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pediatric eye issues
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41
Health Care
Graduate
08/20/2009

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Cards

Term
what is the estimated visual acuity @ birth
Definition
20/400
Term
age of ability to follow object is typically established:
Definition
3 months
Term
what age are eye movements coordinated?
Definition
6 months
Term
when does visual acuity reach 20/20?
Definition
3-5 years
Term
why is it imperative to fix visual problems within the first years of life?
Definition
that is when the visual pathways are developing
Term
age? make eye contact and begin to look at objects close to their face
Definition
1 month
Term
age? begin to observe hands while holding them close to their face
Definition
3 months
Term
age? begin to watch activity areound them:
Definition
4 months
Term
age? observe surroundings and recognize favorite people, toys, food at a distance
Definition
6 months
Term
amblyopia
Definition
functional reduction in the visual acuity of the eye.
Term
strabismus
Definition
condition in which the eyes are misaligned
Term
when are children screened for strabismus & amblyopia?
Definition
3-4years with particular attention to occular alignment
Term
7 types of visual acuity tests
Definition
1. Snellen
2. Tumbling E
3. Allen figures
4. Landolt
5. Lea figures
6. Crowding Bars
7. HOTV
Term
define: refractive error
Definition
optical image is not clearly focused on the retina
Term
define esotropia:
Definition
strabismus that deviates medially
Term
define: Exotropia
Definition
strabismus that deviates laterally
Term
which muscles move the eye upward?
Definition
superior rectus and inferior oblique muscles
Term
which muscles move the eye downward
Definition
inferior rectus and the superior oblique
Term
which muscle abducts the eye?
Definition
lateral rectus
Term
which m. adducts the eye?
Definition
medial rectus
Term
strabismus risk factors (2)
Definition
positive family history, low birth weight infants
Term
strabismus is a common presenting sign of:
Definition
retinoblastoma
Term
define: Hershberg test
Definition
light focused at center should reflect centrally in both eyes.
Term
describe the cover test for strabismus:
Definition
covering the unaffected eye will cause the affected eye to come to center
Term
define: pseudostrabismus
Definition
optical illusion in which the wide nasal bridge or epicanthal folds hide the nasal sclera.
Term
hershberg test & pseudostrabismus
Definition
hershberg test: leght reflex is centered in both eyes
Term
cover/uncover test & pseudostrabismus
Definition
cover/uncover test reveals occular alignment.
Term
what about intermittent unsteady occular alignment in newborns?
Definition
normal
Term
you should inspect all deviations of alignment past what age?
Definition
4 months
Term
etiology of amblyopia
Definition
unequal refractive errors, cataract, ptosis, eyelid hemangioma
Term
3 types of amblyopia
Definition
1. strabismic
2. Anisometropic
3. deprivational; cataracts
Term
define: strabismic amblyopia
Definition
abnormal binocular interaction; causes foveas to be presented with 2 dif images causing the visual cortex to supress the image from one eye. Long term suppression results in amblyopia
Term
anisometropic amblyopia
Definition
dif images presented to foveas due to unequal refracting errors; eye with greater error gets "turned off"
Term
anisometropic amblyopia is most common in:
Definition
hyperopic patients
Term
when is anisometropic amblyopia found
Definition
during traditional vision testing not during developing years due to lack of external abnormalities
Term
deprivational amblyopia: 3 causes
Definition
1. congenital cataracts
2. ptosis (eyelid that droops)
3. vitreous hemorrhage
Term
suspect amblyopia if vision is:
Definition
unequal in both eyes
Term
define DOO test
Definition
Differential Occlusion Objection: test for preverbal children & amblyopia.
Term
what tests fro verbal children & amblyopia?
Definition
allens figures or snellen testing
Term
amblyopia is potentially irreversible if not treated before ages:
Definition
6-10
Term
treatment for amblyopia is done by whom?
Definition
opthalmologist
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