Dr. Darakhshanda Khurram


Consultant Paediatric Ophthalmologist
Dr. Khurram is experienced in Retinopathy of Prematurity screening and management (an eye disease affecting premature babies). She is also experienced in all types of squint (strabismus) surgery (including the use of botulinum toxin).
Dr. Khurram studied medicine at the Rawalpindi Medical College, Pakistan, and undertook a post-graduate fellowship with the Royal College of Surgeons, Glasgow, UK. She completed her fellowship training in Paediatric Ophthalmology and Strabismus at Great Ormond Street Hospital and Moorfields Eye Hospital, in London, UK. While there she worked with some of the most prominent Paediatric Ophthalmologists and gained a world-class knowledge of paediatric ophthalmic surgical procedures.
Dr. Khurram has a highly advanced sub-specialist interest in Paediatric Ophthalmology. Her area of expertise covers the clinical and surgical management of congenital cataracts and congenital glaucoma including augmented filtration procedures and cyclophotocoagulation.
Dr. Khurram is an active researcher, publisher and presenter in her specialist field.
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بكالوريوس في الطب والجراحة، زمالة الكلية الملكية للجراحين (غلاسكو)، زمالة المجلس العالمي لطب العيون، عضو كلية الأطباء والجراحين
استشاري طب عيون الأطفال

درست د. خورام الطب في كلية روالبندي الطبية في باكستان، ثم انضمت إلى برنامج زمالة لدى الكلية الملكية للجراحين في غلاسكو، المملكة المتحدة. أتمت د. خورام تدريب الزمالة في مجال طب عيون الأطفال ومشاكل الحول في مستشفى جريت أورموند ستريت ومستشفى مورفيلدز للعيون بلندن، المملكة المتحدة. وهناك عملت إلى جانب عدد من أبرز أطباء عيون الأطفال واكتسبت معرفة عالمية في مجال جراحات طب عيون الأطفال.لدى د. خورام اهتمام كبير بالاختصاصات الفرعية المتطورة لطب عيون الأطفال. وتشمل خبراتها الإدارة السريرية والجراحية لإعتام عدسة العين الخلقي ومشاكل الجلوكوما الخلقية، بما في ذلك إجراء جراحات تصفية العين المعززة وعمليات cyclophotocoagulation. كما تتمتع بخبرة في فحص وإدارة مشاكل اعتلال الشبكية لدى المواليد الخدج (وهو أحد أمراض العين التي تصيب الأطفال المولودين قبل أوانهم). وبالإضافة إلى ذلك فهي تحمل خبرة واسعة في كافة أنواع جراحات تصحيح الحول (بما في ذلك استخدام مادة توكسين البوتولينوم).
تنشط د. خورام في مجال الأبحاث والتأليف والنشر وطرح الدراسات في مجال اختصاصها.
انقر هنا لقراءة المزيد عن خدمة طب الأطفال والحَوَل.
انقر هنا لقراءة المزيد عن حالات العين الشائعة
العودة إلى صفحة أطباء العيون


Paediatric Strabismus


A squint is a condition where your eyes look in different directions. One eye turns inwards, outwards, upwards or downwards while the other eye looks forwards. The medical name for a squint is strabismus.

The misalignment of the eyes can be caused by different factors. It can be an early developmental problem where the brain struggles to identify that the two eyes should work as a pair. It can be caused by an abnormality with the eye muscles or an uncorrected vision problem, such as myopia (shortsighted), hypermetropia (longsighted) or Astigmatism.

When to see a doctor?

Squints in children are relatively common. They usually develop before a child is five years of age, but they can appear later.

Up to around three months of age, many babies occasionally squint as their vision develops. This is normal and nothing to worry about. If your child still has a squint after this age, you should visit your Doctor. It is very important that a squint is picked up and treated as early as possible to avoid vision problems developing. If a squint is identified when a child is young, there is a good chance that it will be successfully treated.

Can adults get a squint?

Occasionally, squints that have been corrected during childhood reappear in adulthood. New squints in adults, without any history of a squint in childhood, can be caused by problems with the ocular muscles and/or the eye movement system. You should visit your Doctor as soon as possible if you develop a new squint. They should refer you to an ophthalmologist who will carry out an examination to identify the cause.

Squints that affect adults may cause double vision because the brain has been trained to collect images from both eyes. Squints may also cause a cosmetic problem in adults; in such cases, the appearance of a squint can lead to low self-esteem

What is Amblyopia?

Amblyopia is also known as a ‘lazy eye’. Amblyopia is an early childhood condition where a child’s eyesight in one eye does not develop as it should. The problem is usually in just one eye, but can sometimes affect both of them. Amblyopia affects approximately 2% of children.

When a patient has amblyopia the brain focuses on one eye more than the other, virtually ignoring the ‘lazy eye’. If that eye is not stimulated properly the visual brain cells do not mature normally.

What causes a ‘lazy eye’?

Anything that interferes with clear vision in either eye during the critical period (birth to 6 years of age) can cause amblyopia. The most common causes of amblyopia are constant strabismus (constant turn of one eye), anisometropia (different vision/prescriptions in each eye), and/or obstruction of an eye due to cataract, trauma, lid droop, etc.

Why does my child need to wear a patch?

Occlusion (patching) is used to make a lazy eye work on its own and so improve the vision by encouraging the development of the nerve pathways from that eye to the brain. The patch is worn over the good eye and the amount of time the patch must be worn is decided by the Orthoptist/Ophthalmologist and relates to the extent of the visual problem. If patching is implemented early on, a good level of vision can be achieved. When patching is started in an older child, it is more difficult to achieve good vision.

What is an Orthoptist?

An Orthoptist specialises in diagnosing and treating visual problems involving eye movement and alignment.

The Orthoptist at Moorfields Dubai provides clinical support to all the specialist services at the hospital. She sees both adults and children who have strabismus (a squint), disorders of eye movements, or binocular vision.

What is an Optician?

An Optician will see adults and children for refraction; with this assessment, an optometrist can determine the optical power of the eye, the presence of any “refractive” error that requires spectacle correction, and the best vision that an eye can achieve with an appropriate correction. Younger children have drops to make the pupil (the dark center of the eye) larger and this makes the test more accurate.

What is an Ophthalmologist?

An Ophthalmologist is a specialist in medical and surgical eye problems. Since ophthalmologists perform operations on eyes, they are considered to be both surgical and medical specialists. They will check both the structure and health of the eye. They will make the final decision on the management and will do any surgical procedures required.