Pediatric Cornea
Corneal Opacification, Cloudy Cornea in ChildrenThe cornea is the dome-shaped, transparent front part of the eye that allows light to enter and helps focus it on the retina, where photoreceptors detect images. Corneal opacities block light from reaching the retina and can cause significant vision loss. In children, untreated corneal opacities can lead to amblyopia (lazy eye), which may worsen treatment outcomes if visual rehabilitation is delayed.
Causes
Corneal opacities can be acquired or congenital
Acquired causes
- Infection
- Inflammation
- Eye injury
Congenital causes:
- Peters anomaly
- Corneal dystrophies
- Congenital glaucoma
- Birth-related forceps injury
- Scars from corneal hydrops or keratoconus
- Certain metabolic diseases
Symptoms
Children with corneal opacity may show:
- Cloudy area on the cornea
- Blurred vision or vision loss
- Tearing
- Seeing halos around lights
- Eye irritation or foreign body sensation
- Light sensitivity
- Eye pain or discharge
Note: These symptoms can also be caused by other eye conditions, so a thorough evaluation is essential.
Test
Comprehensive Eye Exam
- Infants and young children may require examination under anesthesia.
- Initial evaluation involves eye drops to numb and dilate the pupils.
- Your eye doctor may coordinate with your pediatrician to assess systemic associations.
Slit Lamp Examination
- Evaluates the type, extent, and location of corneal opacity.
Treatments
Treatment depends on the cause, severity, and location of the opacity. Some opacities improve over time, while others may require intervention.
Corticosteroids
- Eye drops
- Oral medications
- Glasses or contact lenses
Surgical Options
- Phototherapeutic Keratectomy (PTK): Laser surgery to remove scar tissue.
- Optical Sectoral Iridectomy: Creates an opening in the iris to let light bypass the opacity, useful when corneal transplant is not recommended.
- Corneal Transplantation (Keratoplasty): Recommended in severe cases.
Why Choose Bascom Palmer Eye Institute?
#1 in the Nation
- Recognized by U.S. News & World Report as the leading eye care provider in the U.S.
Patient-Centered Care
- Compassionate, timely evaluation and treatment tailored to each patient.
University-Based Medicine
- Access to advanced technology, the latest treatments, and clinical research trials.
Skilled Pediatric Specialists
- Expertise in pediatric eye exams and treatments to make procedures easier for children.
FAQ
What corneal challenges hit kids?
Causes of pediatric corneal opacity?
Diagnostic tools for young corneas?
Treatment spectrum for pediatric corneas?
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