Children's Emergency Department is now located in Children's Tower: 1001 E. Marshall Street.

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Expert, compassionate eye care for kids 

Children have unique eye health needs. Our ophthalmologists are fellowship-trained pediatric physicians offering the most skilled and comprehensive eye care, just for kids. Our approach to care is backed by innovative research, which translates to the latest technology and treatment options for eye conditions, ranging from common to complex. 


Caring for common and complex eye diseases and disorders 

Our team provides examination, diagnosis, ongoing medical management and surgical treatment of pediatric eye diseases and disorders for children of all ages. We do not currently provide routine eye exams (evaluation for glasses, failed eye screenings, etc.) for children over age 8. Routine exams are available for children of all ages who have complex health care needs. 

Our ophthalmologists specialize in diagnosing and treating a full range of pediatric eye conditions, including but not limited to: 

  • Strabismus (misalignment of the eyes) 
  • Amblyopia (poor vision in one eye) 
  • Nasolacrimal duct obstruction 
  • Chalazion (bumps on eyelids) 
  • Ptosis (eyelid drooping) 
  • Cataracts 
  • Primary congenital glaucoma 
  • Eye muscle surgery 
  • Glasses 
  • Patching 
  • Nasolacrimal duct probe and irrigation 
  • Surgical removal of chalazion 

What to expect during your first visit 

Although initial ophthalmology examinations are not short, we try to make it fun for the kids—and for us!  

We often use toys, lights and finger puppets to get the information they need for a proper examination. 

Plan to spend at least one and a half to two hours in the office on your first day for check-in, performing the initial workup with the ophthalmologic technician, and for eye drop dilating. Bring lots of entertainment for your child and yourself. 

Not every child needs a full eye examination. Vision screening should be performed by the pediatrician and children with problems identified on this screening should be referred for a complete eye examination. 

If your child is prescribed glasses, they should wear them all day, every day, except for the three S’s: showering, sleeping and swimming. 

We want to make sure all of your questions are answered. If it helps, write down your questions and concerns so you don’t forget! 

Dilation drops 

Dilation drops are necessary for all new patient visits. It allows our physicians to perform a complete examination of the retina and accurate determination of a glasses prescription. The drops last around four to six hours – occasionally longer –  and your child will require specialized glasses to protect his or her eyes from sensitivity to light.  

Electroretinograms (ERGs) 

The retina is the very sensitive “camera film” of the eye. If there is a question on the condition of your child’s retina, an ERG is used to evaluate its function. This is a rare procedure, but we can perform it here. 

Multispecialty programs

Craniofacial care 

Children with acquired or congenital conditions such as premature fusion of the sutures of the skull, genetic syndromes, and other skull or face conditions sometimes have associated eye issues. Our ophthalmologists are part of the multidisciplinary team in the craniofacial clinic, providing coordinated care at CHoR. 

Eye genetics 

Our eye genetics program cares for children with known or suspected inherited eye diseases. As the only dedicated specialized ocular genetic clinic of its kind in the state, we serve children and families from across Virginia and surrounding states. Although hereditary eye diseases are rare, genetic factors are the major underlying cause of childhood blindness and significant visual impairment in adults. Recent advances in molecular genetics have helped identify a substantial number of genes and conditions known to contribute to eye disease. Our team has a unique understanding of these conditions and provides the latest diagnostic, testing and treatment options with a personalized approach to meet each family's unique needs.

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Meet the team

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Evan Silverstein, MD
Evan Silverstein MD Ophthalmology
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Mohannad Al-Samarraie, MD
Mohannad Al-Samarraie MD Ophthalmology Read more
Vikram Brar, MD
Vikram Brar MD Read more
Christopher T Leffler, MD
Christopher Leffler MD Ophthalmology Read more


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