SCEH, our specialized CVI and Vision Rehabilitation Clinic (VRC) offer personalized care to enhance visual performance and improve the quality of life for these children.
It can be present since birth (primary congenital glaucoma) or develop later in life, often associated with other ocular disorders (secondary congenital glaucoma). Glaucoma can lead to irreversible vision loss if untreated. At SCEH, our pediatric glaucoma specialists offer the best possible treatments, including eye drops or surgery, to manage this blinding disorder effectively.
Retinoblastoma is the primary eye cancer posing a threat to vision and life. Early intervention is crucial, involving systemic chemotherapy, plaque radiotherapy, intra-arterial chemotherapy, cryotherapy, and occasional surgery. Long-term follow-up and cosmetic rehabilitation are integral to treatment. With over 20 years of experience, our expert team of ocular oncologists leads the treatment. Our services are supported by the Ocular Pathology and Ocular Genetics departments.
ROP (Retinopathy of Prematurity) arises due to the premature newborn’s immature retina. This blinding disorder is entirely preventable through timely screening and treatment. Laser, intraocular injections, or surgery (in rare cases) are the treatment options. SCEH collaborates with several NICUs in Delhi to screen all preterm babies and detect ROP as early as possible. Any child born before 34 weeks of life requires one retinal evaluation before 30 days of life to prevent vision loss.
Congenital or acquired corneal diseases can cause scarring and vision loss. Treatment involves corneal grafting (from eye donations) by expert cornea surgeons. SCEH performs the highest number of cornea transplants per year in North India, restoring vision and improving lives.
Watering and discharge from one or both eyes in newborns is often caused by a blockage in the nasolacrimal duct. Early management with eye drops and sac massage is effective in the first year of life. If the problem persists beyond that age, surgery may be necessary. Our team of expert pediatric ophthalmologists, ENT specialists, and oculoplastic surgeons collaborate to provide advanced care for these children.
Ptosis (drooping of eyelids), blepharophimosis (small eye openings), lid coloboma (defect), contracted sockets etc are treated surgically by our oculoplasty experts at SCEH.
Several diseases of the eye are a result of defects in the genetic makeup of the child. Such disorders often present since birth and affect vision. Some of these disorders are leber’s congenital amaurosis, rod cone dystrophy, cone-rod dystrophy, achromatopsia, hereditary optic atrophies, albinism, aniridia, microphthalmos, anophthalmos, coloboma, primary congenital glaucoma, pediatric cataract, retinoblastoma, keratoconus, and corneal dystrophies. Some disorders have no definitive treatment, and supportive care is necessary. Family members may also be at risk of being affected. There is ongoing research in finding cure for these disorders worldwide. At SCEH we specialise in genetic counselling, testing and supportive care for ocular genetic disorders.
When medical and surgical treatment is not possible for a particular eye disease, vision can still be enhanced using low vision aids, assistive devices and targeted vocational guidance. At our vision enhancement clinic, we help children with low vision attain their full visual potential using these modalities. We provide assistance in disability certificate acquisition and special school education.
Through our community outreach programs we reach out to children who cannot reach us. Various school health screening and community screening (door-to-door) programs help us to provide services to even the poorest sections of the society. These programs run in Delhi and around our secondary centers in Mohammadi, Meerut, Vrindavan, Alwar and Shahranpur.
Routinely performed procedures
The department is equipped with advanced diagnostic tools and technology to aid in the accurate diagnosis of various eye conditions in children. These include Specialized imaging techniques like
- Anterior segment and posterior optical coherence tomography (OCT)
- Corneal Topography
- Utrasound biomicroscopy
- Fundus Autofluorescence
- OCT angiography
- Handheld machines for examination under anesthesia.
- Fundus photography
- Slit lamp photography
- External photography
- 9 gaze motility photography.
- B Scan ultrasonography.
- Pediatric Biometry including A scan and handheld keratometry under general anaesthesia and IOL master.
- Visual field testing.
- Electrophysiological tests like Electroretinography and Visual Evoked potential.
- Hess and Diplopia Charting.
- Synaptophore testing.
- Genetic testing
Patient Stories
A ‘Visionary’ Transformation: Baby Anabia’s Journey
Baby Anabia, a 1-year-old girl from Mustafabad, Delhi, suffered from cataract in both eyes with Nystagmus since birth. Her parents,...
Read More...Restoring Vision for Master Shlok: A Journey of Care and Compassion
Master Shlok, a three-year-old boy, presented to SCEH with vision problems in both eyes since six months of age. He...
Read More...Video Story
Key Facts & Figures
RESEARCH
Research in the department of Pediatric Ophthalmology aims to enhance our understanding of pediatric eye disorders, improve diagnostic accuracy, refine treatment strategies, and optimize visual outcomes in children. The ultimate goal is to promote healthy eye development, prevent vision loss, and improve the overall visual health and quality of life for pediatric patients. Our research focus ranges from understanding visual development in children, to comparison of surgical outcomes to genetic basis of diseases.
MAJOR PUBLICATIONS
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Evaluation of dry eyes in children with vernal kerato-conjunctivitis using clinical tests and ocular surface analysis.
Gupta S, Rahman M, Tibrewal S, Gaur A, Ganesh S, Sangwan VS. Indian J Ophthalmol. 2023 Apr;71(4):1488-1494. doi: 10.4103/IJO.IJO_2836_22. PMID: 37026288; PMCID: PMC10276721. -
Measures and variability with age of low contrast acuity and near stereoacuity in children.
Baldev V, Tibrewal S, Ganesh S, Majumdar A, Chandna A. Clin Exp Optom. 2022 Aug 28:1-10. doi: 10.1080/08164622.2022.2113735. Online ahead of print.PMID: 36031926 -
Clinical spectrum of non-syndromic microphthalmos, anophthalmos and coloboma in the paediatric population: a multicentric study from North India.
Tibrewal S, Subhedar K, Sen P, Mohan A, Singh S, Shah C, Nischal KK, Ganesh S; Bodhya Eye Consortium.Br J Ophthalmol. 2021 Jul;105(7):897-903. doi: 10.1136/bjophthalmol-2020-316910. Epub 2020 Aug 22.PMID: 32829301 -
Cerebral visual impairment in children: Multicentric study determining the causes, associated neurological and ocular findings, and risk factors for severe vision impairment.
Mohapatra M, Rath S, Agarwal P, Singh A, Singh R, Sutar S, Sahu A, Maan V, Ganesh S.Indian J Ophthalmol. 2022 Dec;70(12):4410-4415. doi: 10.4103/ijo.IJO_801_22.PMID: 36453355 -
Results of fusional vergence therapy in managing consecutive esotropia:
Results of fusional vergence therapy in managing consecutive esotropia: A case series. Singh PK, Sharma P, Sharma S, Ganesh S. Indian J Ophthalmol. 2022 Aug;70(8):3050-3055. doi: 10.4103/ijo.IJO_2849_21.PMID: 35918971 -
Accuracy of noncycloplegic photorefraction using Spot photoscreener in detecting amblyopia risk factors in preschool children in an Indian eye clinic.
Sharma M, Ganesh S, Tibrewal S, Sabharwal S, Sachdeva N, Adil M, Chaudhary J, Siddiqui Z.Indian J Ophthalmol. 2020 Mar;68(3):504-509. doi: 10.4103/ijo.IJO_701_19.PMID: 32057013 -
Ophthalmic Manifestations in Children with Periventricular Leukomalacia.
Ganesh S, Khurana R, Wallang B, Sharma S.Indian J Pediatr. 2018 Jul;85(7):572. doi: 10.1007/s12098-018-2643-y. Epub 2018 Mar 7.PMID: 29511949v -
Accuracy of noncycloplegic refraction performed at school screening camps.
Khurana R, Tibrewal S, Ganesh S, Tarkar R, Nguyen PTT, Siddiqui Z, Dasgupta S.Indian J Ophthalmol. 2018 Jun;66(6):806-811. doi: 10.4103/ijo.IJO_982_17.PMID: 29785988 -
Results of late surgical intervention in children with early-onset bilateral cataracts.
Ganesh S, Arora P, Sethi S, Gandhi TK, Kalia A, Chatterjee G, Sinha P.Br J Ophthalmol. 2014 Oct;98(10):1424-8. doi: 10.1136/bjophthalmol-2013-304475. Epub 2014 May 30.PMID: 24879807 -
The newly sighted fail to match seen with felt.
Held R, Ostrovsky Y, de Gelder B, Gandhi T, Ganesh S, Mathur U, Sinha P.Nat Neurosci. 2011 May;14(5):551-3. doi: 10.1038/nn.2795. Epub 2011 Apr 10.PMID: 21478887
Projects
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Why SCEH
Our team of experienced and specialized pediatric ophthalmologists are skilled in diagnosing and treating a wide range of eye conditions in children. We offer a Child-Friendly Environment and State-of-the-Art Technology to ensure a
comprehensive range of treatments and procedures, covering various eye conditions specific to children, including amblyopia, strabismus, cataracts, and more. The pediatric services at SCEH adopt a multidisciplinary approach, collaborating with other specialists like cornea, glaucoma and oculoplasty surgeons and pediatricians and genetic counselors, to provide the best possible care for each child’s unique needs. We are mindful quality of care and of accessibility and affordability of services which makes Dr. Shroff’s Charity Eye Hospital an excellent choice for pediatric eye care services.
For further queries on pediatric services contact 01143524444 email: sceh@sceh.net