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 866-404-DOCS.

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  • @marchofdimes honors two #LifeBridgeHealth Hospitals, #SinaiHospital and #CarrollHospital, for their hard work and dedication to help give more babies a healthy start in life. #MarchOfDimes #Babies #HealthBaby #LiveHealthy

    lifebridgehealth: "@marchofdimes honors two #LifeBridgeHealth Hospitals, #SinaiHospital and #CarrollHospital, for their hard work and dedication to help give more babies a healthy start in life. #MarchOfDimes #Babies #HealthBaby #LiveHealthy"
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    lifebridgehealth: "#BaltimoreOrioles pitcher Brian #Matusz was a big "hit" with patients,families, and staff during his visit to #SinaiHospital. Thank you to the @caseycares Foundation for organizing the visit! #LifeBridgeHealth #Orioles"
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    lifebridgehealth: "Snow in July at Sinai! Employees got a sweet treat to kick off summer when two #snowball trucks rolled into #SinaiHospital earlier this week, serving up more than 1,800 snowballs! Check out our photo album.

So what's Sinai's favorite flavor?  Most people chose to mix their flavors while many chose classics like egg custard, cherry and pina colada. Some employees even took a "snowball selfie" with their favorite. What about you? Share your favorite flavor on your social media accounts (Facebook, Twitter, Instagram) with the hashtag #LifeBridgeHealth. #Baltimore"
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    lifebridgehealth: "Congratulations to #SinaiHospital and the VSP program, recently recognized by the National Fund for #Workplace Solutions as a "Young Employer Champion." The hospital earned this recognition for its proactive hiring practices and systems designed to foster young employees. Members of the VSP team accepted the award at a recent event. Sinai Hospital was one of just 11 employers from across the country to receive this honor. #Baltimore"
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    lifebridgehealth: "We are so grateful for the McKesson Foundation, which provides #GivingComfort kits to patients, like Darnell Grant, undergoing treatment at the Alvin & Lois Lapidus #Cancer Institute. The kits include comfort items, like soft blankets and socks, inspirational messages, books, magazines, snacks and more, all meant to soothe our patients and provide them with hope during such a difficult time. #LifeBridgeHealth"
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  • #LifeBridgeHealth was pleased to host more than a dozen #Japanese health care executives and #doctors from the Nihon Hospital Alliance. Through their conversation and exchange of ideas, LBH executives and clinical leaders learned more about the Japanese health system while sharing about changes in the U.S. health industry, ranging population health to genetic research. #HealthCare #Clinical

    lifebridgehealth: "#LifeBridgeHealth was pleased to host more than a dozen #Japanese health care executives and #doctors from the Nihon Hospital Alliance. Through their conversation and exchange of ideas, LBH executives and clinical leaders learned more about the Japanese health system while sharing about changes in the U.S. health industry, ranging population health to genetic research. #HealthCare #Clinical"
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