General Practitioners

• Arthritis
  Juvenile Rheumatoid Arthritis (JRA) is also known as Juvenile Idiopathic Arthritis (JIA). The most common eye problem is inflammation inside the eye. It is often present without symptoms or signs. It can lead to blindness if left untreated. The risk depends on the age, sex, number of joints involved and the laboratory tests. The highest risk group is young girls with arthritis in four or fewer joints and that are ANA+ and rheumatoid factor negative. Older children with multiple joint arthritis have a much lower risk. Eye exams are recommended every three to twelve months dependent on the risk factors.
• Cryotherapy
• Medical Weight Loss
  Typical symptoms of hyperthyroid include fatigue, fast heartbeat, weight loss, heat intolerance, thinning hair and diarrhea. Hypothyroid may also cause fatigue, but with slow heartbeat, constipation and weight gain.
• Rheumatology
  Primarily these are genetics and rheumatology (juvenile rheumatoid arthritis, lupus) specialists but also include hematology (sickle cell), oncology (retinoblastoma), endocrinology (diabetes), cardiology, nephrology and neurology (multiple sclerosis).
• Pediatric Care
  The mission of the American Academy of Pediatrics is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents and young adults.
• Primary Care
  If your insurance company requires authorization or referral from your primary care doctor, please access this authorization for your first visit and for every visit thereafter.
• Constipation
• Diarrhea

Ophthalmologists

• Glaucoma
  Children’s Eye Care actively participates in clinical research. Currently, we are involved in several prospective studies in fields such as amblyopia and myopia. The doctors are also is involved in many more retrospective studies on topics such as glaucoma, strabismus, and ptosis.
• Ophthalmology
  Children’s Eye Care has partnered with the Children’s Hospital of Michigan to run their Department of Ophthalmology. Through that involvement we offer pediatric ophthalmology training for the ophthalmology residents of Kresge Eye Institute, Beaumont Eye Institute, Henry Ford Health System and the Michigan State University Ophthalmology Consortium.
• Laser Eye Surgery
  Adults can have strabismus or misaligned eyes just like children. The strabismus seen in adults may be a residual problem from the strabismus they had as a child that either was not corrected or has recurred. Strabismus can also occur as a new problem in adults who have never had any previous strabismus. This new strabismus can result because of a stroke, tumors, certain neurologic conditions, diabetes, a brain or ocular injury, following other eye surgery such as retinal detachment surgery or in many cases for no identifiable reason.
• Cataracts
  When someone has a cataract, it means they have blurry vision because the lens of their eye is becoming less transparent.
• Cataract Surgery
  Parents, and even some doctors, are amazed that young children can tolerate contact lens wear. With diligence, it is not only possible, but also quite beneficial for a child that’s had cataract surgery. Our goal is to both provide excellent care as well as empower parents who will be involved with caring for the lenses. We will work with you to rehabilitate your child’s vision to the highest level possible and guide you in your role along the way. Download the PDF above to help you, and your child, to learn appropriate care and handling of contact lenses.
• Eye Exam
  At Children’s Eye Care, your child is our patient and our top priority. We share your desire for a successful experience each time you visit our office. When you know what to expect at your child’s eye exam, you can better prepare your child – and yourself – for a positive experience.

Internists

• Internal Medicine
  An ophthalmologist is either a medical doctor (MD) or doctor of osteopathy (DO). Their training consists of a bachelor’s degree (four years), medical school (four years), an internal medicine internship (one year), an ophthalmology residency (three years) and a fellowship (one year) in pediatric ophthalmology. All of our pediatric ophthalmologists are board-certified. They specialize in the diagnosis of ocular disorders and diseases as well as the treatment and surgery of these conditions. AAPOS.org
• Nephrology

Neurologists

• Neurology
• Multiple Sclerosis

Endocrinologist

• Diabetes Care
• Endocrinology
• Hypothyroidism
  Normal thyroid hormone level in the blood is termed “euthyroid.” When the thyroid gland malfunctions, it can produce either too much hormone (hyperthyroidism) or too little (hypothyroidism). Either imbalance can cause a variety of symptoms. When abnormal hormone production is associated with an offending antibody, eye symptoms can develop (Graves’ disease), sometimes independent of systemic thyroid levels. In some cases, hyperthyroidism (high hormone production) can occur without eye disease.
• Thyroid
• Diabetic Retinopathy
  Juvenile Diabetes can cause retinal blood vessel changes called diabetic retinopathy. Generally this will not occur until 5 years after diagnosis. The recommendation is to begin yearly eye exams three to five years after diagnosis. The risk of retinopathy is approximately 25% at five years with up to 90% of diabetic patients who have retinopathy after 15 years after diagnosis. Laser treatment may be needed in some cases.

Radiologist

• Ultrasound
  A technologist is someone that is among the top trained and educated allied-health personnel in ophthalmology. COMT’s are trained for the all the things COA’s and COT’s perform, but they also are trained to perform ophthalmic photographs and ultrasound. JCAHPO.org
• MRI
  Retinoblastoma is detected using a CT scan and/or eye ultrasound. Other tests, such as an MRI or blood work, may be administered as well. An oncologist (doctor who specializes in cancer treatment) is often included in diagnosis and treatment.
• Computed Tomography
  What tests are ordered for children with uveitis? The tests ordered when a child is diagnosed with uveitis depend on clinical symptoms and signs. Testing is often not done for a first isolated case of uveitis in one eye. When uveitis is recurrent or affecting both eyes, testing is usually recommended. Testing may include blood tests for antinuclear antibodies (ANA), rheumatoid factor (RF), HLA-B27 haplotype, sedimentation rate, and certain infections. Imaging may include CT scan of the chest, gallium scan and sacroiliac xrays. In the case of suspected sarcoidosis, a tissue biopsy may be performed. There are many other tests that may be ordered to help identify a possible cause for the uveitis.
• Chemotherapy
  Chemotherapy: drug treatment given via the bloodstream is used to kill the cancer cells; it is sometimes used in conjunction with laser therapy.

Surgeons

• General Surgery
  The fellow spends the majority of her/his experience at Children’s Hospital of Michigan (CHM) on the Detroit Medical Center (DMC) campus. CHM offers more than 40 pediatric medical and surgical services, has more than 240 pediatric residents, specialists, fellows and medical students in training on-site and is the third largest recipient of Children’s Hospitals GME funding in the country.
• Whiplash
  Superior oblique palsy can be congenital or acquired. Other congenital anomalies may be associated with superior oblique palsy (e.g. a misshaped skull – craniosynostosis). A common cause of acquired superior oblique palsy is head trauma, including relatively minor trauma. A concussion or whiplash injury from a motor vehicle accident may be sufficient enough to cause the problem. Rare causes of superior oblique palsy are stroke, tumor and aneurysm.

Plastic Surgeons

• Eyelid Surgery
  The ophthalmologist will usually wait at least 6 months after onset for possible spontaneous improvement. During this observation period, patching one eye can alleviate double vision. Prism spectacles may relieve diplopia for some patients. If the palsy is present after 6 months, eye muscle surgery can be performed to realign the eyes so that the eyes are straight when the patient is looking straight ahead, and eyelid surgery can be done to help the ptosis in certain cases. The more severe the third nerve palsy, the more difficult it is to re-establish eye movements and single vision when the patient is attempting to use both eyes together. Residual diplopia can be quite bothersome for some patients.

Dermatologists

• Ulcer
  Vision threatening complications: There are two complications that can cause the patient to lose vision. These should be carefully sought and managed promptly to save vision: 1) Compression on the optic nerve by the swollen tissues: this can be managed by oral steroids and in non-responsive cases, surgery can be done to remove the bones around the eye to relieve the compression. Orbital radiation may be used in conjunction with other treatment modalities, but can sometimes transiently worsen symptoms. 2) Ulcer of the cornea due to severe dryness caused by the proptosis and difficulty closing the eyelids fully: this can be managed medically by lubricating eye drops/ointments, eye covers, taping eyelids closed at night, or even surgery to close the lids together to protect the eye.