Pediatric Ophthalmic Infections and Injuries

[Pages:76]Pediatric Ophthalmic Infections and Injuries

Honey Herce, MD

Assistant Professor in the Department of Ophthalmology Texas Children's Hospital Baylor College of Medicine

Pediatric Ophthalmic Infections and Injuries

Objectives Be able to perform a basic eye exam.

Be able to manage common ophthalmic findings in children. Be able to identify key exam points for ocular trauma

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Ocular Anatomy

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Eye Infections and Injuries

? Nontraumatic ? Subconjunctival Hemorrhage ? Conjunctivitis ? Keratitis ? Microbial Keratitis ? Marginal Keratitis ? Uveitis ? Periorbital Ecchymosis ? Orbital Cellulitis

? Traumatic ? Subconjunctival Hemorrhage ? Chemical Burns ? Iritis ? Corneal Abrasions ? Corneal Foreign Bodies ? Orbital Fractures ? Hyphemas/Uveitis ? Lid Lacerations ? Open Globe

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Get a Good History of the Child's Eyes

Past eye history ? Prior surgeries ? Ocular medications ? Ocular diagnoses ? Use of glasses or

contact lenses

Preexisting visual impairment ? Amblyopia (lazy eye) ? Other causes of visual

impairment

Event history ? Onset of complaint and associated symptoms ? Time, place, activity and circumstances of injury ? Treatment rendered prior to arrival

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