Paediatric ophthalmology at primary healthcare level
Keywords:
allergic conjunctivitis, amblyopia, ophthalmia neonatorum, paediatric ophthalmology, retinoblastoma, retinopathy
Abstract
Paediatric patients make up a significant portion of the patient load at primary care level. Children can present at the primary care physician with a wide range of eye problems, some of which are serious enough to impair the quality of the child’s life. The aim of this review article was to highlight serious paediatric visual disorders of which the primary care practitioner should be aware. The article includes a brief discussion of the features of amblyopia, strabismus, retinopathy of prematurity, allergic conjunctivitis, ophthalmia neonatorum and retinoblastoma. Causes of sight-threatening conditions are highlighted, and methods to detect them at primary care level described. Paediatric eye disorders are relatively common and need to be identified and managed as early as possible in order to prevent a potential lifetime of visual morbidity, blindness or worse.
- Fig. 1. Bilateral upper lid ptosis
- Fig. 2. Uppper lid haemangioma
- Fig. 3. Reduced red reflexUntitled
- Fig. 5. Left esotropia and hypertropia
- Fig. 6. Epicanthic folds causing pseudo-esotropia
- Fig. 7. Dragged macula as a result of scarring following ROP
- Fig. 8. Leucocoria and esotropia in a patient with retinoblastoma
- Fig. 9. Leucocoria and a persistent red eye
- Fig. 10. Orbital involvement with late presentation
- Fig. 11. Ophthalmia neonatorum
- Fig. 12. Limbal vernal kerato-conjunctivitis
- Fig. 13. Everted upper lid with giant papillary conjunctivitis
- Figure 14
- Figure 15
Published
2015-02-06
Section
Review Articles
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