A paediatric ophthalmology consultation includes discussion with parents and age-appropriate vision testing. The doctor explains the diagnosis, recommendations and timing of the next examination.
infants, children and adolescents with visual symptoms or suspected eye disease; children after a failed or uncertain vision screening; children with risk factors such as prematurity or a significant family ophthalmic history; the child squints, holds books or screens very close, cannot see the board clearly or struggles with visual tasks
patients with myopia, hyperopia, astigmatism, anisometropia or a changing eyeglass prescription; the eyeglass prescription is changing quickly or myopia , hyperopia , astigmatism or anisometropia has already been identified
children with strabismus, amblyopia, nystagmus or double vision; there is suspected amblyopia , nystagmus or impaired binocular vision
patients who require monitoring of previously prescribed optical correction or treatment.
one eye turns constantly or intermittently, the child closes one eye, tilts the head or reports double vision
the child failed a vision screening or the result was uncertain
an infant has an unusual pupil reflex, poor fixation or tracking, chronic tearing or visible eye changes
the child needs review of previously prescribed glasses, amblyopia treatment , strabismus management or myopia control.
A pediatric consultation begins with clinical assessment rather than a predefined set of machines. In infants, the physician can evaluate fixation, tracking, eye alignment, pupil responses and the red reflex. Preschool and school-age children can also undergo age-appropriate visual acuity testing and more detailed refraction assessment.
A medical consultation itself does not have a universal list of contraindications. Limitations apply to individual tests: not every examination is necessary or technically feasible at every age, and the use of diagnostic drops is assessed individually.
there is prematurity, a significant family history of eye disease or another relevant risk factor;
After chemical exposure to the eye, irrigation with clean water should begin immediately and urgent medical care should be sought. Eye trauma, sudden vision loss, severe pain, marked photophobia with other concerning symptoms, a white pupil reflex or sudden strabismus with neurological signs require urgent assessment rather than a routine scheduled visit.
After chemical exposure to the eye, irrigation with clean water should begin immediately and urgent medical care should be sought. Eye trauma, sudden vision loss, severe pain, marked photophobia with other concerning symptoms, a white pupil reflex or sudden strabismus with neurological signs require urgent assessment rather than a routine scheduled visit.
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Symptoms, child development, family eye disease, previous diagnoses, glasses and examination results.
Fixation and tracking in young children or visual acuity in children able to perform the test.
Assessment of eye alignment and movement, pupil responses and external structures.
Cycloplegia and repeat objective measurement are used when indicated.
Examination of the anterior segment and fundus to the extent required by the clinical question.
Binocular tests, OCT, ultrasound, perimetry, tonometry and other methods.
Correction, treatment, further diagnostics, specialist referral and the next review date.
Vision testing methods are selected for the child's age and abilities to obtain information useful for treatment.
Examination helps distinguish refractive errors from other causes of reduced vision and discomfort.
The doctor explains examination findings, the need for correction and signs to watch for at home.
After consultation, parents receive guidance on treatment, vision correction and the timing of follow-up.
Bring the child’s previous reports, prescriptions and glasses. The physician will assess the situation, decide which tests are actually needed and define the appropriate follow-up interval.
The price includes intraocular pressure (IOP) measurement and refractometry Billing unit: for initial and follow-up consultation — per 1 consultation.
Ophthalmologist consultation without diagnostic package
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A pediatric ophthalmology consultation begins with a clinical assessment rather than a predefined set of instrument-based tests. The ophthalmologist considers the child's age, symptoms, vision screening results, previous glasses prescriptions, changes in refraction over time and relevant risk factors.
In infants, visual function is assessed through visual fixation, tracking of objects, eye alignment, pupillary responses and the red reflex. In preschool and school-aged children, age-appropriate visual acuity tests and more detailed refraction assessments are also performed.
Children can be examined by a pediatric ophthalmologist from infancy. If a child cannot yet speak or read an eye chart, the ophthalmologist uses objective, age-appropriate methods to assess vision.
Refraction assessment in children requires a particular approach because active accommodation can affect measurement results. When a more objective assessment is needed, the ophthalmologist may recommend cycloplegia, which involves using special eye drops to temporarily relax accommodation.
Cycloplegia is not a mandatory part of every consultation. It is performed when clinically indicated to obtain a more accurate assessment of refraction.
In children with myopia, the ophthalmologist evaluates not only the current degree of nearsightedness but also changes over time. In strabismus, the assessment includes the type of eye deviation, refraction, vision in each eye and binocular functions. In amblyopia, the aim is to identify the cause of insufficient visual development and select appropriate correction or treatment without guaranteeing a particular outcome.
If a child does not pass a school or pediatric vision screening, an ophthalmology consultation is needed to confirm or rule out a vision problem. Vision screening, ophthalmology consultations and individual diagnostic investigations serve different purposes and should not be treated as interchangeable.
The purpose of a consultation is not to perform as many tests as possible, but to identify the clinical question and select the necessary investigations. The ophthalmologist reviews symptoms, the child's age, visual behavior, visual acuity, eye position and movements, previous examination findings and prescribed optical correction.
If a refractive error is suspected, the ophthalmologist selects an appropriate method of measuring refraction and determines whether cycloplegia is necessary. In cases of strabismus or suspected amblyopia, the assessment also includes the visual function of each eye, ocular motility and binocular vision.
Optical coherence tomography (OCT), ultrasound, perimetry, tonometry and other investigations are not performed automatically. They are prescribed according to specific medical indications.
A consultation is not a fixed diagnostic package. The ophthalmologist first identifies the clinical problem that needs to be addressed and then selects the investigations required to evaluate it.
Based on the examination findings, the pediatric ophthalmologist determines the next steps. These may include observation, glasses or contact lenses, treatment of amblyopia and binocular vision disorders, a myopia progression control program, additional diagnostic investigations or referral to a specialist eye surgeon.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
