CMN 568 Unit 1
Patients with _____ must undergo at least an annual examination for
retinopathy, even if they have no vision problems.
diabetes
Visual Acuity:
- able to BRIEFLY visually track mother's face or brightly colored object
within an hour after birth (fixation reflex not developed for several weeks,
so fixation is brief)
Newborn
Visual Acuity:
Don't talk to baby when assessing vision - he may look toward sound rather
than visual stimulus.
Look for __________
fix and follow of object.
,- With any eye condition (infection, injury, etc.), check visual acuity to best
extent possible based on age
- foreign body or chemical injury is exception - IRRIGATE eye profusely
first and worry about acuity later
-When there is decreased acuity -->____________
refer immediately
Vision is only about ________ in the newborn
20/200 to 20/400
Typical visual acuity in developmentally appropriate child reaches level of
20/20 by _____ years of age
5 years of age
Vision should be checked every ______
1-2 yrs
,Acuity changes occur quickly with _______________
growth spurts
Boys may develop _________ later than girls due to differences in growth
patterns.
Typical onset - elementary school.
myopia(near sighted)
Refer ________: If acuity if less than 20/40 in either eye, or if there is a
difference of 2 lines in acuity between eyes
3-5 YEAR OLD
Refer _________: If acuity if less than 20/30 in either eye, or if there is a
difference of 2 lines in acuity between eyes
6 and older
, Most common intraocular malignancy of childhood, usually presenting
before age 3
Retinoblastoma
Most common presenting sign is Leukocoria (white reflex inpupil).
May present with strabismus, red eye, or glaucoma
Retinoblastoma
Always check red reflex (Bruckner test) in young children with an
ophthalmoscope
Retinoblastoma
Positive Bruckner test: difference in the quality of the red reflex between
eyes
REFER!!
Retinoblastoma
Patients with _____ must undergo at least an annual examination for
retinopathy, even if they have no vision problems.
diabetes
Visual Acuity:
- able to BRIEFLY visually track mother's face or brightly colored object
within an hour after birth (fixation reflex not developed for several weeks,
so fixation is brief)
Newborn
Visual Acuity:
Don't talk to baby when assessing vision - he may look toward sound rather
than visual stimulus.
Look for __________
fix and follow of object.
,- With any eye condition (infection, injury, etc.), check visual acuity to best
extent possible based on age
- foreign body or chemical injury is exception - IRRIGATE eye profusely
first and worry about acuity later
-When there is decreased acuity -->____________
refer immediately
Vision is only about ________ in the newborn
20/200 to 20/400
Typical visual acuity in developmentally appropriate child reaches level of
20/20 by _____ years of age
5 years of age
Vision should be checked every ______
1-2 yrs
,Acuity changes occur quickly with _______________
growth spurts
Boys may develop _________ later than girls due to differences in growth
patterns.
Typical onset - elementary school.
myopia(near sighted)
Refer ________: If acuity if less than 20/40 in either eye, or if there is a
difference of 2 lines in acuity between eyes
3-5 YEAR OLD
Refer _________: If acuity if less than 20/30 in either eye, or if there is a
difference of 2 lines in acuity between eyes
6 and older
, Most common intraocular malignancy of childhood, usually presenting
before age 3
Retinoblastoma
Most common presenting sign is Leukocoria (white reflex inpupil).
May present with strabismus, red eye, or glaucoma
Retinoblastoma
Always check red reflex (Bruckner test) in young children with an
ophthalmoscope
Retinoblastoma
Positive Bruckner test: difference in the quality of the red reflex between
eyes
REFER!!
Retinoblastoma
