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Rahul Bhola, MD Director Pediatric Ophthalmology

Rahul Bhola, MD Director Pediatric Ophthalmology Chief of Ophthalmology Kosair Children ’ s Hospital Department of Ophthalmology University of Louisville. Childhood Blindness. 1.5 million blind children

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Rahul Bhola, MD Director Pediatric Ophthalmology

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  1. Rahul Bhola, MD Director Pediatric Ophthalmology Chief of Ophthalmology Kosair Children’s Hospital Department of Ophthalmology University of Louisville

  2. Childhood Blindness • 1.5 million blind children • Causes vary from region to region depends on socioeconomic status and availability of health care and eye care services

  3. World health organizationvision 2020-Right to sight • Control of blindness in children is highest priority • Children who are born blind or become blind have a lifetime of blindness ahead of them which is associated with tremendous emotional, social and economic costs to the child, family and society • Many causes of blindness are either preventable or treatable. • Many of the conditions associated with Blindness are also causes of child Mortality and thus need to be recognized early and treated promptly

  4. Causes of blindness Unavoidable Preventable/ Treatable • Cortical Visual Impairment • Optic Nerve/ Retinal Issues • Amblyopia (Lazy Eye) • Refractive Errors ( Need for Glasses) • Strabismus (Misaligned Eyes) • Congenital Cataract/ Glaucoma • Trauma: Sports Injury

  5. Amblyopia “Lazy Eye”

  6. Red flags for vision issues • Eye appears to be misaligned • Squinting, closing or covering one eye • Headache, nausea or dizziness with visual activities • Excessive clumsiness • Tilting head to one side • Rubbing eyes repeatedly • Trouble with reading or skipping lines while reading • Eyelid Drooping

  7. In 2002, Johnson & Johnson partnered with Lions Club International and established a Global community program that aims to prevent childhood blindness. • To date, SFK has screened more than 2.9 million children mainly in Hong Kong, Taiwan, Korea, and Thailand.

  8. Initiated in 2004 to preserve the gift of Sight and fight avoidable blindness in children • “Growing and Glowing” • Screened > 35,000 children in Kentucky with over 13,000 children last year.

  9. PEDIATRIC OCULAR DISORDERSExtend our services to Jcps • Strabismus ( Misaligned Eyes) • Refractive Errors ( Near/ Far Sightedness, Astigmatism) • Ocular Media Opacity (Something inside the Eye: Tumor, Cataract)

  10. Advantages of Photoscreening • Test performed without Dilation • Easy to perform and easy to interpret • Very Cost Effective • Requires very little patient Cooperation

  11. Future Goals • Increase awareness of Eye disorders in Kids • Increase number of children screened in Kentucky eventually cover the entire State • Ensure proper follow-up • State and Volunteer support

  12. Conclusion The earlier the disease is detected in infants and young children, the greater the likelihood of partial or total reversal and restoration of sight.

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