Clinic

PEADIATRIC CLINIC 

Children’s eye care needs are not the same as adults. In Eye Foundation Hospital, our paediatric ophthalmologists specialize in diagnosing and treating eye conditions in children from birth to 18 years of age.  

When you bring your child to our hospital, your child’s sight would be tested and the condition affecting your child’s eyes would be diagnosed. 

Some conditions are treated in the clinic while some may require surgery in the theatre.   

Be rest assured that the appropriate treatment for your child’s eye condition or disease will be communicated and you will be involved in every decision-making concerning your child. 

 

In the clinic: 

We treat the following conditions; 

  • Refractive errors- Myopia (Shortsightedness), Hyperopia (Long sightedness), Astigmatism, Amblyopia (lazy eye).  
  • Allergic conjunctivitis 
  • Eye inflammation (Uveitis) 
  • Minor eye injuries 

The conditions seen in the clinic may require glasses or eye drops. Those that have amblyopia may need eye patching as would be recommended by the doctor. 

 

An Overview: Strabismus 

Strabismus affects adults and children in different ways, it is more common in children but adults can be affected too. Parents may notice their children compensating by tilting their head or covering an eye. It is detrimental to normal vision development; can be more severe in adults. It may cause double vision, headaches, and eye strain. The eye may be deviated inwards, outwards upwards or downwards. 

 

The condition may be intermittent, constant, or it can alternate between the eyes. Cases of Strabismus can vary from mild to severe based on the amount of deviation between the eyes. 

Children with this condition lose their binocular vision (Ability to see objects as one), which can cause double vision and loss of depth perception. As a result, patients may suffer from headaches or eye strain 

Strabismus Treatment (Clinic) 

Strabismus Treatment Options Include:  

  • Glasses to correct any refractive error that may exist 
  • An eyepatch to help children strengthen a lazy eye 
  • Vision exercises e.g., Pencil pushups 
  • Prescription of Prism glasses  
  • Botulinum toxin Injection 

 

CORNEA AND KERACTOREFRACTIVE CLINIC 

The outermost layer of the eye is the cornea. It is a clear dome shaped surface that serves to focus light and protect the rest of the eye. It is susceptible to damage from trauma, infection, inflammation or genetic conditions. 

When the cornea loses its transparency, its function is impaired and subsequently vision is reduced or maybe lost. 

This can be managed medically or surgically depending on the cause and extent of damage. In some cases, a cornea transplant is needed. 

Statistics from the World Health Organization point to corneal blindness as a significant cause of vision loss worldwide and mitigating this universal burden requires bettering current therapeutic approaches, expounding on disease mechanisms, and enabling access to ophthalmic care. 

 

GLAUCOMA CLINIC 

Glaucoma is a blinding eye disease. It is a chronic disease that causes progressive damage to the optic nerve (nerve of the eye). Damage to the optic nerve is irreversible and visual function lost secondary to this damage such as visual acuity, peripheral field of vision, contrast sensitivity, etc. may not be regained. 

 

Glaucoma is also described as the silent thief of vision as it may be asymptomatic. In many cases, it may only be symptomatic at the advanced stages of the disease. 

In other presentations of the disease, glaucoma may present with symptoms such as severe headaches, eye aches, abdominal pain, vomiting, etc. 

 

It is important for individuals to undergo regular glaucoma screening to allow for early detection. In the early stages of glaucoma disease, glaucoma can be adequately managed throughout life.   

 

Glaucoma is a hereditary disease, and screening of family members of persons living with glaucoma is very important. Persons of African descent should note that studies have shown that they are 4 times at a higher risk of having glaucoma than persons of other races. 

 

In addition, though glaucoma is more common with advancing age, children may be born with glaucoma or develop glaucoma in childhood or as teenagers or young adults. This emphasizes the point that glaucoma screening is important for persons of all ages. 

 

GlaucomaClinic 

Eye Foundation Hospital runs glaucoma clinics daily. 

Clinic activities include: 

 

Clinical examination 

  • Visual acuity 
  • Refraction 
  • Confrontational visual field assessment 
  • Anterior segment examination including pupillary reaction, intraocular pressure measurement, gonioscopy 
  • Posterior segment examination 

 

Clinical Investigation 

  • Central visual field 
  • Optical coherence tomography (OCT), OCT - Angiography, OCT - Angles 
  • Pachymetry 
  • Fundus photography 

 

Clinical Treatment and Counseling 

  • Counseling on glaucoma 
  • Counseling on results of clinical examination and investigation 
  • Counseling on the proposed treatment regimen  
  • Counseling on proper technique of use of topical eyedrops 
  • Pre-operative counseling for patients proposed for laser or surgery 

 

All ages can benefit from the examination and investigation techniques. 

 

RETINA CLINIC 

The retina clinic is a subspecialist eye clinic for retinal diseases and systemic conditions with retinal involvement. The clinic offers both clinical examination and diagnostic retinal investigations to ensure a rapid diagnosis and appropriate care. All ages from the newborn to the elderly can benefit from the retinal clinic. 

People who would benefit from the retina clinic include:

  1. Systemic diseases that can cause retinal problems in people living with the following disease conditions will require periodic retinal examinations 
  • Diabetes mellitus 
  • Hypertension 
  • Sickle cell  
  • Renal failure 
  • Hyperlipidemia 
  • Migraine headache sufferers 
  • Organ transplant receivers 
  • HIV / AIDS patients 
  • Marfans syndrome 
  • Arthritis and other inflammatory diseases on treatment 
  1. Retinal pathologies 
  • Retinal detachment 
  • Macula hole 
  • Retinitis pigmentosa 
  • Retinal Artery occlusion 
  • Retinal vein occlusion 
  • Retinal tears in short-sighted people (myopia) 
  • Age-related macular degeneration in people aged 60 and above 
  • Retinopathy of prematurity in newborn babies 

Available retinal investigative modalities include 

  • Fundus photo 
  • Fundus Autoflourescence 
  • Fundus fluorescein angiography 
  • Optical coherence tomography (OCT) 
  • Optical coherence tomography angiography (OCTA) 

Electrodiagnostic tests 

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