Asymmetric Red Reflex Mills, MD. The eye in childhood, Am Fam Physician Sep 1;60(3):
Eye Evaluation Ocular history Vision assessment External inspection of the eye and lids Ocular motility assessment Pupil examination Red reflex examination Attempt at opthalmoscopy (>3 yo)
Ocular History Does you child seem to see well? Does your child hold objects close to his/her face when trying to focus? Do your childs eyes seem to cross or drift? Do your childs eyes appear unusual? Do your childs eyelids droop or does 1 eyelid tend to close? Have your childs eyes ever been injured? Family history of eye disorders or early eyeglass wear.
Screening for amblyogenic factors: Strabismus Media opacities Significant refractive errors Evaluate photo of red reflex and pupillary light reflex AAP says it could be helpful but recommends more study
External Examination Tearing or discharge Corneal clouding
External Examination Tearing or discharge Corneal clouding Ptosis