Children’s eyes and facial structures are constantly growing and developing. Development can sometimes come with conditions that result in oculofacial issues. They may impact the child’s eyelids, tear ducts, or surrounding facial areas. This can occur at any point from infancy to throughout their childhood. Some issues are minor and resolve on their own. However, others may need more aggressive intervention, such as congenital oculoplastics. Medical treatment may be necessary to protect the child’s vision, ensure their development, and improve symptoms. Below you will find the 3 most common oculofacial issues in children.
3 Most Common Oculofacial Issues in Children
As a parent, you often notice the slightest changes in your children. It may be when they are playing or after you have taken a photo. Certain changes may be minor and resolve on their own. However, others may be more serious and require treatment. Early evaluation by an oculoplastic surgeon is critical. It is necessary to reduce the risk of further complications. Below are some of the common oculofacial issues in children.
Congenital Ptosis
Congenital ptosis is also referred to as a drooping eyelid. It can impact one or both of the child’s upper eyelids. It occurs when they droop lower than normal. It is often caused by poor development of the levator muscle. This is the muscle responsible for lifting the eyelid. Mild ptosis is often a cosmetic concern. However, severe cases can impact vision. The condition can also cause a lazy eye if left untreated.
The type of treatment best for congenital ptosis depends on the child’s age and the severity of the condition. Mild cases may not need to be aggressively treated. In some cases, observation and follow-ups are all that is necessary. However, mild to severe cases of congenital ptosis often require surgery. This is necessary to ensure normal visual development. It is important to work with a skilled oculoplastic surgeon who has experience in oculofacial issues in children. They can develop a safe and effective treatment strategy based on the child’s unique needs.
Blepharitis
Blepharitis is a condition that causes inflammation of the eyelids. It is often caused by blocked oil glands or bacteria. It can also be caused by certain skin conditions, such as eczema. It comes with several symptoms, including redness, itching, burning, watery eyes, or crusting along the lash line. If you notice your child’s eyelids crusted together when they wake up, get an evaluation right away. The condition can be chronic or intermittent. Even though it does not necessarily pose a threat to your child’s vision, it causes irritation and other unwanted symptoms. Severe cases can lead to styes or corneal irritation. It is beneficial to have your child evaluated to rule out any complications.
Depending on the severity of the condition and symptoms, treatment options vary. The most important step is to focus on eyelid hygiene. In more severe cases, prescription ointments or drops are used. This is necessary to control bacteria and inflammation. Consistent care is necessary to prevent future issues. Cleaning the eyelids on a daily basis with a warm compress is helpful. If you notice any changes, consult with an oculoplastic surgeon right away. Treatment may need to be modified.
Nasolacrimal Duct Obstruction
A nasolacrimal duct obstruction is also referred to as a blocked tear duct. It is one of the most common eye-related issues in infants. It occurs when the tear drainage system has not fully opened. This causes excessive tearing and crusting in children. It can also cause a mild infection. While this can often resolve on its own, it is important to consult with a medical professional before assuming the case is mild.
A skilled professional can assess the blocked tear duct. In many cases, the condition resolves naturally within the first year of the child’s life. This is because the tear duct opens on its own. Common treatment includes gently massaging the tear duct area. This helps encourage opening. It is also necessary to keep the eyelids clean, as it reduces the risk of infection. If the issue does not resolve on its own within one year or the child experiences persistent infections, intervention may be necessary. There are safe and effective procedures that open the duct and restore normal tear drainage.
Signs You Should Not Ignore
As children grow and develop, you may notice certain changes. There are several warning signs that your child may benefit from visiting an oculoplastic surgeon. Below are some of the common signs you should seek an evaluation.
- Persistent eyelid drooping
- Facial asymmetry
- Eye redness or irritation
- Eyelids turning inward or outward
- Persistent blinking or rubbing
- Spots on the white of the eye
- Dilated eyes or large pupils
- Discomfort or itchiness
- Crust or goop in the eyes
- Visible lumps or cysts
- Frequent tearing
When it comes to ocular issues in children, early intervention is a critical factor. While some conditions may be mild, others can impact normal vision development. Delays in treatment can make addressing the issue much more challenging. Oculoplastic surgeons skilled in pediatric ocular issues are specially trained to treat these types of issues. They can assess your child’s condition. From there, a customized treatment plan based on their unique needs is created.
Setting Up a Consultation
If your child experiences any symptoms associated with oculofacial conditions, it is important to schedule a consultation right away. An oculoplastic surgeon can assess your child’s symptoms. Be prepared to share how long the symptoms have lasted and how severe they are. At the consultation, the surgeon will take a look at your child’s eyes and perform a physical evaluation. They may order imaging to get a better look. They will also discuss your child’s medical history and current health.
Depending on the condition and the severity of the symptoms, a treatment plan will be created. This may include mild treatment options, such as focusing on hygiene. However, it may also include more aggressive options, such as surgery. You will have time to discuss options, address any concerns, and ask questions about their recommendations.
If you have concerns about your child’s vision, contact the team at Taban MD Oculoplastic Surgery today to schedule a consultation!