NEWBORN PE: EYES

Question 1

What to check for the eys?

5 parts

Answer 1

Lids
Conjunctiva
Sclerae
Pupils
Vision

Question 2

What does a “Subconjunctival hemorrhage” indicate?

Answer 2

Birth injury

Question 3

Bitot’s spot meaning

Answer 3

Vit A deficiency

Question 4

Implicatiion of blue sclerae

Answer 4

Osteogenesis imperfecta

Question 5

What do you call narrowing of the palpebral fissure?

Answer 5

PTOSIS

Question 6

What do you call the WIDE PALPEBRAL FISSURE?

Answer 6

Exopthalmos, Hyperthyroidism

Question 7

Blue grey discoloration under the eyes of the child who has runny nose

Answer 7

ALLERGIC SHINERS (blue grey discoloration)

Question 8

Implication if the lids are slanted up + short

Implication if the lids are slanted down

Answer 8

Up + short = Down’s syndrome

Down = Treacher Collin Syndrome

Question 9

(-) Red Orange Reflex means

Give the 3 conditions with (-) ROR

Answer 9

white reflex (leukocoria: congenital cataract,
retinoblastoma, glaucoma)

Question 10

Ano tawag sa test para macheck ang corneal light reflex?

This is to screen what problem?

Give normal and abnormal findings

Answer 10

Hirschberg test

screens strabismus: keep child’s vision on a target 14 inches in front, shine penlight from above target towards center of forehead above the eyes)

Normal: light reflections symmetrical and slightly nasal to pupil

Abnormal
■ Esotropia: light deviated laterally
■ Exotropia: light deviated medially

In pseudostrabismus (cross-eyed), corneal light reflex is normal

Question 11

What test other than Corneal Light reflex is used to screen Strabismus?

Answer 11

Cross Cover Test (screens strabismus: keep child’s vision on a target 14 inches in front, occlude but do not touch one eye for 3 seconds then pass over the nose to occlude opposite eye, check the uncovered eye for any movements, repeat 2-3x)
○ Normal: aligned eye will not have movements
○ Abnormal: movement of uncovered eye (may be seen due to im perfect coordination, must resolve by 3-6 months)