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01/Feb/2018

According to ophthalmologists, the visual acuity of a newborn is extremely low (0.005 – 0.015). In the first months of life it gradually increases to 0.01 to 0.03, at the age of 2 years it rises up to 0.2 – 0.3 and only at 6-7 years it reaches 1.0.

Regular visits to an ophthalmologist are very important. In order to identify congenital diseases (cataracts, retinal tumours – retinoblastoma, glaucoma) and inflammatory diseases the first examination of the child should be done in maternity. It is mandatory to examine premature born babies to exclude retinopathy of prematurity and optic nerve atrophy. The first year of life is a period of intense development, so visits to the ophthalmologist should be done at six months and at one year.

The novel device available at Optisan Clinic offers real-time following information:

  • Measurement of eye refraction;
  • Corneal reflex analysis (symmetrical or asymmetrical);
  • Measurement of pupil diameter in both eyes and pupil distance;
  • Build up the eye-fixing image.

A unique feature of this autorefractometer is the ability to obtain accurate refractive binocular measurements at a distance of 1 meter without pupil dilation. Measurements are performed simultaneously in both eyes. The device can be used in children of all ages, including children with nystagmus and in non-cooperating patients.

The technique of measurement of the autorefractometer is based on dynamic photoskiascopy (infrared radiation). Infrared radiation is harmless to the child’s eyes; it is present in the day light and is invisible to a human eye.

During the examination, the infrared rays are projected onto the retina through the pupil. Depending on the refractive error, the reflected light generates a bright image inside the pupil.

A medical exam resembling a game!

Diagnosis in children, especially young children, has always been more difficult. Unlike an adult, a kid cannot meet all the doctor’s requirements. He revolves his head, rarely stays quiet, and cannot focus his sight for a long time.

All measurements completed with the new generation autorefractometer are performed in an interactive way, resembling a game: the camera generates a special sound, catching the attention of the child, and the screen displays a smiling face. The procedure lasts just a few seconds, it is non-contact, so that the child does not get tired and does not feel any discomfort.

Photo: goo.gl/pYQhMS

 


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01/Feb/2018

Regular visits to the ophthalmologist are as important as regular vaccinations and visits to the pediatrician. Unfortunately, the brief examination of the ophthalmologist at the polyclinic, kindergarten or school is not always able to provide a complete idea about the child’s eye health. The fact that you do not have vision problems does not guarantee that your child will have a good vision. Opposite, myopia in one of the parents may not affect the child’s vision. However, it is advisable to consult a specialist.

Outdated technologies for testing visual acuity by means of wall chart are still used in hospitals, kindergartens and schools. Such a test does not provide a satisfactorily complete condition of visual health, as sometimes a latent myopia or a hypermetropia, which in several cases requires optical correction, may be overlooked.

The Optisan Clinic offers a comprehensive diagnosis of the visual system, a consultation of an ophthalmologist with experience in pediatric ophthalmology, able to properly assess the condition of the child and, if necessary, initiate an effective, individualized treatment. New Generation Computerized Diagnostic Devices used in the Optisan Clinic for examining children provide a very high accuracy of the data obtained.

Diagnosis in children, especially young children, has always been more difficult. Unlike an adult, a kid cannot always meet all the doctor’s requirements, often cannot accurately assess his perception and may give unclear answers. Therefore, the devices used in diagnosing children are designed in such a way that the test results do not depend on the precision of the child’s actions.

It is important to note that methods of investigation and diagnosis for children, used at Optisan Clinic are based on modern non-contact equipment. If during the exam the doctor reveals some vision problems, the child will receive the indispensable treatments and will be closely monitored.

Measurement of refraction is performed with autorefracto / keratometer. Currently there are special autorefracto / keratometers for children; these do not require exact eye fixation and even follow the movements of the eye. These devices measure both the refraction of the entire optical system and the cornea (one of the natural lenses of the eye) separately, which is very important in case of astigmatism.

Modern diagnosis entails examination of the eye fundus with pupil dilated. New generation drugs, harmless and easily tolerated, are used for the dilation of the pupil.

The Optisan Clinic offers an early diagnosis of eye disease, providing the opportunity to start treatment as early as possible when the disease has not yet had a significant impact on eye function.

Photo: goo.gl/CEM5nS

 

 


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01/Feb/2018

Vision is important at any age. Children explore the world by means of their eyes, adults make visual efforts at their workplace, the elderly preserve their vision for evenings spent with grandchildren.

We accept clear vision like something natural and notice changes only after the age of 40 years. Some people attend an ophthalmologist for the first time at this age.

In my career as an ophthalmologist, with many years of professional experience, I have encountered numerous cases of late established eye disorders. I strongly support the presumtion that there is an imperative must for early prevention and screening of ophthalmic disorders and refractive errors, in order to give my patients a real chance of having a good vision.

For several years I have focused on pediatric ophthalmology, for the reason that I consider children being a vulnerable category. Contemporary diagnostic devices allow assesment of refraction at a very young age, even under the age of one year. That’s why I encourage you to attend an ophthalmologist in the first year of your child’s life. If there are no concerns or family history of eye conditions, the first visit can be postponed until the age of 3 years.

A correct and personalized therapeutic approach at a young age greatly increases the chances of recovery of the child’s vision and, unreservedly, his / her optimal intellectual development, as well as his / her school performance.

I’m waiting for you at the Optisan Clinic to answer all your questions regarding the health of your eyes.

With kind regards,

Dr. Alexandru Dimitriu

Ophthalmologist


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01/Feb/2018

The child receives more than 90% of the information through vision. Therefore, if the vision is poor, this may affect the child’s development in the future. Subsequently, in order to detect possible diseases at early stages, it is important to consult an ophthalmologist once a year, even if no complaints.

Glasses: to wear or not to wear?

The most common conditions that require wearing glasses from childhood are astigmatism, myopia and hypermetropia. Wearing glasses cannot be neglected in any case, as it is an important part of the treatment. However, it should be stressed that the outcome of the treatment, namely a good vision of the child in the future, depends largely on choosing the proper correction!

Usually, in hypermetropia, glasses are prescribed for permanent wearing. In childhood, uncorrected hypermetropia may lead to the development of amblyopia (lazy eye) and convergent strabismus. Early detection of hypermetropia (2-3 years) and its proper treatment can prevent the development of these conditions.

As for myopia, most children need glasses for vision at distance, and some of them – also for reading (when myopia exceeds 5-6 diopters). Unfortunately, due to the association of degenerative changes in the layers of an eye with myopia, glasses cannot always correct the vision good enough.

In astigmatism glasses are with cylindrical lenses, and are worn in the way prescribed by the doctor (either permanently or just for activities at near).

Regardless of the diagnosis, at Optisan Clinic physicians have an individualized approach to prescribing optic correction and always assess the patient’s tolerability of glasses.

There is an alternative!

If your child definitely refuses to wear glasses, the ophthalmologist at the Optisan Clinic can offer you an alternative method of correction – contact lenses. The doctor always considers both child’s age and psychic characteristics. Choosing contact lenses of any complexity is done from a young child’s age. Contact lenses are a modern, excellent correction method and can be prescribed even to very young patients.

However, in order to preserve the health of children’s eyes, it is necessary to observe some rules, and namely:

  • Contact lenses for your child must be selected by a physician based on the results of diagnostic tests performed with modern equipment;
  • Buy only lenses of good quality and only in a specialized clinic.
  • Keep and maintain the contact lenses properly, do not wear them longer than the indicated wearing time.
  • Also, remember that the lens is a foreign body in the eye, so it is necessary to consult an ophthalmologist regularly.

Photo: goo.gl/mVE9FR


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31/Jan/2018

Vision therapy by computerized orthoptic exercises is a method of treating amblyopia. This is a non-invasive program for recovery of lazy eye. Entertaining and interactive, the application is able to recover the vision of the lazy eye while playing. Orthoptic exercise therapy in front of a computer monitor constrains the brain to receive impulses from the lazy eye and to process the information correctly, generating a clear image of the objects.

Our clinical experience has demonstrated that vision therapy is suitable both for children and adult people.
By means of this innovative method Dr. Alexandru Dimitriu treated more than 300 patients in recent years.


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31/Jan/2018

Dr. Alexandru Dimitriu insisted greatly on the importance of the preventive ophthalmologic consultation. Moreover, the Optisan Clinic is equipped with modern devices, allowing the doctor to consult the child without touching it, so without stressing it.

So, do not hesitate to attend an ophthalmologist. In order to early diagnose some conditions and to initiate an effective treatment it is essential to have a first visit to the ophthalmologist and to respect the frequency of consultations, established by the specialist.


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31/Jan/2018

When talking about vision, one thinks about the eyes. In fact, vision is the connection between the eye and the brain, a chain of processes, triggered by the light that crosses the transparent media of the eye, completing an image on the retina, which is transmitted to the brain to give us the correct view.

The treatment of amblyopia is based on this relationship between the eye and the brain. The video below explains neuroplasticity, i.e. the ability of the brain to make new connections, and the treatment of amblyopia. It also demonstrates the effectiveness of computerized orthoptical exercises and the importance of parent’s involvement in the therapy.


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31/Jan/2018

In order to have results in treating amblyopia, refraction errors (one of the causes of amblyopia) should be treated properly.
Checking the patient’s visual acuity and correct establishing of diopters are key elements in starting amblyopia treatment.

Dr. Alexandru Dimitriu, a specialist in ophthalmology, provides useful information about the correct treatment of refractive errors in children and vision recovery until school age.


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31/Jan/2018

The ophthalmologist may, following a consultation, detect amblyopia at an early stage or prevent it if it has not yet been established.

In most children, amblyopia is hard to diagnose. The importance of periodic, timely consultations at an ophthalmologist is of major importance in establishing the diagnosis. The role of parents is crucial in the early diagnosis of ophthalmological disorders in children.


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31/Jan/2018

Amblyopia is partial or complete loss of vision in one eye caused by conditions that affect the normal development of vision. These conditions include strabismus, in which the eyes are crossed inward or turned outward and anisometropia, in which there is a major difference in refractive error between the two eyes from nearsightedness, farsightedness, or astigmatism. Less common causes of amblyopia include ptosis (drooping) of one eyelid, disease of the cornea (preventing light from entering the eye), congenital cataract, and injury to the eye of a young child.
The video below shows the causes of amblyopia and the importance of its early diagnosis.


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