Commonly missed diagnoses in the childhood eye examination.

J W Simon, P Kaw

Journal: American family physician 2001;64(4):623-8

PMID: 11529261

Free Full Text on American Academy of Family Physicians View on PubMed

Abstract

Early and accurate detection of eye disorders in children can present a challenge for family physicians. Visual acuity screening, preferably performed before four years of age, is essential for diagnosing amblyopia. Cover testing may disclose small-angle or intermittent strabismus. Leukocoria, which is detected with an ophthalmoscope, may indicate retinoblastoma or cataract. Children with glaucoma may have light sensitivity and enlargement of the cornea, and conjunctivitis that does not respond quickly to treatment may reflect more serious ocular inflammation. Children with serious eye injuries often present to the primary care physician. Nystagmus and many systemic conditions are associated with specific eye findings.

Address: Ophthalmology Department, Albany Medical College, Lions Eye Institute, New York 12208, USA.

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MeSH Terms: Amblyopia, Child, Diagnosis, Differential, Diagnostic Errors, Eye Diseases, Eye Injuries, Glaucoma, Humans, Inflammation, Strabismus, Vision Disorders, Vision Screening