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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