Ophthalmology

Offering a wide range of clinical services from general eye examinations to the diagnosis and surgical treatment of complex eye diseases.

Treatments

Physicians and Staff

Locations

The faculty of the Pediatric Ophthalmology Service is internationally known for providing outstanding comprehensive care to children with eye problems. As both physicians and surgeons, we offer a range of clinical services from general eye examinations to the diagnosis and surgical treatment of complex eye diseases. In addition, we are actively involved in research to improve our treatments and prevent these disorders in the future.

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Treatments

We provide services for a wide variety of pediatric ophthalmic diseases such as:

eye muscle problems (strabismus),
lazy eye (amblyopia),
droopy lids (ptosis),
jerky or wiggly eyes (nystagmus), and
hazy lens (cataracts)

These patients are referred to our state-of-the-art pediatric eye care facility.

The faculty has special expertise in intraocular lens implantation for cataracts, the treatment of ocular tumors (retinoblastoma, hemangioma), eye abnormalities resulting from brain dysfunction (pediatric neuro-ophthalmology) and prematurity (retinopathy of prematurity), and, is one of the few centers in the nation with a particular interest in treatment of high eye pressure in children (congenital glaucoma).

The pediatric ophthalmology service offers the expert services of orthoptists. Orthoptists are trained in diagnostic techniques, clinical interpretation and nonsurgical treatment of eye muscle problems. In addition, they provide assessment of visual function in the preverbal child through a technique called "preferential looking."

Diagnostic Tests

Some commonly performed procedures/diagnostic tests:

Electrophysiologic testing is available to evaluate disorders of the retina. Such tests as electroretinograms which are used to assess rod and cone function of the retina are routinely performed.
Visual field testing through automated machines can help diagnose abnormalities of the visual pathways in the brain.
Automated refraction devices quickly determine the type of glasses needed to see clearly in children with minimal cooperation required.

Disease-Specific Programs

We are part of the Duke Children's team and have multidisciplinary programs to handle problems that extend beyond the eye such as:

Retinoblastoma (eye cancer) - ophthalmology, radiation oncology, pediatric hematology/oncology, genetics
Neurofibromatosis - ophthalmology, neurology, neurosurgery, genetics
Juvenile rheumatoid arthritis - ophthalmology, rheumatology
Marfan's syndrome - genetics, neurology, ophthalmology, cardiology
Down's syndrome - genetics, ophthalmology, cardiology, orthopaedics

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Physicians and Staff

Physicians

Name	Areas of Special Interest
Edward G. Buckley, MD	Strabismus, amblyopia, congenital cataracts, intraocular lens implants, retinoblastoma, pediatric neuro-ophthalmology, retinopathy of prematurity, ptosis, nystagmus, optic-nerve disorders, genetic eye disease, ocular tumors, congenital glaucoma; third-, fourth-, and sixth-nerve palsies
Laura B. Enyedi, MD	Medical and surgical management of pediatric eye disorders and adult strabismus, pediatric cataracts, congenital ptosis, amblyopia, strabismus, diplopia, ocular motility disorders secondary to craniosynostasis, cranial nerve palsies, thyroid myopathy, and trauma
Sharon F. Freedman, MD	Congenital and childhood glaucoma, strabismus, congenital cataracts, retinopathy of prematurity, ocular motility disorders due to cranial nerve palsies
David K. Wallace, MD, MPH	Strabismus, childhood cataracts, retinopathy of prematurity, amblyopia, nasolacrimal duct obstruction, clinical trials
Terri L. Young, MD	Ophthalmic genetics, pediatric eye disease including pediatric cataracts, surgical correction of strabismus in children and adults