Barnes-Jewish Hospital

West County

St. Louis Children’s HospitalOne Children’s Place - Suite 2 South 89

St. Louis, MO 63110

Barnes-Jewish Hospital West County1040 N. Mason

Building 1, Suite 219St. Louis, MO 63141

314.454.KIDS800.678.KIDS

314.454.2368 fax

Eye Center Team

The pediatric ophthalmologists at St. Louis Children’s Hospital are dedicated to providing expert eye care for children of all ages. Specialists are trained in the latest eye care technology and treat each child with special consideration, patience and kindness. The Eye Center Team is experienced in calming the fears of young patients and in creating a comfortable environment for you and your child.

Lawrence Tychsen, M.D.Director and Ophthalmologist-in-Chief

Gregg Lueder, M.D.Pediatric Ophthalmologist

Susan Culican, M.D., Ph.D.Pediatric Ophthalmologist

Mark Rallo, O.D.Optometrist

James Hoekel, O.D., F.A.A.O.Optometrist

Marlo Galli, C.O.Orthoptist

Dave Garibaldi, C.O., C.O.M.T.Orthoptist, Videographer

Cathy Lindell, R.N.Surgical Coordinator

Kathleen Hall, R.N.Surgical Coordinator

Holly Moffitt, R.N.Surgical Coordinator

Jackie Foeller, B.S.Visual Electrophysiology

Types of Tests

• Visual Evoked Potential (VEP) There are specific VEP’s to: – Assess visual acuity – Check for optic nerve function – Measure visual brain development – Assess binocular vision

(how both eyes work together)

• Electroretinography (ERG) – Checks for retinal diseases

• Color Vision Test – Assesses color vision

• Humphrey Visual Field – Checks for side vision

• OKN – Checks for eye tracking

• VOG/Pupillography – Checks eye movement and

pupillary responses

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Pediatric Ophthalmology and Eye Center

Pediatric Ophthalmology Eye CenterSt. Louis Children’s Hospital

Your child’s eyesight deserves the best possible treatment. This requires specialists who not only focus on the needs of children, but also utilize the latest and most effective technology to diagnose and treat your child in a caring manner.

The Pediatric Ophthalmology Eye Center treats all visual disorders that occur in infants and children, from refractive error and eye crossing to cataracts and tumors. Evaluation early in infancy and child-hood is strongly encouraged, especially for children who were premature, have developmental delay or have a family history of an eye disorder.

We offer diagnosis and treatment of all functional and cosmetic eye disorders in infants and children including:

• Wandering eye (Strabismus)

• Eye tracking disorder (Nystagmus – eye wiggling)

• Lazy vision (Amblyopia)

• Abnormalities of Down Syndrome, Cerebral Palsy and brain trauma

• Vision disorders of prematurity

• Genetic eye disorders

• Cataracts and Intraocular Lens Implantation

• Glaucoma

• Tear duct disorders – watery eye

• Drooping of eye lid (Ptosis)

• Hemangiomas

• Retinoblastoma and other eye tumors

• Orbital infections

• Inflammation (Uveitis)

• Laser Refractive Surgery Study in children with amblyopia

• Pediatric contact lenses

Same Day Surgery

If your child requires surgery, they will undergo a short exam before surgery. Parents will meet with a pediatric anesthesiologist who will specifically tailor anesthesia to their child’s needs.

After surgery, your child will be taken to a special recovery area called the Post Anes-thesia Care Unit (PACU), where the initial stage of recovery and anesthesia wake-up occurs.

Most surgical procedures, including recovery and discharge, occur within a 24-hour period. For more information on Same Day Surgery, please visit our Web site at www.stlouischildrens.org.

Visual Diagnostic Lab

The Visual Diagnostic Lab utilizes state-of-the-art equipment to diagnose eye disorders in pediatric, non-communicative patients. This is especially useful in diagnosing visual disorders in children with developmental delay. Most tests are non- invasive and use a variety of techniques to measure small electrical signals that occur in the brain when visual stimulation is provided.

Visual Electrophysiology Tests

• This type of testing does not rely on verbal communication, and therefore can test vision of non-verbal and developmentally delayed children in an objective manner.

• They are non-invasive and do not require any type of sedation or anesthesia except for the ERG.

• In all tests except the ERG, electrodes are attached to the scalp and visual stimulus is provided. Visual ability is objectively determined by measuring brain signals resulting from the stimulus.

• ERG requires sedation because a contact lens connected to electrodes is placed on the eye to measure activity of the retina.