Congenital, developmental and neoplastic conditions

Published on 23/06/2015 by admin

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Last modified 23/06/2015

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13.2 Congenital, developmental and neoplastic conditions

1 These conditions are most likely to present with a concern from a parent or caregiver who has noted that there has been a change in the appearance of their child’s eyes, or that they are not responding to visual cues in an expected way.

A detailed examination will help to further define the abnormalities or deficits noted. These conditions require specialised investigations and management, and as such consultation with a paediatric ophthalmologist is advised.

Deficits in visual acuity

This may reflect a deficit anywhere from the visual cortex to the cornea and a careful examination including pinhole testing in children old enough to co-operate will help localise this and guide appropriate referral.

Strabismus

Abnormalities of the binocular alignment of the eyes, strabismus, may present with a concern from a parent that their child has a squint, and this may be confirmed by careful examination of the corneal reflex and use of the cover-uncover test.

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