The Eye examination CPG is a new CPG developed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). The CPG provides a step-by-step approach to examination of the eye for children with practical tips and important considerations.
CPG key points
- Assessing visual acuity can be difficult but should be performed early (before examination when the child may become distressed)
- Visual acuity is assessed for each eye based on the child’s age and ability to interact
- Adequate analgesia will aid examination and procedural sedation may be required in the younger child
- Fluorescein shows corneal abnormalities when viewed under cobalt blue light. Stain with fluorescein if corneal abrasion, ulcer or foreign body is suspected
- Serious periocular trauma should be treated as a suspected ruptured or penetrated globe and managed by minimising distress, placing an eye shield and urgently referring to ophthalmology, see Penetrating eye injury.