paediatric eye conditions

Question 1

amblyopia

Answer 1

occurs when the visual systemic ignores the eye with the worst image
cortical development stops in the areas subserving the affected eye
parents may notice strabismus or objecting to occlusion of one eye

Question 2

variable alignment is normal before

Answer 2

3 months

Question 3

amblyopia treaatment

Answer 3

patching the good eye for a couple hours per day
pharmacological patching: using a drop of atropine in the good eye to cause blurriness

Question 4

leukocoria causes

Answer 4

retinoblastoma
cataract, retinopathy of prematurity, trauma, congenital malformations

Question 5

neonatal conjunctivitis

Answer 5

staph, strep
gonorrhea, chlamydia
HSV (may cause encephalitis)
gonorrhea will have copious white discharge
swab for MC&S and PCR

Question 6

corneal light reflex

Answer 6

should be symmetric and slightly nasal
use a smaall toy or phone to get attention
bright torch or opthalmoscope
illuminate both eyes simultaneously

Question 7

false squints

Answer 7

pseudostrabismus
have symmetrical corneal light reflex