{"id":3253,"date":"2017-01-10T07:04:34","date_gmt":"2017-01-10T07:04:34","guid":{"rendered":"http:\/\/www.agashehospital.com\/?p=421"},"modified":"2017-01-10T07:04:34","modified_gmt":"2017-01-10T07:04:34","slug":"when-should-you-refer-your-paediatric-patients-to-a-paediatric-ophthalmologist","status":"publish","type":"post","link":"https:\/\/myplus91.ddns.net\/agashehospital\/when-should-you-refer-your-paediatric-patients-to-a-paediatric-ophthalmologist\/","title":{"rendered":"When should you refer your Paediatric Patients to a Paediatric Ophthalmologist?"},"content":{"rendered":"<p>All Paediatricians are well qualified to take very good care of their patients in most cases. However, there are certain instances when a Paediatrician chooses to refer his \/ her patients to a Sub Specialty Expert.<!--more--> Below is a list of recommended guidelines for referral to the Paediatric Ophthalmology Subspecialty:<\/p>\n<h3>Referral Guidelines for Paediatricians to Pediatric Ophthalmology Subspecialty<\/h3>\n<div class=\"pediatric\">\n<table>\n<tr>\n<th>Assessment by Paediatrician<\/th>\n<th>Refer for a possible Diagnosis of<\/th>\n<\/tr>\n<tr>\n<td>* Absence of a social smile \/ eye contact by 3 months of age<br \/>\n* Difference of 2 lines or greater between eyes on vision testing with pediatric eye chart in children older than 3-4 years<\/td>\n<td>Reduced Visual Acuity<\/td>\n<\/tr>\n<tr>\n<td>* Ptosis \/ eyelid mass that persists  > 3-4 weeks<\/td>\n<td>May lead to Amblyopia<\/td>\n<\/tr>\n<tr>\n<td>* Clinically enlarged lacrimal sac and bluish discoloration of the overlying skin in the first weeks of life<br \/>\n* Tearing past 11-12 months<\/td>\n<td>Mucocele \/ Dacryostenosis<\/td>\n<\/tr>\n<tr>\n<td>* Excess tearing + photophobia + corneal enlargement and clouding<\/td>\n<td>Congenital Glaucoma<\/td>\n<\/tr>\n<tr>\n<td>* White \/ Dull \/ Asymmetric Red Reflex<\/td>\n<td>Retinoblastoma \/ Congenital Cataract<\/td>\n<\/tr>\n<tr>\n<td>* DifAs per AAP Survey1, 56% pediatricians say it is very importaference in Pupil Size > 1mm<br \/>\n* Dilated Pupil + Limited Eye Movement<\/td>\n<td>Horner\u2019s \/ Neuroblastoma \/ 3rd Nerve Palsy<\/td>\n<\/tr>\n<tr>\n<td>* Infants > 3 months of age with constant ocular deviation<\/td>\n<td>Strabismic Amblyopia<\/td>\n<\/tr>\n<tr>\n<td>* Premature Infants <2 kgs \/ <34 weeks<\/td>\n<td>Retinopathy of Prematurity<\/td>\n<\/tr>\n<\/table>\n<\/div>\n<p class=\"box1\">As per AAP Survey1, 56% pediatricians say it is very important to refer strabismus to a pediatric subspecialist<\/p>\n<p class=\"note\"> 1 Periodic Survey #67 Of Fellows American Academy of Pediatrics Division of Health Services Research presented at the Pediatric Academic Societies annual meeting, May 2008<\/p>\n","protected":false},"excerpt":{"rendered":"<p>All Paediatricians are well qualified to take very good care of their patients in most cases. However, there are certain instances when a Paediatrician chooses to refer his \/ her patients to a Sub Specialty Expert.<\/p>\n","protected":false},"author":1,"featured_media":3218,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ocean_front_end_style_editor":"no","ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"on","ocean_gallery_id":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-3253","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-for-doctors","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>When should you refer your Paediatric Patients to a Paediatric Ophthalmologist? - Agashe Hospital<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/localhost\/agashehospital\/when-should-you-refer-your-paediatric-patients-to-a-paediatric-ophthalmologist\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"When should you refer your Paediatric Patients to a Paediatric Ophthalmologist? - Agashe Hospital\" \/>\n<meta property=\"og:description\" content=\"All Paediatricians are well qualified to take very good care of their patients in most cases. 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