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Pediatric Retina
Your Vision, Our Mission: Pediatric Retina Care with Compassion

At Retina & Vitreous of Texas, our Houston pediatric retina specialists provide comprehensive eye care for infants, children, and adolescents. We understand the importance of healthy vision development and work to detect, treat, and manage pediatric eye conditions early.

What is

Pediatric Ophthalmology?

Pediatric ophthalmology is a subspecialty of ophthalmology that deals with the diagnosis and treatment of eye vision conditions in infants, children, and adolescents. The goal of pediatric ophthalmology is to optimize visual development and prevent or treat eye problems early on to avoid lifelong vision impairment.

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Pediatric Retina

The retina is the light-sensitive tissue lining the back of the eye that contains specialized nerve cells called photoreceptors. These photoreceptors convert light into electrical signals that are sent to the brain to produce vision.

The retina undergoes crucial development in infancy and childhood. The retina contains specialized light-sensitive nerve cells called photoreceptors that convert light into electrical signals sent to the brain to produce vision.

Pediatric retina refers to the retina in infants and children, which is still maturing. Normal visual development requires proper maturation of the pediatric retina.

Any disturbances can lead to certain eye conditions such as amblyopia, refractive errors, strabismus, and other vision disorders. Careful examination of the pediatric retina by a pediatric ophthalmologist allows early detection and treatment of abnormalities to promote healthy visual development and prevent lifelong vision impairment.

Regular dilated eye exams facilitate the evaluation of the still-developing pediatric retina.

About Us

Houston Pediatric Retina is part of Retina & Vitreous of Texas, a premiere retina practice in the state. We are proud to have three highly esteemed doctors who specialize in pediatric retina conditions and treatments.

Our eye doctors ensure that your family and child are informed and at ease throughout your entire experience with our clinic. We promise to guide you through with compassion and care.

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Meet Our

Pediatric Retina Doctors

Eric Holz

Doctor Eric Holz was born and raised in Austin, Texas. Dr. Holz is a board-certified retina specialist and belongs to many esteemed ophthalmological societies like the American Society of Retina Specialists and the American Board of Ophthalmology. He has a special interest in diseases affecting the macula, particularly epiretinal membrane, vitreomacular traction syndrome, macular hole, and macular degeneration. Dr. Holz is known as the "doctor with boots" due to his sartorial quirk of constantly wearing boots with his scrub attire. He enjoys any outdoor activity, particularly working in the yard, hiking, hunting, and fishing.

Emmanuel Chang

Emmanuel Chang was born in Tulsa, Oklahoma, and grew up in Kansas and Tennessee. Dr. Chang is a board-certified ophthalmologist by the American Board of Ophthalmology. Dr. Chang specializes in all aspects of adult and pediatric vitreoretinal diseases with a particular interest in macular degeneration, macular holes, retinal detachments, diabetic retinopathy, vein occlusions, and acquired/inherited pediatric retinal disorders, including retinopathy of prematurity, familial exudative vitreoretinopathy, persistent fetal vasculature, Coats' disease, and ocular trauma. Dr. Chang is fluent in English, Mandarin, and conversational Spanish.

Prethy Rao

Prethy Rao was born in Syracuse, New York, and was raised in New Jersey and Wisconsin. She is a board-certified ophthalmologist by the American Board of Ophthalmology. She is also a member of the American Academy of Ophthalmology and the American Society of Retina Specialists. Dr. Rao specializes in all aspects of adult and pediatric vitreoretinal disorders and surgery. Her primary research interests include "big data" analysis to better understand risk factors and clinical outcomes of several adult and pediatric vitreoretinal diseases to aid in widespread clinical practice patterns. She also has special clinical interests in pediatric vitreoretinal diseases and helping translate telemedicine screening and treatment of adult and pediatric retinal disease to areas of outreach.

Common Pediatric

Retina Conditions

Pediatric retina conditions can arise from developmental abnormalities, infections, injuries, or other eye diseases. Proper examination and early treatment by a pediatric ophthalmologist is key to preserving vision. Here are some of the most common pediatric retina problems that are treated at Retina & Vitreous of Texas in Houston, TX:

Retinopathy of Prematurity (ROP)
ROP is an abnormal blood vessel growth in the retina of premature infants that can lead to retinal detachment and blindness if not caught early. Careful screening and timely treatment with laser or cryotherapy prevent vision loss.

Coats Disease
This condition is characterized by abnormal development of retinal blood vessels, causing leakage of fluid or blood in the retina. Laser treatment can minimize vision loss if caught early.

Retinoblastoma is a malignant cancer of the retina occurring in young children. This condition often requires chemotherapy, radiation, laser treatment, freezing, or surgery to treat the tumor and save the eye.

Macular Disorders
Macular disorders cause central vision problems arising from damage to the macula region of the retina. This condition requires close monitoring and sometimes surgery.

Retinal Detachment
Retinal detachment is the separation of the retina from the back of the eye. This requires prompt surgical repair to reattach it and preserve vision.

What to Know for

Your First Visit

Your child's first visit to a pediatric ophthalmologist is an important step in detecting and treating any eye conditions early for optimal vision development. Our priority is to be as thorough and complete as possible during the first visit to fully evaluate ocular health and detect any conditions requiring treatment or management. Here are some tips to help you prepare your child and yourself for the initial appointment:

New Patients

When you arrive for your child's first appointment, our receptionist will greet you and ask you to complete the registration paperwork. To simplify and expedite your visit, consider completing the registration forms prior to arrival. Please bring any referral records from your child's doctor, along with a list of current medications and dosages. Also, bring identification cards, insurance cards, and any vision or medical records related to your child's eyes or vision.

Arriving fifteen minutes early allows time to get your child signed in and provides the staff with important information needed to properly evaluate your child's eyes and vision. Having complete medical and registration information helps maximize the time spent with the doctor examining your child's eyes thoroughly.

What to Expect

First, your ophthalmic technician will have an in-depth discussion with you to gather a detailed medical and ocular history for your child. The technician will check your child's vision using an age-appropriate eye chart and measure the pressure inside the eyes.

Dilating drops will be placed in the eyes to open your child's pupils widely. Dilation is necessary for your child's eye doctor to examine the retina. It takes approximately thirty minutes for the eyes to become fully dilated, with the effects lasting two to six hours. Your child may have temporarily blurry vision until the drops wear off.

One of our pediatric retina specialists will then perform a very thorough ophthalmologic and retinal examination of your child's eyes. If additional diagnostic testing is needed, such as retinal photography, angiography, ocular ultrasound, or visual field testing, this will be completed.


What Should I Bring to the Appointment?
  • Insurance card
  • Driver's license or ID
  • Your child's glasses/contacts
  • List of medications and dosages
  • iPad, books, portable game device
  • Snacks
What Insurance Do You Accept?

Our goal is to assist and coordinate with all of our participating health insurance providers, as well as Medicare. We are pleased to be participating providers for Medicare and most major health insurance plans.

As specialists, we only accept primary health insurance, not separate vision insurance. Please contact us to learn more about our insurance policies.

Do You Do Regular Eye Exams?

No, we do not provide routine vision exams or prescriptions for glasses or contacts. We specialize solely in conditions affecting the back of the eye, which is the retina and vitreous. We do not provide treatment for cataracts, glaucoma, LASIK, or other front-of-eye conditions.

However, we can refer you to appropriate specialists for these services if needed.

Will My Child's Eyes Be Dilated?

Yes, it is standard for us to dilate eyes during exams to thoroughly evaluate retinal health. Dilation typically lasts four to six hours.

If your child is old enough to drive, have them bring someone to drive home, especially after a first visit. Dilation can impair vision temporarily.

What Do I Need to Bring to My First Visit?

Please bring your insurance card, driver's license/ID, and any completed patient forms. You can submit forms online prior to your visit.

If My Child Has Diabetes, Do They Have to Go to a Retina Specialist?

We highly recommend visiting a retinal specialist annually in addition to your optometrist if your child has diabetes. This allows close monitoring and early treatment of any retinal conditions associated with diabetes to ensure the best eye health.