Approach to the Child with a Corneal Condition

Abstract

Strategies for examining children who are suspected of having a corneal condition vary according to the age of the child. Distraction, familiarity with various things of interest to children, and casual conversation will help put most children at ease. Developing a therapeutic relationship with the child will increase the likelihood of achieving an adequate exam in the office. In the setting of severe symptoms, an exam under anesthesia may be needed if an adequate office exam is not possible. There are multiple causes of a red eye in children, most of which are self-limited. Concerning signs include severe loss of vision, severe pain, or unremitting or recurrent symptoms. Special care must be taken to rule out a vision-threatening condition in the setting of eye trauma or contact lens use.