Pediatric Ophthalmology and Eye Center



Pediatric Ophthalmology and Eye Center
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
– Checks for eye tracking
hecks eye movement and
pupillary responses
Eye Center Team
West County
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
St. Louis Children’s Hospital
One Children’s Place - Suite 2 South 89
St. Louis, MO 63110
Gregg Lueder, M.D.
Pediatric Ophthalmologist
Susan Culican, M.D., Ph.D.
Pediatric Ophthalmologist
Barnes-Jewish Hospital West County
1040 N. Mason
Building 1, Suite 219
St. Louis, MO 63141
Mark Rallo, O.D.
James Hoekel, O.D., F.A.A.O.
314.454.2368 fax
Marlo Galli, C.O.
Dave Garibaldi, C.O., C.O.M.T.
Orthoptist, Videographer
and Eye Center
Cathy Lindell, R.N.
Surgical Coordinator
Kathleen Hall, R.N.
Surgical Coordinator
Holly Moffitt, R.N.
Surgical Coordinator
Jackie Foeller, B.S.
Visual Electrophysiology
Pediatric Ophthalmology Eye Center
St. Louis Children’s Hospital
We offer diagnosis
and treatment of all
functional and cosmetic
eye disorders in infants
and children including:
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.
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 noninvasive and use a variety of techniques to
measure small electrical signals that occur in the
brain when visual stimulation is provided.
• Wandering eye (Strabismus)
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 childhood is strongly encouraged, especially for children
who were premature, have developmental delay or
have a family history of an eye disorder.
ye tracking disorder
(Nystagmus – eye wiggling)
• Lazy vision (Amblyopia)
bnormalities 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)
• L aser Refractive Surgery Study in children
with amblyopia
• Pediatric contact lenses
Same Day Surgery
Visual Electrophysiology Tests
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.
• T his 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.
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.
• T hey are non-invasive and do not require
any type of sedation or anesthesia except
for the ERG.
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
• 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.
RG requires sedation
because a contact lens
connected to electrodes
is placed on the eye to
measure activity of the

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