Page 134 - The Indian Optician Digital Edition May-June 2023

record of any ocular surgery or traumatic injury After completing 51 sessions of vision therapy
affecting her vision. Notably, Zikra exhibited (including 11 online sessions) and receiving
poor eye fixation on targets and inconsistent eye various other therapies such as physiotherapy,
contact. She struggled to recognise her mother occupational therapy, speech therapy, aqua
and did not maintain good visual projection. therapy, counselling, instruction, and training,
Zikra has made significant progress. She can
During a dilated eye examination, both eyes now achieve stimulation, maintain fixation, and
showed a normal appearance of the fundus, sustain eye contact. With these improvements,
and the anterior segment exhibited a clear lens, Zikra is ready to enrol in kindergarten school,
cornea, and conjunctiva. The pupil responded where education will play a vital role in shaping
appropriately to light and accommodation. her bright future.
However, an exotropia (outward deviation) was SENIOR OPTOM YOGITA RAJGANDHI ASSESSING THE
observed in her left eye. CHILD'S VISION AND GIVING VISUAL THERAPY
Zikra's motor assessment revealed delays in
both gross and fine motor skills. She struggled
to hold her head and sit independently after
receiving the IPV vaccination. In terms of fine
motor skills, she had difficulty grasping toys
and reaching out appropriately. The functional
assessment indicated her dependence on her
mother for continence, transfers, locomotion,
self-care, and personal hygiene. She also
exhibited an attraction to bright red light in a
dark room.
To stimulate her vision, Zikra initially received
a few minutes of visual stimulation once a week.
The therapy involved using red and other bright
colours, along with various vision therapy tools
such as cello paper, flashcards, fixation targets,
rope lights, and patching. Zikra's mother was
provided with instructions to continue these
therapy techniques and ensure their regular
implementation.

Zikra has shown remarkable progress during
her vision therapy sessions. She can now
fixate on a bright red light and demonstrate
enthusiasm for new toys and objects for a short
duration. Her fixation, eye contact, scanning,
and tracking skills have consistently improved. ACKNOWLEDGMENT
Through digital stimulation and exercises AUTHOR :
with bright colours and patching, Zikra has YOGITA L RAJGANDHI
(OPTOMETRIST AND
made strides in her visual awareness and VISION THERAPIST)
understanding of targets, shapes, and colours. YEAR - MAY JUNE 2023
Her head posture movements have become ZIKRA SHAIKH CASE
more controlled, and she has shown good STUDY - OCULAR -
projection with a torch in all directions. With VISION THERAPY
SRCC HOSPITAL -
ongoing therapy and the support of her mother, CENTRE FOR CHILD
Zikra's visual abilities continue to develop DEVELOPMENT
alongside her neurology medication. -MUMBAI

130 | THE INDIAN OPTICIAN | MAY-JUNE 2023 CASE STUDY