Journal of Paediatric Medicine & Surgery
Open Access

Eye diseases; Visual development; Vision care; Children; Amblyopia; Strabismus; Refractive errors; Pediatric ophthalmology; Vision screening; Early diagnosis

Introduction

Visual development is an integral part of a child’s growth, impacting their ability to learn, explore, and interact with the world. Visual problems in childhood, if undetected, can lead to significant long-term consequences. The first years of life are critical for visual system maturation, and untreated eye conditions can result in permanent visual impairments. In children, vision problems such as refractive errors, amblyopia (lazy eye), and strabismus (crossed eyes) are common and can have a substantial impact on a child’s academic performance and social development. Early detection and treatment are essential for preventing irreversible vision loss. This article explores various eye diseases affecting children, their effects on visual development, and the importance of comprehensive vision care [1,2].

Eye diseases and visual development

1. Amblyopia: Amblyopia, or lazy eye, occurs when one eye does not develop proper vision during early childhood. This is often due to unequal refractive errors or strabismus. The brain favors one eye, leading to vision suppression in the other. Early treatment, including patching or corrective lenses, can improve outcomes.
2. Strabismus: Strabismus, commonly known as crossed or misaligned eyes, affects visual coordination. If untreated, strabismus can lead to amblyopia, as the brain will ignore the visual input from the misaligned eye. Treatment options include corrective glasses, eye exercises, or surgery [3].
3. Refractive errors: Refractive errors, such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism, are the most prevalent visual problems in children. These can be easily corrected with glasses or contact lenses. However, uncorrected refractive errors can interfere with learning and development.
4. Congenital eye conditions: Some children are born with eye diseases such as congenital cataracts or glaucoma. These conditions require prompt medical intervention to prevent irreversible vision damage [4].

Vision care in children

1. Early diagnosis and screening: Routine vision screening is vital for detecting visual problems early. Pediatricians often conduct initial vision assessments, and referrals to specialists are made when necessary. In many countries, vision screening is conducted in schools to catch refractive errors and other conditions that may impair learning.
2. Pediatric ophthalmologists and optometrists: Specialized eye care providers, such as pediatric ophthalmologists and optometrists, play a crucial role in diagnosing and managing eye diseases in children. They can prescribe corrective lenses, provide medical treatment for conditions such as amblyopia, and offer guidance for long-term visual health [5,6].
3. Public health interventions: Increased public awareness and accessibility to vision care services are essential for ensuring that all children, regardless of socio-economic background, receive necessary eye care. Public health programs often provide free or subsidized vision screening and glasses for school-aged children in underserved communities.

Results

Several studies have shown that early intervention in childhood eye diseases significantly improves outcomes. For instance, research demonstrates that children with amblyopia who receive treatment before the age of seven have better visual outcomes than those treated later. Similarly, correcting refractive errors early allows children to perform better academically. Public health initiatives aimed at screening and treating visual impairments in school settings have successfully reduced the incidence of untreated eye conditions in low-income populations. Recent advances in pediatric ophthalmology have also improved the prognosis for children with congenital conditions such as cataracts and glaucoma, with better surgical techniques and earlier detection leading to improved visual outcomes [7,8].

Discussion

The visual system of a child is highly adaptable during the early years of life, making early intervention critical for preventing long-term vision problems. Amblyopia and strabismus, if left untreated, can result in permanent vision impairment, which highlights the importance of early diagnosis. While refractive errors are easily corrected with glasses, they remain underdiagnosed in many parts of the world, particularly in developing countries. The underdiagnosis is often due to the lack of routine vision screenings, making public health efforts critical in reducing the global burden of pediatric vision impairment. Technological advances, such as smartphone-based vision screening tools, are helping overcome barriers to vision care in resource-poor areas. However, challenges remain in terms of ensuring access to specialized pediatric eye care, particularly for more complex conditions that require surgical interventions [9,10].

Conclusion

Vision plays a vital role in the cognitive and social development of children. Early detection and management of eye diseases, including amblyopia, strabismus, and refractive errors, are key to ensuring optimal visual outcomes. Pediatric vision screening, timely interventions, and public health programs targeting underserved communities are critical in reducing childhood vision impairment. Continued advancements in pediatric ophthalmology offer promise for the future, particularly in addressing congenital conditions. However, global efforts to ensure accessible and equitable vision care for all children remain essential.

1. Elster AB, Kznets NJ (2000)American guide lines for adolescent preventing services (GAPS).Recommendation and Rationale.

Indexed at, Google Scholar

2. Taffa N, Haimanot R, Dessalegn S, Tesfaye A, Mohammed K (1999)Do parents and young people communicate on sexual matters? The situations of Family Life Education in rural town in Ethiopia. Ethiop J Health Dev 139: 205-210.

Google Scholar

3. Taffa N, Johannes, Hansen C, Bjune SG (2002)HIV prevalence and socio-economic contexts of sexuality among youth in Addis Ababa, Ethiopia. Ethiop J Health Dev 16: 139-145.

Google Scholar

4. Coughlin J (2016)Teenage pregnancy in Ghana: Assessing situation and moving forward.

Google Scholar

5. Osei-Asibey Y (1998)Problems of teenage pregnancy in Nkwanta District of Volta region, School of Public Health: University of Ghana, Legon.

Indexed at, Google Scholar

6. Spear KL, Auinger P, Simone R, Dorsey ER, Francis J (2019)Patient views on telemedicine for Parkinson’s disease.J Parkinsons Dis 9: 401- 404.

Indexed at, Google Scholar, Crossref

7. Chirra M, Marsili L, Wattley L, Soko LL, Keeling E, et al. (2019)Telemedicine in neurological disorders: opportunities and challenges.Telemed J E Health 25: 541-550.

Indexed at, Google Scholar, Crossref

8. Elias WJ, Shah BB (2014)Tremor. JAMA Neuro 311: 948-954.

Indexed at, Google Scholar, Crossref

9. Zesiewicz T, Chari A, Jahan I, Miller AM, Sullivan KL (2010)Overview of essential tremor. Neuropsychiatr Dis Treat 6: 401.

Indexed at, Google Scholar, Crossref

10. Abdolahi A, Scoglio N, Killoran A (2013)Potential reliability and validity of a modified version of the unified Parkinson’s disease rating scale that could be administered remotely. Parkinsonism Relat Disord 19: 218- 221.

Indexed at, Google Scholar, Crossref