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Pediatric Vision Disorders

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Course Introduction
This course covers pediatric vision disorders which may be encountered by professional opticians in the course of their day to day activities. This information can help them understand the needs and communicate more effectively with their young patients and their parents, and the prescribing practitioner as well. Amblyopia, sometimes called "lazy eye," is loss of vision without any apparent disease of they eye. It usually occurs in childhood and affects approximately 2 or 3 out of 100 people. When one eye develops good vision while the other does not, the eye with poorer vision is called amblyopic. Since the best time to correct amblyopia is during infancy or early childhood. Parents and eyecare professionals must be aware of this potential problem. The course begins with a discussion of amblyopia and some of its possible causes such as anisometropia, strabismus, cataracts, and ptosis. Since congenital cataracts can be the cause of the most severe forms of childhood amblyopia, this subject is covered in greater length. And since strabismus is the most common cause of amblyopia, that subject, too, is given special attention. Treating amblyopia is also covered which includes the use of spectacle or contact lens for the correction of anisometropia or aphakia, surgery in cases involving strabismus or ptosis, and patching to help restore good vision to the affected ambylopic eye. Increasing numbers of children are participating in sports at an early age. It is the responsibility of the parents, coaches and eyecare professionals to provide protective eyewear and enforce its use. This course covers eye safety for children in home, school and while participating in sports. The course continues with the subject of vision and reading and discusses children's problems with reading, learning, and behavior caused by convergence insufficiency, tracking problems, esophoria, exophoria and other visual problems. It discusses the role of visual training as a solution to learning disability issues. Contact lenses can provide children with many of the same optical advantages as they do adults. These include better peripheral vision, less distortion, and less troublesome image size differences. Contact lenses can eliminate the unwanted prismatic effects of spectacles, and the hyperopic patient will experience a decreased accommodative demand when using contact lenses. Since contact lenses can provide a viable solution for certain childhood vision disorders covered in this course, the subject of contact lenses for children concludes this course.

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