An Evidence-based Approach to Nontraumatic Ocular Complaints in Children (Infectious Disease CME credit and Pharmacology CME) | Points & Pearls -
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An Evidence-Based Approach to Nontraumatic Ocular Complaints in Children (Infectious Disease CME and Pharmacology CME)

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Points and Pearls Excerpt

  • Helpful techniques to evaluate neonatal vision include dimming the lights, rocking, gently lowering the head below the body, or having the parent hold the patient upright over their shoulder.
  • Topical anesthesia is a valuable adjunct to the ophthalmologic examination and can serve as a diagnostic tool to differentiate surface pathologies from deeper processes.
  • Beyond fundoscopy, ophthalmoscopes are helpful in assessing posterior chamber and posterior segment pathology through evaluation of the red reflex. An abnormal red reflex can alert the clinician to vision-threatening disease such as neoplasm, cataract, or hemorrhage
  • If available, use ocular point-of-care ultrasound to detect abnormalities in the lens, vitreous, retina, and optic nerve. It is contraindicated when globe rupture or high intraocular pressure is suspected, as pressure on the eye can prompt further injury.
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Publication Information
Authors

Ammarah Iqbal, MD, MPH; Melissa L. Langhan, MD, MHS, FAAP; Jill Rotruck, MD; Gauthami Soma, MD

Peer Reviewed By

Marni Kriegel, MD; Jennifer E. Sanders, MD, FAAP, FACEP

Publication Date

February 2, 2021

CME Expiration Date

February 3, 2024

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 1 Infectious Disease CME and 0.25 Pharmacology CME credits.

Pub Med ID: 33476507

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CME Information

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