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Pediatric Eye Care

With over 40 years of experience, including over 30 years as a father, Dr. Lieblong has a special place in his heart for children.   As a parent and grandparent, he knows the person to recognize the earliest of issues will be those at home with the child.  He encourages these observations and Lieblong Eye Clinic welcomes any questions or concerns. Dr. Lieblong recommends all children be examined upon entering the school setting, but welcomes children soon after birth.  

Examples of childhood conditions include:

Amblyopia (Lazy Eye)

Amblyopia, also known as lazy eye, is a condition in which one or both eyes do not develop normal vision due to various factors that cause the visual part of the brain to function abnormally. This weakens the eye and can lead to long-term vision problems. If recognized early, amblyopia generally responds well to treatment. Amblyopia therapy can include glasses, patching, eye drops, and sometimes surgery.

Astigmatism-Farsightedness-Nearsightedness

These three conditions, or refractive errors, are the most common eye problems in children and adults and are most often caused by abnormalities in the surface of the eye that prevent light from properly being focused on the retina.

Childhood Tearing/Epiphora

Epiphora is the term for excessive tearing. Childhood epiphora is often noted soon after birth, but can be acquired later. When noted during infancy, it is usually due to blockage of the tear drainage system. This type of tearing often improves spontaneously by 6 to 12 months of age. Medical treatment includes tear sac massage and eye drops, but if tearing persists, surgical probing of the drainage system may be required. Other rare causes of childhood tearing include pediatric glaucoma and ocular surface diseases.

Double Vision

Double vision (diplopia) is typically caused by misalignment of the eyes (strabismus), which causes one to see an object in two different places at the same time. The object can be displaced in a horizontal, vertical, or diagonal fashion.  Double vision can result from many conditions and should be evaluated at the time of onset.  

Nystagmus

Nystagmus is an involuntary, rhythmic oscillation of the eyes. The eye movements can be side-to-side, up and down, or rotary. Nystagmus may be present at birth or acquired later in life. It may result from abnormal binocular fixation early in life, and may also accompany a number of eye disorders and neurological diseases.

Pediatric Cataract

A cataract is a cloudiness or opacification of the normally clear lens of the eye. Depending on the size and location, the cataract can interfere with light passing to the retina and cause blurred vision. Cataracts are typically associated with older adults, but cataracts can occur at birth or during childhood. Early detection and treatment of cataracts are critical in infants and young children in order to restore normal visual development. A white area in the pupil and misalignment of the eye can be a sign of cataract.

Pediatric cataracts that significantly obstruct vision require surgery. Patients subsequently require treatment with eyeglasses, bifocals, or contact lenses, and eye-patching. Often, pediatric cataracts result in some degree of lazy eye (amblyopia) and strabismus as well.

Strabismus (Crossed Eyes)

Strabismus is the term for misalignment of the eyes in which an eye may be turned inward, outward, upward, or downward. Strabismus in children can result in lazy eye (amblyopia) and cause permanent loss of vision if treatment is delayed. Adults and older children often experience double vision (diplopia).

The staff at Lieblong Eye clinic understands that not all children are comfortable in the clinical setting, and strive to make the experience enjoyable.