Summary
Summary Paeds and management of them in clinic
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Management of children in optometry
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Optometric Examination and management ofpaediatric patients
When children should be managed Normal VA
solely by an optometrist in Normal Fundus examination
Normal binocular status
community?
Fully accommodative esotropia
Anisometropia with normal VA
(Children under age 8)
Anisometropia with strabismus and
amblyopia following discharge
from HES
Anisometropia with amblyopia
with children over 8
Cosmetically acceptable strabismus
with amblyopia over age 8
Minor eye conditions
When children should be managed
solely by HES? If they have amblyopia and are
under age of 8
If they are strabismic and need
surgery or botox
If they have congenital ocular
anomalies
Additional support needs- may
attend HES/a specilsit service e.g in
Glasgow in one of the child
development centre or GCU
additional clinic
When they may be co-managed with
an orthoptist in hospital and an In some areas all children being
seen at HES are co-managed with
optometrist in practice
community patients
If VA at visual screening is
borderline 0.1 to 0.2 logMar
If patient is recievikng amblyopia
treatement and there is not
optometric capacity available at
the hospital
You are responsible for carrying out the procedures required and stated on the proforma,
the procedures required usually include:
, Cycloplegic refraction- with the appropriate cycloplegic agent
Ocular examination – using an appropriate technique
Other tests you deem appropriate
If the patient is discharged from HES they are not under the care of HES anymore and duty
of care lies with you:
You need a full GOS test and are your clinically responsibility
Supplementary eye examination 1. Cycloplegic Refraction :
For when you have carried out a
GOS exam and deem cycloplegic
refraction to be clinically
appropriate
2. Paediatric review within 12
months:
Used for children who require
follow up following a primary
exam:
Amblyopia
BV anomaly
Reduced stereopsis
Include appropriate follow up tests
Responsibilties when testing 1. Paediatric review – dilation,
children under GOS cycloplegic that does not follow a
primary eye examination
2. Enhanced supp for patients under
age 16 referred from the hospital
eye service – referred for
cycloplegic refraction and internal
external examination
Different tests to carry out
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