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Am Fam Physician. 2001 Aug 15;64(4):623-8.

Commonly missed diagnoses in the childhood eye examination.

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1
Ophthalmology Department, Albany Medical College, Lions Eye Institute, New York 12208, USA.

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.

PMID:
11529261
[Indexed for MEDLINE]
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