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Epilogue
Atypical newborn eye examination
  1. Gemma Edwards1,
  2. Muhammed Aman Ullah2,
  3. Raju Sunderesan3
  1. 1 Paediatrics, Royal Hospital for Children, Glasgow, UK
  2. 2 Paediatric Ophthalmology, Royal Hospital for Children, Glasgow, UK
  3. 3 Neonatal Unit, Ayrshire Maternity Unit, University Hospital Crosshouse, Kilmarnock, UK
  1. Correspondence to Dr Gemma Edwards, Royal Hospital for Children Glasgow, Glasgow, UK; gemma.edwards{at}ggc.scot.nhs.uk

https://doi.org/10.1136/archdischild-2020-321279

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    You are asked to perform a routine newborn examination on a term baby, out of hours, as his parents are eager to take him home. When examining his eyes, you note this appearance (figures 1 and 2). The parents ask if you have found a problem and what this means for their baby.

    Figure 1

    Left eye.

    Figure 2

    Both eyes.

    Test your knowledge

    1. Examination: what term describes the appearance of the eyes in the images?

      1. Coloboma.

      2. Aniridia.

      3. Retinal detachment.

      4. Epiphora.

    2. Ophthalmological problems: which of the following can occur as a result?

      1. Photophobia.

      2. Glaucoma.

      3. Cataract.

      4. Nystagmus.

      5. Decreased visual acuity.

      6. All of the above.

    3. Aetiology: what is the most frequent cause of aniridia?

      1. Congenital infection.

      2. Inherited—autosomal dominant.

      3. Sporadic.

      4. Inherited—X-linked.

    4. Associated problems: should any other investigations be considered?

      1. Chest X-ray

      2. Renal ultrasound

      3. Full …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.