Diagnosing and Managing Eye Problems in Children course for GPs
This session covers the principles of testing vision in children in primary care. The process of how to check corneal light reflex is described along with the principles and management of strabismus and amblyopia. Leukococoria in young children is considered along with the importance of early recognition and treatment. The session also covers the management of both common and less common eye conditions including watery eye and orbital cellulitis.
This session was reviewed by Khyati Bakhai and last updated in March 2022.
Learning objectives
By the end of this session you will be able to:
- list the principles of vision testing in children and conduct an assessment of the corneal reflexes
- describe the principles and management of strabismus and amblyopia
- identify leukocoria and the importance of the condition in a child
- describe the management of a child with a watery eye
- distinguish signs of orbital cellulitis as a potentially life-threatening condition
Although the prevalence of significant visual impairment is low in childhood, affecting around 0.2% of the population, eye conditions are common in children (6%) and may have lifelong implications. It is thought around 2% of the child population has strabismus (squint) and 4% do not have stereoscopic vision.
Stella Hornby is currently clinical lead for Ophthalmology and Lead for the Eye Emergency Department in Oxford Eye Hospital.
She has a special interest in emergency eye care, primary care ophthalmology, diabetic retinopathy, low vision and education and is particularly known for her skills in diagnosis and her ‘down to earth’ common sense approach to medicine.
Stella is a Partner in Primary Care Ophthalmology LLP which organises training courses for GPs. She is also Annual Primary Care Ophthalmology Conference and RCOphth representative for Map of Medicine, Primary and Community Eye Health Committee (Vision2020) and the primary care representative of the RCOphth Professional Standards Committee.
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