Clinical Practice Guidelines - Eye Examination Flashcards

1
Q

Most Common Presenting Signs of Retinoblastoma

A

leukocoria (56-62%)

strabismus (20-24%)

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2
Q

Most Common Intraocular Tumor in Childhood

A

Retinoblastoma

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3
Q

RB is often diagnosed before _____.

A

5 y.o.

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4
Q

RB Incidence in Developed Countries

A

4/1M

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5
Q

RB Incidence in Developing Countries

A

2-6x higher than developed countries

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6
Q

3rd Most Common Malignancy in Children < 16 y.o.

A

Retinoblastoma

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7
Q

RB Survival Rate

A

90-95%

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8
Q

Leukocoria can be detected by doing the _____.

A

Bruckner Test (red-orange reflex)

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9
Q

Strabismus can be detected by doing the _____.

A

Corneal Reflex Test

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10
Q

Main Benefits of Screening

A

early detection and treatment
improved potential for preservation of vision
improved quality of life
increased overall survival

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11
Q

Treatment for RB

A
laser therapy
focal radiation
freezing or heating treatments
chemotherapy
enucleation
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12
Q

All eye examinations and visual assessments should be performed during _____.

A

the newborn period

all well child visits

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13
Q

The Bruckner Test should be done in a _____ to maximize pupil dilatation.

A

darkened room

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14
Q

Bruckner Test:

The direct ophthalmoscope is focused on each pupil individually approximately _____ away from the eye.

A

12-18 in.

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15
Q

Bruckner Test:

Both eyes are viewed simultaneously at approximately _____ away.

A

3 ft.

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16
Q

Corneal Light Reflex Test:

Using a penlight, the light is held approximately _____ in front of the face.

A

2 ft.

17
Q

Cross Cover Test:
With the child looking straight ahead at an object _____ away, cover 1 eye with an occluder and look for movement of the uncovered eye.

A

3 meters

18
Q

Cross Cover Test:

Move the occluder back and forth, waiting about _____ between movements.

A

1-2 sec.