BMJ 2011: 342: 1319 – 1370 (18th June)

Useful tip for examining the eyes of 6 – 8-week-old babies – getting the mother to hold the baby forward at a 45-degree angle while jiggling its bottom with her free hand (as illustrated by enormously cute photo of suspicious-looking baby) will cause the baby to open its eyes reflexively.  Holding the baby up to look over the shoulder also works, and singing to it or giving it a dummy or bottle feed can have the same effect.

Referral to a paediatric ophthalmologist should be arranged same day by telephone if examination shows opacities in the reflex, absence of the reflex, or white pupillary reflex (leukocoria) or urgently in writing if examination shows inequality in colour, intensity, or clarity of the reflection, or if a witness describes history suspicious of leukocoria on observation or a photograph.


About Dr Sarah

I'm a GP with a husband and two young children.
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