Category Archives: Ophthalmology

Squints in childhood

My son has a squint, so I’m familiar with treatment of childhood squints. However, I wasn’t previously aware of red flags to look for when children present with a squint: Abnormal red reflex Limited abduction Diplopia Headaches (the article just … Continue reading

Posted in Credits 2017, Ophthalmology, Paediatrics | Leave a comment

Examination of eyes/vision in young children

(From BMJ learning unit, based on BMJ article BMJ 2015:350:h1716) Have child sitting on parent’s lap, facing you, parent leaning slightly backwards Sing a nursery rhyme for distraction Visual inspection of the eyes Dim lights & use ophthalmoscope from a … Continue reading

Posted in Ophthalmology, Paediatrics | Leave a comment

Blepharitis

A couple of interesting points I didn’t know: If lid hygiene is not controlling the symptoms, the next step is a prolonged course of topical antibiotics – two to three months. If that still doesn’t help, the next line is … Continue reading

Posted in Ophthalmology | Leave a comment

Eyelid lumps

These, obviously, include the usual list of benign/malignant skin lumps, plus xanthelasma, which I already know. The list below is to clarify some that I wasn’t sure of. Chalazion: blocked meibomian gland. Internal hordeolum: infected chalazion. External hordeolum: infected hair … Continue reading

Posted in Credits 2014, Lumps and Bumps, Ophthalmology | Leave a comment

Flashes and floaters

Flashes and floaters typically indicate posterior vitreous detachment; flashes are caused by the shrinking vitreous tugging on the retina, and floaters can be due to blood, inflammatory debris, or condensations (thickened strands) of the vitreous humour. Risk factors for posterior … Continue reading

Posted in Credits 2013, Ophthalmology | Leave a comment

Neonatal conjunctivitis

Usually harmless.  However, purulent discharge or stuck-together lids require urgent referral to exclude ophthalmia neonatorum (gonococcal or chlamydial conjunctivitis). (Pulse 19.10.11)

Posted in Eyes, Ophthalmology, Paediatrics | Leave a comment

Episcleritis

Indications for ophthalmological referral are: Recurrent cases (routine) Bilateral cases (routine) Severe pain (urgent) Visual loss (doesn’t say) Also look for any symptoms of connective tissue/systemic disease, in which case referral should be to a rheumatologist. The eyeball should not … Continue reading

Posted in Ophthalmology | Leave a comment