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Flashcards in Peds optho Deck (25):
1

what is normal red reflex and how to check

- all newborns at each check up
- in a dark room
- cornea and iris
- pupil is round
- red glow seen shining in a dark room

2

def. leukocoria

- white pupil

3

what does leukocoria mean

- cornea, anterior chamebr, iris normal
- abnormality is behind the pupil

4

3 possible causes of leukocoria

1. lens - cataract
2. vitreous cavity - persistent fetal vasculature
3. retina - tumor, colomboma, detachment

5

what to do in cataracts

urgent referral

6

2 gen cats. of cataracts

1. isolated - idiopathic, inheritid, trauma
2. systemic - infection, inflammation, iatrogenic

7

3 things to follow up on in bilateral cataracts

1. examine parents and sibs
2. look for Lowe's syndrome
3. ask about past and present meds

8

2 things to do after cataract removal

lost focusing funciton of lens
1. replace focusing funciton with glasses or contacts
2. correct/prevent ambylopia - patch good eye

9

def. retinoblastoma

- rare malig tumor of the retina in infants
- auto dominatn
- look for fam Hx

10

5 treatments of retinoblastoma

1. enucleation if large
2. local laser
3. systemic chemo
4. peribulbar chemo injections'
5. avoid radiotherapy if possible

11

def. coloboma

- failure of closure of the optic cleft
- retina is atrophic
- defect in the choriod
- light reflected by sclera means white instead of red reflex

12

what systemic abnormailities might colomboma be part of

CHARGE syndrome
- Coloboma
Heart defect
Atresia
Retarded growth
GU problems
Ear defects

13

3 causes of retinal detachment in kids

1. trauma
2. retinal dystrophies
3. retinopathy of prematurity

14

what is peds glaucoma

- high IOP leads to abnormal growth of affected eye

15

where to suspect peds glaucoma

- big beuatiful eyes that are photophobic
- looks for size assymetry

16

what is hallmark of glaucoma

- large cloudy cornea
- needs urgent assessment

17

5 signs and symptoms of galucoma

1. usually bilateral
2. big eye
3. tearing
4. photophobia
5. rapidly pregressing myopia

18

goal of treatment if glaucoma

control IOP

19

2 types of treatment for glaucoma

1. meds - topical and systemic
2. surgery - defintive and long term

20

3 signs of nasolacrimal gland obstruction

- crust
- discharge
- incr. tear lake

21

mgmt of NLGO

98% better spontaneously
- push the gland to the side

22

what is nasoclarimal mucocele

- get visous fluid inside
- if infected - life trreatening
- admit for IV ABs

23

what is important cellulitis to rule out

orbital

24

4 Sx of orbital

- decrease eye movement
- proptosis
- decreased vision
- pupillary abnormality

25

3 causes if purulent conjuntivitis

1. chlam
2. gon
3. chemincal

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