peds24 Flashcards
amblyopia
poor vision caused by abrnomal visual stim that results in abnormal visual development
most common cause of decr vision during childhood
amblyopia
anisometropia
signif differences in refractive errors between the eyes
neonatal conjunctivitis
aka opthalmia neonatorum; conjunctivitis during the first month of life
causes of neonatal conjunctivits
infection acquiredthrough the birth canal (g, c, hsv) or chemical 1% silver nitrate used to prevent gonorrhea)
most common cause of red watery eyes in the first 24 hours of life
chemical conjunctivitis; self limited and lasts for 24 hours
differential of red teary eye in newborn
conjunctivitis, congenital glaucoma, dacrocystitis, endophthalmitis
congenital glaucoma
characterized by clear tears, nelarged cornea, and corneal edema
dacrocystitis
infection of he nasolacrimal sac
endopthalmitis
infection within the eye itself; a rare but devastating infection that often results in blindness
cataract- red reflex finding?
dark, dull, or white reflex
vitreous hemorrhage- what is red reflex finding?
dark or dull reflex
retinoblastoma- what is red reflex finding
yellow or white reflex
anisometropia- what is red reflex finding?
unequal red reflex
strabismus- what is red reflex finding?
brighter red reflex in deviated eye; corneal light reflex will be uncentered
glaucoma- red reflex?
dull reflex
conjunctivitis within the first 24 hours, watery discharde
chemical conjunctivitis
conjunctivitis in the first 2-4 days of life, purulent discharge, eyelid swelling
gonorrhea (can lead to corneal ulcer)
conjunctitivits during the first 4-10 days of life serous or purulent discharge, variable lid swellng
chlamydia
conjunctivitis during 6 days to 2 weeks of life, unilateral, serous discharge
HSV
treatment for gonorrhea conjunctivitis
IV cef and topical erythromycin; also treat parents
treatment for chlamydia conjunctivits
oral erythromicin; treat parents
treatment for HSV conjunctivitis
IV acyclovir and topical trifluorothymidine
differential for red eye in older kids
viral, bacterial, and allergic conjunctivitis, as well as blepharitis