The Eyes

Question 1

What is the incidence of congenital cataracts

Answer 1

2-3:10000 babies are born with congenital cataracts

Question 2

What are the risk factors

Answer 2

Family history cataracts: 1/5 of affected babies will have a family history
1st degree relative with an ocular condition
Low birth weight <1500g
Low gestational age <32/40
Genetic syndromes e.g. T21
Maternal essentials to viruses in pregnancy, E.g. rubella
Galactosaemia

Question 3

What other findings can be found?

Answer 3

Retinoblastoma: intraocular malignant tumour white reflex
Glaucoma: Intraocular pressure (watery eye, cloudy cornea, photophobia)
Coloboma ( notch or gap in iris)

Question 6

Referral pathway for screen negative

Answer 6

Referred to the healthy child programme. Repeat 6-8 weeks

Question 7

Referral pathway for screen positive

Answer 7

Congenital cataracts or retinoblastoma referred to neonatologist and ophthalmologist in less than 2 wees