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Pediatric Optometry > InfantSee Expected info > Flashcards

InfantSee Expected info Flashcards

1
Q

Newborns

  1. “Fully Mature” if Birth weight is MORE THAN what?
  2. Also considered “Mature” if their Gestation period is what?
A
  1. 2500 Grams or more (5 lbs 8 oz)

2. 37 Weeks or More

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2
Q

Health Status of Newborn: APGAR SCORE

  1. Range?
  2. Recorded at what time intervals after birth?
  3. What Apgar score is Considered normal?
  4. What does the Apgar evaluate?
A
  1. 0-10
  2. 1, 3, and 5 minutes after birth
  3. Greater than 7 after 3 minutes
  4. HR, Respiratory Effort, Muscle tone, Reflexes, and Color.
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3
Q

Ocular Health: 1 Month

  1. Eyes open for how long?
  2. When will they open? (2)
  3. Foveal Reflex present?
    a. Disc color?
    b. Fundus look?
  4. Pupils response?
    a. Avg Diameter?
  5. Nasolacrimal Canal issue?
  6. Fixation issue?
A
  1. Short periods only
  2. Open w/Sucking Reflex and when infant is held vertically upright
  3. Not present
    a. Pale in color
    b. Grayish look to fundus
  4. Miotic, and Reactive to light
    a. 3.6 mm +/- 0.9 mm in 10 footcandles of light (Pupils less than 1.8 mm or more than 5.4 mm suggest possibility of neurological damage)
  5. Stenosis is often seen
  6. Non-alignment or failure to maintain fixation is normal!
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4
Q

Ocular Health: 3 Months

  1. Pupils: Reaction to light?
  2. Foveal Reflex?
  3. What’s observed frequently w/the Nasolacrimal Canal?
A
  1. Normal in size, and reactive to light
  2. Hard to see, if present
  3. Stenosis
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5
Q

Ocular Health: 6 Months

  1. Pupils?
  2. Nasolacrimal Canal?
A
  1. Normal, and reactive to light

2. Should be Patent

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6
Q

Ocular Health: 9 Months

  1. Foveal Reflex present in what % of infants?
A
  1. 50%
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7
Q

Ocular Health: 12 Months

  1. Foveal Reflex present in what % of infants?
A
  1. 90%
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8
Q

Alignment and Ocular Motility: 1 Month

  1. Fixation?
  2. How well will they follow a slowly moving stimulus?
  3. Best target for a child under a year?
  4. Slow and Sluggish Eye movements often where?
  5. Nearpoint of convergence?
A
  1. Briefly on a bright object in the line of sight
  2. Briefly
  3. Parents face
  4. Opposite to Head Movement
  5. usually Absent…sometimes can get to 50 cm.
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9
Q

Alignment and Ocular Motility: 2 Months

  1. Following an Object?
  2. Versions?
  3. NPC?
  4. What if persistent Strab or temporary misalignment of the eyes should be considered what?
A
  1. Follows BRIGHT OBJECT past midline in all planes.
  2. Full Versions: Still slightly slow and sluggish…better Horizontally than Vertically; Versions full in all directions, w/head movement
  3. TTN
  4. Abnormal
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10
Q

Alignment and Ocular Motility: 6 months

  1. Moving Object?
  2. Versions?
  3. NPC?
  4. Stereo?
A
  1. Starts to follow moving object in sitting position
  2. Full and smooth in all directions w/Head movement
  3. TTN
  4. Starts to show reaching response to stereo testing
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11
Q

Alignment and Ocular Motility: 9-12 Months

  1. Versions?
  2. NPC?
  3. Stereo?
A
  1. Full, Normal, and Smooth in all directions
  2. TTN: Adult Like
  3. Good response
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12
Q

VA and Refractive Status

  1. What should be a cause for immediate concern?
A
  1. Presence of Strab or a Stable refractive measurement over a 3 month period should be cause for immediate concern
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13
Q

VA and Refractive Status: 1 Month

  1. VA?
  2. Ret?
A
  1. 20/600 to 20/800 (Preferential Looking (PL))

2. -1.00 w/up to 3.00 variability often not dependent upon the target

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14
Q

VA and Refractive Status: 3 Months

  1. VA?
  2. Ret?
A
  1. 20/200-20/400 (PL)

2. -0.50 w/up to 2.00 variability w/good attention to target

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15
Q

VA and Refractive Status: 6 Months

  1. VA?
  2. Ret?
A
  1. 20/80-20/200 (PL)

2. Plano w/up to 1.25 variability w/Good attention to the target

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16
Q

VA and Refractive Status: 9 Months

  1. VA?
  2. Ret?
A
  1. 20/50-20/100 (PL)

2. +0.50 w/up to 1.00 variability w/good attention to the target

17
Q

VA and Refractive Status: 12 Months

  1. VA?
  2. RET?
A
  1. 20/50-20/80 (PL)

2. +/- 0.50 w/up to 1.00 Variability w/good attention to the target

Pediatric Optometry (6 decks)

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