Do you feel anxious when a patient asks you to examine their 2-year-old’s eyes?

Jul 25, 2013
3
1
3
School/Org
SCCO
City
Camarillo
State
CA
Do you feel anxious when a patient asks you to examine their 2-year-old’s eyes? Would you like to feel confident handling pediatric eye exams at any age?

I am considering giving a course to provide that level of confidence. Seeing if there is any interest.
 
  • Like
Reactions: Tom Byers OD
Do you feel anxious when a patient asks you to examine their 2-year-old’s eyes? Would you like to feel confident handling pediatric eye exams at any age?

I am considering giving a course to provide that level of confidence. Seeing if there is any interest.
Go for it!
 
  • Like
Reactions: Tom Byers OD
Did the patient express any particular concerns?
For a two year old I would suggest (or refer to) seeing an eye doctor who has the training, experience and office setup to best serve such young people.
 
  • Like
Reactions: Ed Makler
Do you feel anxious when a patient asks you to examine their 2-year-old’s eyes? Would you like to feel confident handling pediatric eye exams at any age?

I am considering giving a course to provide that level of confidence. Seeing if there is any interest.
We've had a couple of courses at CEwire over the years about pediatric exams, they've all been well attended, so I think there's definitely interest in the topic.

-- adam
 
Last week I had a 4 year old who stabbed himself in the eye with a screw driver. 6 mm partial thickness corneal laceration. He was very challenging to examine.
 
This is an easy example of gap analysis. Are ECPs comfortable seeing infants and young children? How much supervised clinical experience is mandatory in school?

There are practices that do not see kids and practices that aim at pediatrics.

Great topic.
 
  • Like
Reactions: Ed Makler
Do you feel anxious when a patient asks you to examine their 2-year-old’s eyes? Would you like to feel confident handling pediatric eye exams at any age?

I am considering giving a course to provide that level of confidence. Seeing if there is any interest.
good idea...Looking forward to it.
 
I just examined two (twins) barely two year olds who wailed, screamed, clenched their eyes shut and thrashed about throughout the entire attempt at an eye exam.

Mom reported that they had not eaten or slept.
 
I just examined two (twins) barely two year olds who wailed, screamed, clenched their eyes shut and thrashed about throughout the entire attempt at an eye exam.

Mom reported that they had not eaten or slept.
You can sort of get some idea of what’s going on via distal ophthalmoscopy looking for a red reflex and just trying to see if the eyes look straight. Maybe move a penlight past his face to see if he tracks it. But I really can’t get anywhere near the level of certainty that I’m not missing something on kids like that that I’m comfortable with.

That’s why I generally refer kids under 5 to the pediatric ophthalmologist.