Paediatrics
In addition to condition specific guidelines please follow this advice
Leucocoria
Absence red reflex/white reflex: -
-
How to refer
- Urgent clinic referral (1-2 weeks) – preferably David Jones
Lumps, abnormal pupils
- Refer to routine clinic
Epiphora/ persistent sticky eye
-
Management:
- If child <1yr, advise lid cleaning and massage of mucocele – imperforate nasolacrimal duct may resolve within first year
-
When to refer:
- >1yr old or dacryocystitis – refer routine clinic.
- Refer urgently if dacryocystitis not responding to systemic antibiotics
Ptosis
-
Where to refer:
- Refer to orthoptist for triage.
- If covering visual axis and so risk of amblyopia refer to orthoptist urgently
Other child referrals (squint, reduced vision, amblyopia/blinking/aching eyes etc)
-
Where to refer
- Refer to orthoptist – they will triage to optometrist +/- clinic as necessary
Date reviewed 07/08/2019
Next review due 07/08/2020
Sifter name Dr Rebecca Harling
Contributor Mr William Westlake
Version No. 2.10