What Eye Disease Affects Premature Babies? | Knock Knock Eye

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This week on Knock Knock Eye, I discuss pediatric ophthalmology and retinopathy of prematurity, which is an eye disease that can happen in babies who are premature.
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Опубликовано:

10 апр 2024

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Комментарии : 77

@Sporkyspork Месяц назад

A pediatric ophthalmologist saved my bacon a few years ago by fixing my esotropia. Shoutout to our friends of tiny eyeballs!

@YuckyMama Месяц назад

As a parent, holding my kid still for the exam was AWFUL. I did it. And I remained calm & soothing on the outside but on the inside-I was a mess!

@jemimalamb78 Месяц назад

I fortunately had no issues from ROP. I was born 1978 at 22 weeks gestation. I have right sided homonymous hemianopia, strabismus, amblyopia. I discovered a few years ago when I had a brain MRI, a dilation of left lateral ventricle in occipital & temporal lobes. I understood then why my eyes had very different vision strengths most of my life. Eye balls are so interesting & have learnt so much bc of Dr G. Wonderful talk this week. ❤

@YuckyMama Месяц назад

My preemie had the same sort of thing. He had a Grade III IVH and amblyopia but his ROP cleared on its own. You’re right-how vision works is fascinating

@WinterSown Месяц назад

My son was born five-weeks early by C-Section, not too small at 4lb 14oz. When he was being prepped for kindergarten the teacher caught 'something wrong' with one eye. We went to an optometrist who sent us to an ophthalmologist who sent us into NYC--all three in one day!--Dr Stanley Chang at Cornell confirmed Coats Disease. Dr Chang has a double doctorate, one in medicine and the other in mechanical engineering--he built a lot of the equipment that is now used for laser eye treatments. Our son went to the middle doctor for lasering for many years. Son is forty now and can see out of both eyes just fine.

@lizard3755 Месяц назад

That's amazing! I'm glad his teacher helped catch his vision problem and that you were able to find amazing doctors to treat him.

@sarahpeterson2813 Месяц назад

I'm a mom of 2 preemies- 32 weeker's eyes we're fine, but 25 weeker had ROP requiring injections and laser surgery. Shout out to Dr Polly Quiram! 🙌

@dustinterry8610 Месяц назад

I had four strabismus surgeries as a child. Still had esotropia as an adult, but had a fifth surgery to correct it. Eyes appear to be corrected, but only strictly from an aesthetic appearance. There's definitely a disconnect in how my mind processes my vision that has led to using one eye over the other.

@JM-vh7oc Месяц назад

me too.

@motionless_horizon Месяц назад

Two of my cousins are twins that were born nearly three months early. They luckily survived and don’t have massive health issues, but one has pretty severe nystagmus and some depth perception issues. They thought he would be 100% blind. So so lucky that he came out of it all okay, and that his brother did as well

@msgoody2shoes959 Месяц назад

Been wearing glasses since I was 3. Currently a +8.5 in both eyes. Govt doesn’t cover glasses that are comfortable or reduce photophobia without reapplying for approval every yr...and most docs just won’t do it for me. Govt (Medicaid) covers just a total of $10 for my entire Rx and frame

@msgoody2shoes959 Месяц назад

$10 same amount as in the 1970’s when I started wearing glasses... Also I have the gene for macular degeneration

@privacyvalued4134 Месяц назад

Comfort of glasses is highly subjective. Zenni Optical sells dirt cheap glasses (frames + lenses) for about $10, but I do recommend getting all of the base coatings applied, which is an extra $30 and optionally the chromatic coating for outdoor wear, which bumps up the total cost to around $100. But I get that not everyone can afford all of the fancy coatings. But Zenni's default nosepads are uncomfortable (easily replaced with gel pads on Amazon) and takes a good while to adjust the glasses for proper fit. But you can generally walk into any eyeglass place and they'll do adjustments for proper fit.

@msgoody2shoes959 Месяц назад

@@privacyvalued4134 there’s nothing subjective about how heavy +8.5 base plastic lenses are. No one would ever think on any level that those are physically or socially comfortable

@xeroxhero5615 Месяц назад

Just got hired to work at my local Children’s Hospital! Super excited, and I’ll be taking notes

@lizard3755 Месяц назад

Congratulations! I was hospitalized briefly as a child and the nurses who interacted with me while I was there made such a big difference for me and for my mom who was staying at the hospital with me. I know you'll help lots of patients and their families, so thanks for being awesome!

@vickiikeogu1018 Месяц назад

My oldest was born at 25 weeks, 4 days gestation and was diagnosed with ROP. That was one of the scariest experiences of my life. Weekly eye exams for months! And those were like four hour appointments. Was told in NICU to never watch them do the eye exams because they do look super scary. Thankfully, ROP never fully developed and my kiddo has his full eyesight. But man, the pediatric ophthalmologist was AMAZING.

@nikkiewhite476 Месяц назад

My friend had a premi baby very early, I forget how many weeks. She's was in NICU for 3 months they had to take her for eye tests often but she developed full sight.

@Ikantspell4 Месяц назад

The incubator simultaneously saved lives and caused blindness when it first came out. The original incubators had been highly oxygen filled and that allowed respiration but prevented proper eye development in huge numbers. When you see a tiney itty bitty prematurely born baby with an O2 tube that is not only letting the tiny baby breathe better but also way more safe than giving high O2 in the incubator. Amazing how being born prematurely went from a super high mortality event to an event that is so much safer. A premature baby now has a good chance of survival AND having good vision outcomes too. If they had made the same strides other healthcare as in premature birth care life would be so much better. To all the fantastic doctors who made life good for these tiny people thank you!

@notbecky4111 Месяц назад

My six year old was a twin born at 26 weeks and 475 grams. She had a couple of moments where they saw some ROP, but it resolved and her eyes are healthy. We love pediatric ophthalmology!

@defaulthuman01 Месяц назад

Those Resus Tailor bags look awesome!

@HearMeShout789 Месяц назад

I was born right on my due date but had to go to my pediatric opthalmologist before my eyes turned brown. Brown's syndrome. Had eye physical therapy. 27 now and while I can move my eyes better, they still struggle a bit and the muscle behind my eyebrow hurts sometimes.

@DeathDad Месяц назад

… and in the Neuro ophthalmology sub fortress there’s a sub basement to the right of the bathroom where the Jonathans’ play. It’s protected by the Eye of Saron.

@physicistatlarge Месяц назад

Do pediatric ophthalmologists have cuter Jonathan's, who deliver lollipops and head nods?

@OcaRebecca Месяц назад

The one I saw many moons ago did not. (He was rather weird and scared the s*** out of me as a kid when I heard him tell my mom that if my eyes kept going at the rate they were, I would be legally blind at 18.)

@clairesmith8134 Месяц назад

Finishing my pediatric residency, and the thought of going from where I am now into a pediatric ophtho fellowship is WILD - we know nothing about eyes (other than how to get a red reflex and when to face a kid to ophthalmology) 😂

@alexanderkonczal3908 Месяц назад

watching this with my autistic three year old who just had surgery on both her eyes this morning sleeps fitfully on top of my wife... thank God for the pediatric opthalmologist we see in Omaha, Dr. Troia.

@spiromiller7495 Месяц назад

Thank you for talking about eye rounds! They were my saving grace when I needed some good images of Pseudomomal keratitis for my bacteriology students.

@selinaxo1008 Месяц назад

I Didn’t even know that this was a potential issue for premature babies! Thank you for sharing the knowledge! It feels like it never ends with learning when it comes to medicine! But, eh that makes it fun 🎉 bit mental but fun. 😅

@sambromley7394 Месяц назад

My son was about 10 weeks premature and luckily he doesnt have retinopathy of prematurity but we recently switched to a new ophthalmologist and in about 30 minutes my son was diagnosed with nearsightedness and hes going to get some glasses finally. (Hes 5 now and has been struggling with his reading and writing in school) and I cant wait to see how he reacts to being able to see properly for the first time. Im so glad i switched doctors.

@fabrisseterbrugghe8567 Месяц назад

I have a friend in his mid-60s who was born prematurely and something about the incubators of the time meant he ended up blind. Drops came into general use to prevent it about a decade later, I think.

@cherlynedwards6823 Месяц назад

My dog is seeing a veterinary ophthalmologist- I was wondering how small that specialty was!

@stolenrelic Месяц назад

Would you be able to do an episode on keratoconus and finding a specialist for it? (When I look up specialists all I can find are retina and glaucoma specialists! 😭)

@lizard3755 Месяц назад

I feel like he talked about it in one episode, but I can't remember which one. I'll come back and let you know if I remember :)

@stolenrelic Месяц назад

@@lizard3755thank you, please do!

@annadavis2547 Месяц назад

I had one of those 25 weekers. He did develop ROP. Luckily,it reversed itself. My understanding was that too much oxygen the baby could lose their vision, too little oxygen could cause hearing loss. My son does have some mild hearing loss. We were very blessed in that is his only bit of compromise. The risks at that age were 90%. I myself have strabismus. I had one eye that turned in and down the other in and up. I also had nystagmus. I had two surgeries one at 14 years and the other at 35. Now at 67, one eye is turning out and down. I also have glaucoma. The hardest thing for me was losing my pediatric ophthalmologist. He passed away. I loved him. He was never silly but very patient. Because I was a child during most of my treatment, I do not understand the details all that well. I find it difficult to explain my history to a new practitioner. I am finding it very difficult to find a doctor who treats both conditions in an adult. Not sure what I will do about this challenge yet.

@CyanPhoenix_ Месяц назад

would love that one on the sparkles! i get them pretty frequently.

@cindyhesson9213 Месяц назад

You're a special Dr ❤ There should be more like you!!

@asherthedisaster4724 Месяц назад

this is so helpful, one of my friends was a neonate in the Philippines and has this it is very hard to find info. thank you so much

@waffles3629 Месяц назад

Lol, you just reminded me of a funny swim lesson I taught once. My student was a grandma (this is relevant, she was taking lessons so she could swim with her grandkids). She was a bit nervous and having trouble focusing on what I was saying, so she told me to tell it to her just like I did to little kids. And I delivered. 😂 Funny voices, exaggerated motions, silly noises.... By the end of it she was laughing and said "Ok, maybe not exactly". It did what I was hoping though, got her to relax a little. That was fun.

@Stephen-Fox Месяц назад

Would you ever introduce a pediatric ophthalmologist as a character? Mainly asking because the pediatric subspecialties can create some vastly thought-provoking sketches (as per the recent first day at pediatric oncology sketch), as well as some of the more interesting characterization combinations.

@victoriaanderson7228 Месяц назад

LOL, yes, we can read your podcast. I typically listen, but if I'm on my break at work, I'll read it instead on youtube...the transcript available on youtube really lets me imagine how you're saying it as well since it includes every time you say "uh" and it timed to come onto the screen as you are verbally saying the words so your mannerisms show up visually with the words :)

@simonederobert1612 Месяц назад

Thank you for talking about oxygen and premature babies. My nursing career began in a tertiary care OB unit in 1977 (yes, I am old) and helping women with preterm babies (considered to be preterm at 36 weeks or earlier) in their deliveries, including calling the Pediatricians and the NICU nurses and getting OUT OF THEIR WAY! I had learned about avoidance of too much Oxygen, too soon, but as my field of concentration did not include NICU, I was not led to go into all those ins and outs about treatment of premature babies. I am glad to know somewhat more than I did even though I am now retired. After all, I still have relatives who are of childbearing/childrearing age who ask me questions about that stuff.

@lizard3755 Месяц назад

I was full-term when I was born, but my range of vision as a baby was different enough from what's normal that I needed to be examined by a pediatric ophthalmologist. He said it was very likely I'd end up in glasses by age 9, and I was 9 years old when I got my first pair of glasses. He gave that prognosis in the late 90's so I can't imagine how amazing doctors are now with diagnosing and treating issues like that today.

@garrybrown3165 Месяц назад

Have you done any podcasts on neuro-ophthalmology?

@desertedham37 Месяц назад

Could you make a video about the difference between ophthalmologist and optometrist. I understand that they both play important roles in eye care, and I've seen both in the past for eye issues, but I don't fully understand the difference.

@lizard3755 Месяц назад

I'd like this too! I've had glass since elementary school and I still don't know the difference a decade and a half later

@nursy59 Месяц назад

I started my career in nursing in 1986 in the NICU and they were just starting to really get a handle on preventing ROP using special skin monitors to make sure that there wasn't too much oxygen pressure in the blood. What a lot of people don't know is the reason that Stevie Wonder is blind is because of ROP. He was born premature in 1950 when the first thing they did was put premmies in oxygen. The rest is history.

@daphne0123 Месяц назад

What does it mean when the eye doctor says that they can no longer correct your vision to 20/20?

@nancy9731 Месяц назад

I had a 28 weeker that had to be intubated. I was told about the possibility of eye problems from too much oxygen, but fortunately that didn't happen. Strabismus was another thing. I sent her off to brain surgery with straight eyes and got her back with strabismus. They "must have touched a cranial nerve." She had 5 different operations to straighten them. They'd be straight for a week or two and then they'd cross in a different direction. She had two different surgeons and the second one really wanted a third chance, but since it wouldn't effect her vision at that point, I asked her if she wanted it. She turned it down. I often wonder if patching her eye would help now as an adult (it did help a bit when she was a child).

@spikygreen Месяц назад

Does she have large and/or central eye floaters? The fact that her eyes ended up turning in different directions every time makes me think that might be the underlying reason. Especially in a preemie, the blood vessels inside the eyes that normally disappear before birth might still be present and interfering up her central vision. Her eyes may turn as a result, just to get those floaters away from her central vision. I would recommend checking with her, because if that's the case, she could have a vitrectomy to remove the floaters, and hopefully that would resolve the eye turn issues.

@spikygreen Месяц назад

Also, regarding patching - I haven't tried that specifically but I did a year of vision therapy as an adult. It was very helpful at first, I began to see the world in 3d (e.g., I saw for the first time that birds in a flock all fly at different heights - until then, I saw them as if they were flying within the same plane, because i didn't have any depth perception). But after a few months I started having a weird headache behind my worse eye, and my prescription in that eye suddenly increased after being stable for many years. That's when I realized that my strabismus wasn't a bug but rather it was a feature - turning out my eye simply was the best that my brain/eyes could do to move the big floater my central vision. My eye turns out just enough and exactly in the direction that moves the floater as far as possible. Then, recently, I had some laser treatment for my floaters. It was ineffective - my floaters were too big to be destroyed by laser. However, it did move the floaters to a different place within the eyeball (unfortunately, even more central than before, and also higher up). My eyes responded within a few days - now they turn out even more and now they also turn upwards, which wasn't the case before. So, clearly, this is my brain's attempt to get the floaters out of my vision. Now I'm just waiting for my vitrectomy scheduled in a few months. Not sure if all this is relevant to your case but I wanted to share since there is still soooo little understanding of this topic in ophthalmology. I just happen to be both a sufferer and a researcher myself. We actually still don't even have adequate equipment to visualize patients' floaters, so the drive to have them removed really has to come from the patient themselves.

@nancy9731 Месяц назад

@@spikygreen I'll try to ask her tomorrow. She's 40 & lives in a group home. She's also MR, so it might be hard to get an answer. The doctors always thought it was bc of nerve damage, but maybe that was just their best guess.

@nancy9731 Месяц назад

@@spikygreen Thanks for the information!

@lizard3755 Месяц назад

I'd love to hear your thoughts on bimatoprost being marketed cosmetically as Latisse. Are there any serious issues that could come as a side effect of using it for eyelash growth on someone without glaucoma? Do we know of any potential long-term risks? Have you seen or heard of any patients who have had severe complications from using it?

@floffy2695 Месяц назад

Listen I didn't watch the video, I just laughed hysterically at the thumbnail

@suzannebenning2555 Месяц назад

I got an eye exam today, and I was told my prescription change was minor, and that my real problem was dry eyes. So he gave me some systane, told me to use it, and that was that. I had a huge headache from having lights shined in my eyes, so I didn’t even think to ask any questions. So now you get them. How often should I use the drops? When should I see improvement? How much improvement? When do I say it isn’t working and go back for a return visit? Should I see an optometrist or an ophthalmologist if it doesn’t work? Do you have any other tips on dealing with eye strain? I had hoped that getting a new prescription would fix my issues, but it seems it won’t be that big a help.

@better_days Месяц назад

I am a premature birth. 3lb 9oz. I have subluxation of the lens due to the zonules. I have always been near sighted. I am not a candidate for Lasik. I am 45 yrs old / female ( if that matters) Can you confirm this is congenital? You are the greatest!

@KennethNordin 8 дней назад

A question! When I was little, I saw double, and had worse vision in the left eye. For a while, I received eye drops that made me not look at that eye and had a patch in front of my eye. Now as an adult, I would say that I have 50 percent less acuity in the bad eye, and the eyelid of the lazy eye hangs down a few millimeters compared to the healthy eye. My right eye has become dominant as you understand. So when I do vision tests or try to close the healthy eye myself, after about 5 seconds the vision of my lazy eye becomes almost black, so my question is why does my healthy eye take over almost completely? And is there any way to train the vision of the bad eye at all in adulthood. Am 54 and wear glasses, generally see well, but my bad left eye has always bothered me. Since the brain is plastic, does that apply to the eyeballs too!? Thanks for a very fun and informative channel by the way!!

@KennethNordin 8 дней назад

Oh, and I was also premature, to add

@alangknowles Месяц назад

I keep getting YT ads for a guy hitting his eyes with spoons.

@swoobla Месяц назад

im in nursing school and want to work in pediatrics exactly for this reason! i want to be silly with my patients!

@TankGuy3 Месяц назад

I think your 80 year old patient may like it if you talked in a deep voice, as that's the last part of hearing to go.

@ferretyluv Месяц назад

I once dated a guy who was born at 15 weeks and survived. His eyes were terrible and he wasn’t allowed to drive because he had monocular vision and needed Coke bottle glasses.

@Passionatpropagator Месяц назад

No baby has ever survived at 15 weeks. Lungs just aren't developed enough. Did you mistype and mean 25 weeks?

@annadavis2547 Месяц назад

It could mean 15 weeks pre-term which would be 25 weeks gestation.

@Passionatpropagator Месяц назад

@@annadavis2547 Either way it works out to 25 weeks!

@ferretyluv Месяц назад

@@Passionatpropagator I don’t remember. This was almost 20 years ago. He had a regional record, iirc. It might have been 15 weeks premature. All I know is he was so premature he got an article written about him in the local paper back in the 80s.

@annadavis2547 Месяц назад

Exactly

@Maverick_Mad_Moiselle Месяц назад

But I stay silly :3 But I stay silly :3 But I stay silly :3 But I stay silly :3 But I stay silly :3 But I stay silly :3 But I stay silly :3 But I stay silly :3

@ShmuelYonah Месяц назад

But... but... I like p-values!

@marvinochieng6295 Месяц назад

gorgeous woman

@privacyvalued4134 Месяц назад

The shorter path to the inner fortress would be doable IF the Matrix were real. You could simply have the entire pediatric ophthalmology sub-sub-specialty uploaded from one person's brain and then downloaded directly into another person's brain in seconds. No need to spend years in residency. Instantly train anyone for any and all professions and specialties.