Krieger Eye Institute at Sinai Gives Children the Gift of Good Sight

During a child’s first years of life, the brain cells that control vision grow rapidly. Vision develops normally if both eyes can focus light sharply onto the retina, producing a clear image. If the image is blurred for any reason, the brain “shuts off” the vision coming from the blurred eye and continues developing normal vision in the eye with clearer vision. But, both eyes need good vision for depth perception and normal peripheral vision.

At the Krieger Eye Institute at Sinai Hospital, board-certified pediatric ophthalmologist Michael Altman, M.D., addresses both typical and rare childhood ocular and visual problems. Often, these conditions can be corrected if detected and treated aggressively during the early years. Sinai’s tradition of ophthalmic service and attention to patient and family needs has made it the favorite choice of families seeking the best eye care for their children.

Amblyopia
Amblyopia or “lazy eye” means that vision is reduced in one or both eyes because the eyes did not develop normal sight. Affecting about 3 percent of children, amblyopia’s causes include misaligned or crossed eyes, unequal focus in the eyes so that one eye is more near-sighted, far-sighted or astigmatic than the other, or cloudiness in eye tissues from an eye disease such as cataracts.

To correct amblyopia, the child must use the weaker eye. The first step is to patch the stronger, preferred eye, for weeks or months. Glasses may be prescribed to correct imbalances in focusing. Another option is special drops or lenses that encourage the child to use the amblyopic eye. Of note, treatment must continue strengthening the weaker eye even when the underlying cause is eliminated.

Strabismus
Strabismus is misalignment of the eyes. It may lead to amblyopia, loss of depth perception and appearance problems. There are several types of strabismus; turning in or turning out of the eye; or vertical offset of the eyes.

To correct strabismus, which affects about 2 percent of children, patching or muscle surgery is performed to realign the eye muscle. Eyes must be well aligned to enable the child to use both eyes together as a team, for depth perception, as well as for a full complement of side or peripheral vision.

Other Disorders
Sinai is one of only two places in Maryland that offers optic nerve sheath fenestration. The procedure creates a “window” in the optic nerve’s sheath, allowing excess fluid coating the brain and spinal cord to drip out thereby easing pressure around the brain for children with brain anomalies, tumors or other neuro-ophthalmic conditions.

Early screening and testing
In concert with the American Academy of Ophthalmology and the American Association for Pediatric Ophthalmology and Strabismus, Altman recommends that children have a full vision screening shortly after birth, between six months and one year, between ages 3 and 3 ½ and routinely thereafter by a trained eye care physician.

For information about pediatric ophthalmology at the Krieger Institute at Sinai Hospital, call 410-601-WELL.

To schedule an appointment with one of our highly trained physicians and find out why LifeBridge Health is Baltimore's premier health care organization, call 410-601-WELL.

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  • Employees and visitors at #SinaiHospital enjoyed a special treat today in honor of Sinai’s 150th anniversary. We had a special throwback $1.50 meal deal in the cafeteria and hundreds stopped by to enjoy a delicious slice of cake! #Anniversary #Healthcare #LifeBridgeHealth #Celebrate #Baltimore

    lifebridgehealth: "Employees and visitors at #SinaiHospital enjoyed a special treat today in honor of Sinai’s 150th anniversary. We had a special throwback $1.50 meal deal in the cafeteria and hundreds stopped by to enjoy a delicious slice of cake! #Anniversary #Healthcare #LifeBridgeHealth #Celebrate #Baltimore"
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  • The physicians, nurses and researchers of the Alvin & Lois Lapidus #Cancer Institute enjoyed a presentation last week on the benefits of integrative #medicine by Donald Yance Jr., a leader in the field. Seen here, from left to right, are Sandra Bauer, executive director of the Cancer Institute; Marvin Feldman, M.D., acting medical director of the Cancer Institute; Jennifer Yance; Lois Lapidus; Donald Yance Jr.; Yolanda Marzouk, patient support services coordinator of the Cancer Institute; and Warren Ross, M.D. #healthcare #lifebridgehealth

    lifebridgehealth: "The physicians, nurses and researchers of the Alvin & Lois Lapidus #Cancer Institute enjoyed a presentation last week on the benefits of integrative #medicine by Donald Yance Jr., a leader in the field. Seen here, from left to right, are Sandra Bauer, executive director of the Cancer Institute; Marvin Feldman, M.D., acting medical director of the Cancer Institute; Jennifer Yance; Lois Lapidus; Donald Yance Jr.; Yolanda Marzouk, patient support services coordinator of the Cancer Institute; and Warren Ross, M.D.  #healthcare #lifebridgehealth"
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    lifebridgehealth: "Between #BBQs and dining at local restaurants with friends, the #summer can have a negative impact on your healthy #eating habits. To avoid these impacts, remember that ALL your food and beverage choices matter.‪ Focus on #food variety, amount and #nutrition density, and make #healthy choices from all five food groups to get the nutrients you need. #‎WisdomWednesday #eathealthy #healthyfood #healthyhabits #LifeBridgeHealth"
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  • Seen here are the faculty and residents of the #SinaiHospital Program in Physical Medicine and Rehab. These residents’ training focuses on a person’s functional recovery following disabling illnesses and injuries. Congrats to the four residents graduating this month, we wish you the very best as you pursue your medical careers! We also welcome four first-year residents joining us in July. #ClassOf2016 #healthcare #LifeBridgeHealth #TeamLifeBridge

    lifebridgehealth: "Seen here are the faculty and residents of the #SinaiHospital Program in Physical Medicine and Rehab. These residents’ training focuses on a person’s functional recovery following disabling illnesses and injuries. Congrats to the four residents graduating this month, we wish you the very best as you pursue your medical careers! We also welcome four first-year residents joining us in July. #ClassOf2016 #healthcare #LifeBridgeHealth #TeamLifeBridge"
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  • #SinaiHospital is proud to be home to the nation's first interactive #donor memorial wall, which honors our generous organ and tissue donors, and offers a way for people to scan their drivers licenses to register as an organ donor. We are so appreciative to the dozens of donor families who came to our recent dedication event. #donatelife #organdonor #tissuedonor #givelife #LifeBridgeHealth

    lifebridgehealth: "#SinaiHospital is proud to be home to the nation's first interactive #donor memorial wall, which honors our generous organ and tissue donors, and offers a way for people to scan their drivers licenses to register as an organ donor. We are so appreciative to the dozens of donor families who came to our recent dedication event. #donatelife #organdonor #tissuedonor #givelife #LifeBridgeHealth"
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  • #TBT The lunch counter at #SinaiHospital, circa 1960. Help us celebrate our 150th anniversary by sharing your Sinai story in a comment below. #Baltimore #Hospital #HealthCare

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