Clinical Practice Guidelines - Eye Examination Flashcards Preview

Nelson's Pediatrics > Clinical Practice Guidelines - Eye Examination > Flashcards

Flashcards in Clinical Practice Guidelines - Eye Examination Deck (18):
1

Most Common Presenting Signs of Retinoblastoma

leukocoria (56-62%)
strabismus (20-24%)

2

Most Common Intraocular Tumor in Childhood

Retinoblastoma

3

RB is often diagnosed before _____.

5 y.o.

4

RB Incidence in Developed Countries

4/1M

5

RB Incidence in Developing Countries

2-6x higher than developed countries

6

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

Retinoblastoma

7

RB Survival Rate

90-95%

8

Leukocoria can be detected by doing the _____.

Bruckner Test (red-orange reflex)

9

Strabismus can be detected by doing the _____.

Corneal Reflex Test

10

Main Benefits of Screening

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

11

Treatment for RB

laser therapy
focal radiation
freezing or heating treatments
chemotherapy
enucleation

12

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

the newborn period
all well child visits

13

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

darkened room

14

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

12-18 in.

15

Bruckner Test:
Both eyes are viewed simultaneously at approximately _____ away.

3 ft.

16

Corneal Light Reflex Test:
Using a penlight, the light is held approximately _____ in front of the face.

2 ft.

17

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.

3 meters

18

Cross Cover Test:
Move the occluder back and forth, waiting about _____ between movements.

1-2 sec.