👶 Pediatric Ophthalmology

Expert Eye Care
for Every Child

Children rarely complain about poor vision — they simply don't know any different. Dr. Swati Agarwal is experienced in examining children of all ages, from newborns to teenagers, and in treating the full range of pediatric eye conditions.

👶
All ages from newborn
Squint · Amblyopia · Myopia
Cycloplegic refraction
Free monthly school camps
Amblyopia patching programmes
Why Early Matters

The critical window for children's vision

Visual development in the brain occurs primarily during the first 7–8 years of life. During this period, the visual cortex is actively forming neural connections in response to visual input. This is both the window of greatest vulnerability — conditions like amblyopia develop here — and the window of greatest opportunity for treatment.

A child who is diagnosed with amblyopia at age 4 has an excellent chance of achieving normal vision with patching therapy. The same child diagnosed at age 9 has a much more limited prognosis. This is why every child should have a formal eye examination — not just a school screening — by age 3–4.

📅 First Formal Eye Exam

Every child should have a comprehensive dilated eye examination by age 3–4, regardless of whether any symptoms are present. School screenings miss up to 30% of vision problems and are not a substitute for a formal ophthalmological assessment.

Conditions Treated

What we diagnose and treat

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Amblyopia (Lazy Eye)

Reduced vision in one eye due to abnormal visual development. Treated with patching of the stronger eye and/or atropine drops. Highly effective before age 7–8.

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Squint (Strabismus)

Misalignment of the eyes — one turns in, out, up, or down. Treated with glasses, patching, and surgery as appropriate. Assessment within 2–4 weeks of noticing a squint is strongly recommended.

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Myopia (Short-sight)

Extremely common in urban Indian children and progressing faster than ever. Spectacles, contact lenses, and myopia-control strategies (atropine drops, orthokeratology) offered.

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Hyperopia & Astigmatism

Long-sightedness and irregular corneal curvature — major causes of refractive amblyopia. Often missed without dilated refraction. Spectacle correction is highly effective.

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Colour Vision Deficiency

Routine colour vision testing identifies deficiencies that affect career pathways. Parents and children counselled on implications and practical strategies.

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Congenital Conditions

Congenital cataract, ptosis (eyelid droop), nystagmus, and other conditions present from birth. Early identification and referral for urgent management where required.

Warning Signs

Signs parents should watch for

  • Squinting or screwing up the eyes when looking at a distance
  • Sitting very close to the television or holding phones/books very close
  • Covering or closing one eye while watching TV or reading
  • One eye that turns in, out, up, or down — especially visible in photos or when tired
  • Head tilting or turning to one side when looking at things
  • Frequent headaches after reading or near work
  • Avoiding reading, drawing, or blackboard work — often misattributed to learning difficulties
  • Unusual sensitivity to bright light (photophobia)

If you notice any of these signs, book an appointment promptly. Do not wait for the next school screening.

What to Expect

A child-friendly examination

1

Age-appropriate visual acuity testing

Picture charts for young children who cannot read letters. Preferential looking cards for infants. Electronic tests that require no verbal response. No child is "too young" to have their vision assessed.

2

Cover test for squint detection

A simple, non-invasive test that identifies even subtle squints that are not obvious to parents or paediatricians.

3

Cycloplegic refraction

Special eye drops (cyclopentolate) relax the child's focusing muscles and dilate the pupil, allowing the most accurate spectacle prescription to be determined. Takes 30–45 minutes to take effect.

4

Dilated fundus examination

Full examination of the retina and optic nerve. Identifies congenital conditions, optic nerve abnormalities, and other conditions that may not cause any visible external sign.

5

Clear explanation and plan

Dr. Swati explains all findings directly to both the child (in age-appropriate language) and parents, including the management plan, glasses or patching schedule, and next review date.

🎒 Free School Screening Camps

The Eye Clinic conducts free monthly vision screening camps at schools in Kankurgachi and surrounding areas. Children identified as needing further evaluation receive a referral. Contact us at +91 91477 14355 to arrange a camp at your school.

Common Questions

Frequently Asked Questions

How young can a child be examined?
From birth. Newborns can be assessed for the red reflex and gross fixation. Infants can be assessed with preferential looking cards. There is no minimum age — if you are concerned, bring your child in.
My child won't sit still — can they still be examined?
Yes. Dr. Swati is experienced with children who are anxious, distracted, or uncooperative. Objective tests (retinoscopy, cover test) do not require verbal responses. A calm, unhurried approach is the key — and we have time for it.
What are the dilation drops and are they safe?
Cyclopentolate eye drops are safe, commonly used, and well-tolerated by children. They cause temporary blurring of near vision and light sensitivity that resolves within 4–8 hours. Your child cannot return to school on the day of dilation.
My child passed the school screening — do they still need an eye exam?
School screenings miss up to 30% of vision problems, including most cases of refractive amblyopia (which causes no external signs). A formal dilated examination is recommended for every child at age 3–4, regardless of screening results.
How long does a pediatric eye exam take?
Allow 1.5 hours, including dilation time. Bring snacks, a favourite toy, or a tablet to keep your child comfortable during the waiting period while drops take effect.
At what age can glasses be prescribed for children?
As young as a few months if required. Very young children with significant refractive errors or amblyopia benefit enormously from early spectacle correction — sometimes the glasses themselves are the treatment.
Book a Consultation
👶
Pediatric Eye Exam

Comprehensive dilated examination for children of all ages, including cycloplegic refraction. Please allow 1.5 hours. Bring your child well-rested and fed.

Book Appointment →
👩‍⚕️
Dr. Swati Agarwal
🥇 Gold Medalist Eye Surgeon
20K+Surgeries
15+Years
🥇Gold Medal
Meet Dr. Swati →
Related Reading
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Other Services at The Eye Clinic

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Cataract Surgery
LASIK & Refractive
🩺
Diabetic Retina
🫧
Glaucoma
👁️
Cornea & Oculoplasty

Every child deserves to see clearly

Book a comprehensive pediatric eye examination at The Eye Clinic. Dr. Swati is experienced with children of all ages — including those who 'won't cooperate.'

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