The Division of Ophthalmology provides the full spectrum of medical and surgical treatment options for eye diseases in childhood. The division includes two outpatient clinics (one in Seattle and one in Bellevue), a visual sensory laboratory, an ocular motor laboratory including vestibular testing and state-of the-art OCT imaging of the retina and optic nerve. Our eye clinic staff includes four full-time pediatric ophthalmologists, a pediatric optometrist and residents from the University of Washington, School of Medicine, two orthoptist and six ophthalmic technicians — all dedicated to providing high-level, comprehensive care for infants and children with eye problems.

The Ophthalmology Clinic provides standard eye evaluations for children with straightforward eye problems as well as consultations for children with complex ocular and medical problems. Diagnostic evaluations include behavioral testing and visual evoked potential to assess vision in preverbal infants and nonverbal children.

The ophthalmology team of clinicians and vision scientists employs state-of-the-art technology rarely found in other pediatric hospitals. Electroretinograms probe function of the macula and retina, while confocal microscopy provides corresponding anatomic details about these structures in children with retinal and optic nerve diseases. Visual field testing and transient visual evoked potentials measure optic nerve function and supply information about cortical processing of visual inputs to the brain. Children with strabismus and eye movement abnormalities receive the benefit of eye-muscle imaging technology and quantitative analysis of their eye movements.

The division’s most recent publications include, among others: 1) Esotropia greater at distance: Children versus Adults 3) Persistent figure-eight and side-to-side head shaking is a marker for rhombencephalosynapsis 4) Detection of tumor progression in optic pathway glioma with and without neurofibromatosis type 1. 5) Crouzon Syndrome: Relationship of rectus muscle pulley location to pattern strabismus. 6) Optic Neuritis-Acute Visual Loss” &: “Visual Inattention-An Infant Who Seems not to See” Challenging Cases in Pediatric Ophthalmology. 7) Ocular abnormalities in childhood metabolic disorders. Harley’s Pediatric Ophthalmology. 8) Prevalence of amblyopia or strabismus in asian and non-Hispanic white preschool children: multi-ethnic pediatric eye disease study. 9) Prevalence of myopia, hyperopia, and astigmatism in non-Hispanic white and Asian children: multi-ethnic pediatric eye disease study.10) Prevalence and causes of visual impairment in Asian and non-Hispanic white preschool children: Multi-ethnic Pediatric Eye Disease Study.

Our research focuses on increasing our understanding of the eye disorders of our patients so we can optimize their care and treatment. We strive to provide specific information about child eye diseases and the visual disability associated with each disease.

Joining Drs. Avery Weiss, Francine Barn, Erin Herlihy, and Kristina Tarczy-Hornoch we have recently recruited to Seattle Children’s a pediatric optometrist, Dr. Vivian Manh. Dr. Manh’s focus areas are in refractions, strabismus, amblyopia and visual information processing She also has experience in low vision services and contact lens fitting. She has extensive experience in multi-center clinically related research studies.

Having four full-time pediatric ophthalmologists, a fulltime pediatric optometrist, two PhD vision scientists and state-of-the-art technology, Seattle Children’s Hospital is well-positioned to provide eye care for children with routine or complex eye problems across the Northwest and WAMI region.

Leadership and Faculty

Kristina Tarczy-Hornoch, MD, PhD


Kristina Tarczy-Hornoch, MD, DPhil, is the Associate Chief of Ophthalmology at Seattle Childrens Hospital and Associate Professor Department of Ophthalmology at the University of Washington. She earned her medical degree at the University of... cont.